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

BRITTANY MICHELLE SPENCE

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family

NPI
1568070761
CMS profile
10841639
Location
PARAGOULD, AR

General Payments · PY2021–2024

$1,691.97

  • Reported across 92 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$752.77

35 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 $752.77 35

By paying entity

PY2024 · sorted by reported total

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2021 $228.36 15
PY2022 $354.51 23
PY2023 $356.33 19
PY2024 $752.77 35

Payment records · PY2024 (35)

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

Program year 2024 202120222023 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
Abbott Laboratories $23.96 12/12/2024 Food and Beverage Undisputed 01/23/2026 1125126771 CMS
AstraZeneca Pharmaceuticals LP $88.72 01/24/2024 Food and Beverage Undisputed 01/23/2026 1104237579 CMS
AstraZeneca Pharmaceuticals LP $78.38 05/13/2024 Food and Beverage Undisputed 01/23/2026 1105518315 CMS
AstraZeneca Pharmaceuticals LP $13.75 08/09/2024 Food and Beverage Undisputed 01/23/2026 1104608786 CMS
Boston Scientific Corporation $80.67 02/13/2024 Food and Beverage Undisputed 01/23/2026 1092593063 CMS
Boston Scientific Corporation $19.81 08/19/2024 Food and Beverage Undisputed 01/23/2026 1092593061 CMS
Daxor Corporation $92.59 10/23/2024 Food and Beverage Undisputed 01/23/2026 1136815379 CMS
E.R. Squibb & Sons, L.L.C. $16.43 01/31/2024 Food and Beverage Undisputed 01/23/2026 1101548301 CMS
E.R. Squibb & Sons, L.L.C. $17.60 04/24/2024 Food and Beverage Undisputed 01/23/2026 1101548342 CMS
E.R. Squibb & Sons, L.L.C. $16.43 07/24/2024 Food and Beverage Undisputed 01/23/2026 1101548391 CMS
iRhythm Technologies, Inc. $26.56 10/31/2024 Food and Beverage Undisputed 01/23/2026 1154052167 CMS
Lexicon Pharmaceuticals, Inc. $18.47 04/15/2024 Food and Beverage Undisputed 01/23/2026 1081721221 CMS
Lexicon Pharmaceuticals, Inc. $17.00 06/03/2024 Food and Beverage Undisputed 01/23/2026 1081721219 CMS
Lexicon Pharmaceuticals, Inc. $15.90 07/08/2024 Food and Beverage Undisputed 01/23/2026 1081721217 CMS
Lexicon Pharmaceuticals, Inc. $21.27 09/09/2024 Food and Beverage Undisputed 01/23/2026 1081721223 CMS
Lexicon Pharmaceuticals, Inc. $22.33 11/04/2024 Food and Beverage Undisputed 01/23/2026 1081721225 CMS
Novartis Pharmaceuticals Corporation $0.78 01/17/2024 Food and Beverage Undisputed 01/23/2026 1087207511 CMS
Novartis Pharmaceuticals Corporation $12.21 01/17/2024 Food and Beverage Undisputed 01/23/2026 1087207513 CMS
Novartis Pharmaceuticals Corporation $2.72 01/22/2024 Food and Beverage Undisputed 01/23/2026 1087207509 CMS
Novartis Pharmaceuticals Corporation $11.41 03/11/2024 Food and Beverage Undisputed 01/23/2026 1087207519 CMS
Novartis Pharmaceuticals Corporation $15.20 04/01/2024 Food and Beverage Undisputed 01/23/2026 1087207517 CMS
Novartis Pharmaceuticals Corporation $2.34 04/08/2024 Food and Beverage Undisputed 01/23/2026 1087207515 CMS
Novartis Pharmaceuticals Corporation $8.18 05/06/2024 Food and Beverage Undisputed 01/23/2026 1087207521 CMS
Novartis Pharmaceuticals Corporation $2.99 05/23/2024 Food and Beverage Undisputed 01/23/2026 1087207523 CMS
Novartis Pharmaceuticals Corporation $0.16 06/05/2024 Food and Beverage Undisputed 01/23/2026 1087207525 CMS
Novartis Pharmaceuticals Corporation $7.83 06/05/2024 Food and Beverage Undisputed 01/23/2026 1087207527 CMS
Novartis Pharmaceuticals Corporation $11.23 06/17/2024 Food and Beverage Undisputed 01/23/2026 1087207529 CMS
Novartis Pharmaceuticals Corporation $17.88 07/22/2024 Food and Beverage Undisputed 01/23/2026 1087207531 CMS
Novartis Pharmaceuticals Corporation $0.13 07/22/2024 Food and Beverage Undisputed 01/23/2026 1087207533 CMS
Novartis Pharmaceuticals Corporation $9.77 08/15/2024 Food and Beverage Undisputed 01/23/2026 1087207535 CMS
Novartis Pharmaceuticals Corporation $19.87 08/26/2024 Food and Beverage Undisputed 01/23/2026 1087207537 CMS
Novartis Pharmaceuticals Corporation $2.39 09/23/2024 Food and Beverage Undisputed 01/23/2026 1087207539 CMS
Novartis Pharmaceuticals Corporation $9.52 09/30/2024 Food and Beverage Undisputed 01/23/2026 1087207541 CMS
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) $26.46 01/10/2024 Food and Beverage Undisputed 01/23/2026 1080575631 CMS
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) $21.83 01/29/2024 Food and Beverage Undisputed 01/23/2026 1080575665 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
Source files
Dataset page · Bulk file · PY2021 , PY2022 , PY2023 , PY2024
Generated from
OP_DTL_GNRL_PGYR2024_P01232026_01102026.csv

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