Covered recipient · General Payments record
ELIZABETH SPENCE
Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Pediatrics
General Payments · PY2021–2024
$764.59
- Reported across 39 records
- CMS publication 2026-01-23
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 payment | Amount | Records |
|---|---|---|
| Food and Beverage | $161.67 | 9 |
By paying entity
PY2024 · sorted by reported total
| Paying entity | Amount | Records |
|---|---|---|
| Exact Sciences Corporation | $59.71 | 3 |
| PFIZER INC. | $21.59 | 1 |
| Phadia US Inc. | $20.31 | 1 |
| Lilly USA, LLC | $17.41 | 1 |
| Novo Nordisk AS | $14.99 | 1 |
| GlaxoSmithKline, LLC. | $14.01 | 1 |
| BECTON, DICKINSON AND COMPANY | $13.65 | 1 |
By program year
All program years on this page · sorted by year
Payment records · PY2024 (9)
Sorted by paying entity, then date · as published by CMS
| Paying entity | Amount | Date | Nature of payment | Dispute status | Published | Record ID | Source |
|---|---|---|---|---|---|---|---|
| Becton, Dickinson and Company | $13.65 | 03/13/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1127618403 | CMS |
| Exact Sciences Corporation | $18.77 | 05/08/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1114912865 | CMS |
| Exact Sciences Corporation | $19.60 | 06/12/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1114912869 | CMS |
| Exact Sciences Corporation | $21.34 | 08/14/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1114912873 | CMS |
| GlaxoSmithKline, LLC. | $14.01 | 09/23/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1116394780 | CMS |
| Lilly USA, LLC | $17.41 | 08/01/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1135632692 | CMS |
| Novo Nordisk Inc | $14.99 | 10/03/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1100508213 | CMS |
| PFIZER INC. | $21.59 | 08/12/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1131791957 | CMS |
| Phadia US Inc. | $20.31 | 03/07/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1067578420 | 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
- 2021, 2022, 2023, 2024
- Generated from
- OP_DTL_GNRL_PGYR2024_P01232026_01102026.csv
One page per canonical provider; split Profile_IDs are merged via Associated_Covered_Recipient_Profile_ID_1/_2 from the Covered Recipient Profile Supplement.
Corrections to the substance of a record route to CMS through its review-and-dispute process; errors in how this site mirrors or displays a record route to us. Both paths are described in Methodology & Data.