Official source Data mirrored from Centers for Medicare & Medicaid Services Open Payments · General Payments · as published 2026-01-23 View official record Methodology

Covered recipient · General Payments record

KEANDRA E SPEAKMAN

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family

NPI
1508561614
CMS profile
11484866
Location
CAPE GIRARDEAU, MO

General Payments · PY2023–2024

$1,389.62

  • Reported across 35 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$1,231.58

33 records · 0 disputed

Financial relationships do not necessarily indicate an improper relationship; the data is open to interpretation.

How these totals are calculated
  • The total is the sum of the General Payments records CMS published for the labeled program year(s), exactly as published. Nothing is estimated, weighted, or combined across categories.
  • General Payments only. Research and Ownership/Investment are separate datasets and are never summed with these figures; amounts are kept separate per program year.
  • Featured-page threshold (a presentation gate, not a judgment): records>=3 OR total>=100 (all years).
  • Methodology & Data — sourcing, labeling, and limitations.

By nature of payment

PY2024 · sorted by reported total

Nature of paymentAmountRecords
Food and Beverage $1,231.58 33

By paying entity

PY2024 · sorted by reported total

Paying entityAmountRecords
ABBVIE INC. $507.03 16
EISAI INC. $236.17 2
ACADIA Pharmaceuticals Inc $165.74 7
ARGENX US, INC. $125.00 1
Neurocrine BioSciences, Inc. $90.23 2
EMD Serono, Inc. $45.62 1
PFIZER INC. $32.12 2
Lilly USA, LLC $29.67 2

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2023 $158.04 2
PY2024 $1,231.58 33

Payment records · PY2024 (33)

Sorted by paying entity, then date · as published by CMS

Program year 2024 2023 Record-level detail is published for PY2024; earlier years are summarised in “By program year”.
Paying entity Amount Date Nature of payment Dispute status Published Record ID Source
ABBVIE INC. $28.45 01/02/2024 Food and Beverage Undisputed 01/23/2026 1108236472 CMS
ABBVIE INC. $5.21 01/03/2024 Food and Beverage Undisputed 01/23/2026 1108236474 CMS
ABBVIE INC. $31.38 02/01/2024 Food and Beverage Undisputed 01/23/2026 1108236476 CMS
ABBVIE INC. $17.66 02/16/2024 Food and Beverage Undisputed 01/23/2026 1108236478 CMS
ABBVIE INC. $30.61 03/07/2024 Food and Beverage Undisputed 01/23/2026 1108236480 CMS
ABBVIE INC. $27.46 04/01/2024 Food and Beverage Undisputed 01/23/2026 1108236482 CMS
ABBVIE INC. $30.28 04/04/2024 Food and Beverage Undisputed 01/23/2026 1108236484 CMS
ABBVIE INC. $23.11 05/02/2024 Food and Beverage Undisputed 01/23/2026 1108236486 CMS
ABBVIE INC. $29.07 05/10/2024 Food and Beverage Undisputed 01/23/2026 1108236488 CMS
ABBVIE INC. $30.76 05/29/2024 Food and Beverage Undisputed 01/23/2026 1108236490 CMS
ABBVIE INC. $32.13 06/24/2024 Food and Beverage Undisputed 01/23/2026 1108236492 CMS
ABBVIE INC. $14.98 06/25/2024 Food and Beverage Undisputed 01/23/2026 1108236494 CMS
ABBVIE INC. $32.87 07/08/2024 Food and Beverage Undisputed 01/23/2026 1108236496 CMS
ABBVIE INC. $32.86 10/11/2024 Food and Beverage Undisputed 01/23/2026 1108236498 CMS
ABBVIE INC. $33.38 11/12/2024 Food and Beverage Undisputed 01/23/2026 1108236500 CMS
ABBVIE INC. $106.82 12/05/2024 Food and Beverage Undisputed 01/23/2026 1108236502 CMS
ACADIA Pharmaceuticals Inc $15.63 04/25/2024 Food and Beverage Undisputed 01/23/2026 1148014130 CMS
ACADIA Pharmaceuticals Inc $95.63 05/01/2024 Food and Beverage Undisputed 01/23/2026 1148014132 CMS
ACADIA Pharmaceuticals Inc $9.00 05/01/2024 Food and Beverage Undisputed 01/23/2026 1148014134 CMS
ACADIA Pharmaceuticals Inc $11.85 06/26/2024 Food and Beverage Undisputed 01/23/2026 1148014136 CMS
ACADIA Pharmaceuticals Inc $5.31 08/06/2024 Food and Beverage Undisputed 01/23/2026 1148014138 CMS
ACADIA Pharmaceuticals Inc $20.04 10/16/2024 Food and Beverage Undisputed 01/23/2026 1148014140 CMS
ACADIA Pharmaceuticals Inc $8.28 12/11/2024 Food and Beverage Undisputed 01/23/2026 1148014142 CMS
ARGENX US, INC. $125.00 10/29/2024 Food and Beverage Undisputed 01/23/2026 1142149092 CMS
Eisai Inc. $115.57 02/13/2024 Food and Beverage Undisputed 01/23/2026 1110808678 CMS
Eisai Inc. $120.60 11/19/2024 Food and Beverage Undisputed 01/23/2026 1110808680 CMS
EMD Serono, Inc. $45.62 03/04/2024 Food and Beverage Undisputed 01/23/2026 1120244993 CMS
Lilly USA, LLC $13.44 01/29/2024 Food and Beverage Undisputed 01/23/2026 1135771162 CMS
Lilly USA, LLC $16.23 03/05/2024 Food and Beverage Undisputed 01/23/2026 1135735625 CMS
Neurocrine Biosciences, Inc. $70.66 10/09/2024 Food and Beverage Undisputed 01/23/2026 1150927173 CMS
Neurocrine Biosciences, Inc. $19.57 10/31/2024 Food and Beverage Undisputed 01/23/2026 1150982056 CMS
PFIZER INC. $15.12 06/24/2024 Food and Beverage Undisputed 01/23/2026 1131737142 CMS
PFIZER INC. $17.00 08/15/2024 Food and Beverage Undisputed 01/23/2026 1131866948 CMS

Source & provenance

Dataset
CMS Open Payments — General Payments
Publisher of source data
Centers for Medicare & Medicaid Services
CMS publication date
2026-01-23
Program years on this page
2023, 2024
Source files
Dataset page · Bulk file · PY2023 , PY2024
Generated from
OP_DTL_GNRL_PGYR2024_P01232026_01102026.csv

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