Covered recipient · General Payments record
ROUMYANA IVANOVA SPASSOVA
Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner
General Payments · PY2021–2024
$5,300.34
- Reported across 203 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 | $2,453.95 | 92 |
By paying entity
PY2024 · sorted by reported total
| Paying entity | Amount | Records |
|---|---|---|
| CeQur Corporation | $496.94 | 1 |
| Novo Nordisk AS | $302.79 | 21 |
| Acerta Pharma LLC | $286.52 | 5 |
| Lilly USA, LLC | $273.97 | 11 |
| Bayer HealthCare Pharmaceuticals Inc. | $173.95 | 9 |
| Medtronic, Inc. | $160.15 | 4 |
| Amgen Inc. | $132.10 | 10 |
| ABBVIE INC. | $131.79 | 8 |
| Corcept Therapeutics | $83.12 | 3 |
| Esperion Therapeutics, Inc. | $70.18 | 3 |
| BETA BIONICS, INC. | $58.77 | 2 |
| DEXCOM, INC. | $58.12 | 3 |
| Insulet Corporation | $55.05 | 3 |
| Boehringer Ingelheim Pharmaceuticals, Inc. | $35.80 | 2 |
| PFIZER INC. | $33.45 | 2 |
| SHIELD THERAPEUTICS INC | $32.09 | 2 |
| Verity Pharmaceuticals Inc. | $26.58 | 1 |
| BOSTON SCIENTIFIC CORPORATION | $26.25 | 1 |
| Abbott Laboratories | $16.33 | 1 |
By program year
All program years on this page · sorted by year
Payment records · PY2024 (92)
Sorted by paying entity, then date · as published by 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
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