Covered recipient · General Payments record
MICHELE A SPIRKO
Allopathic & Osteopathic Physicians Family Medicine
General Payments · PY2019–2024
$2,030.73
- Reported across 84 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 | $499.62 | 18 |
By paying entity
PY2024 · sorted by reported total
| Paying entity | Amount | Records |
|---|---|---|
| Janssen Pharmaceuticals, Inc | $162.78 | 3 |
| ABBVIE INC. | $79.09 | 3 |
| Astellas Pharma US Inc | $75.75 | 3 |
| Merck Sharp & Dohme Corporation | $44.87 | 2 |
| Corcept Therapeutics | $33.37 | 1 |
| Lundbeck LLC | $20.30 | 1 |
| Amgen Inc. | $19.89 | 1 |
| PFIZER INC. | $18.93 | 1 |
| Lilly USA, LLC | $17.40 | 1 |
| Indivior Inc. | $13.76 | 1 |
| SANOFI PASTEUR INC. | $13.48 | 1 |
By program year
All program years on this page · sorted by year
Payment records · PY2024 (18)
Sorted by paying entity, then date · as published by CMS
Program year 2024 20192020202120222023
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. | $17.07 | 03/01/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1106148325 | CMS |
| ABBVIE INC. | $31.94 | 09/06/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1106148327 | CMS |
| ABBVIE INC. | $30.08 | 11/16/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1106148329 | CMS |
| Amgen Inc. | $19.89 | 05/09/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1117690966 | CMS |
| Astellas Pharma US Inc | $24.95 | 02/08/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1139286374 | CMS |
| Astellas Pharma US Inc | $20.09 | 10/24/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1139415117 | CMS |
| Astellas Pharma US Inc | $30.71 | 12/19/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1139443474 | CMS |
| Corcept Therapeutics | $33.37 | 08/01/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1117755959 | CMS |
| Indivior Inc. | $13.76 | 01/25/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1144538744 | CMS |
| Janssen Pharmaceuticals, Inc | $115.46 | 03/28/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1078037574 | CMS |
| Janssen Pharmaceuticals, Inc | $28.22 | 08/15/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1078037556 | CMS |
| Janssen Pharmaceuticals, Inc | $19.10 | 09/17/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1078037568 | CMS |
| Lilly USA, LLC | $17.40 | 08/22/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1135201405 | CMS |
| Lundbeck LLC | $20.30 | 09/12/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1145971860 | CMS |
| Merck Sharp & Dohme LLC | $20.59 | 05/30/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1141970577 | CMS |
| Merck Sharp & Dohme LLC | $24.28 | 10/03/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1141560188 | CMS |
| PFIZER INC. | $18.93 | 03/28/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1131281629 | CMS |
| SANOFI PASTEUR INC. | $13.48 | 10/31/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1128740872 | 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
- 2019, 2020, 2021, 2022, 2023, 2024
- Generated from
- OP_DTL_GNRL_PGYR2024_P01232026_01102026.csv
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