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

SPENCER JAMES ADAMS

Allopathic & Osteopathic Physicians Ophthalmology

NPI
1689105801
CMS profile
5703437
Location
FRESNO, CA

General Payments · PY2018–2024

$2,103.85

  • Reported across 50 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$321.65

12 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 $321.65 12

By paying entity

PY2024 · sorted by reported total

Paying entityAmountRecords
Alcon Laboratories Inc $148.00 3
Amgen Inc. $66.74 4
RxSight Inc $45.00 2
BIOTISSUE HOLDINGS INC. $25.00 1
Johnson & Johnson Vision Care, Inc. $20.64 1
Oyster Point Pharma, Inc. $16.27 1

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2018 $399.07 5
PY2019 $170.98 2
PY2020 $123.20 4
PY2021 $560.72 12
PY2022 $196.94 6
PY2023 $331.29 9
PY2024 $321.65 12

Payment records · PY2024 (12)

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

Program year 2024 201820192020202120222023 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
Alcon Vision LLC $4.06 03/13/2024 Food and Beverage Undisputed 01/23/2026 1110643063 CMS
Alcon Vision LLC $121.83 07/30/2024 Food and Beverage Undisputed 01/23/2026 1110643067 CMS
Alcon Vision LLC $22.11 10/17/2024 Food and Beverage Undisputed 01/23/2026 1110643065 CMS
Amgen Inc. $15.22 02/05/2024 Food and Beverage Undisputed 01/23/2026 1115409324 CMS
Amgen Inc. $13.20 04/08/2024 Food and Beverage Undisputed 01/23/2026 1115409327 CMS
Amgen Inc. $23.65 05/20/2024 Food and Beverage Undisputed 01/23/2026 1115409331 CMS
Amgen Inc. $14.67 07/15/2024 Food and Beverage Undisputed 01/23/2026 1115409334 CMS
BIOTISSUE HOLDINGS INC. $25.00 07/08/2024 Food and Beverage Undisputed 01/23/2026 1148768284 CMS
Johnson & Johnson Vision Care, Inc. $20.64 04/24/2024 Food and Beverage Undisputed 01/23/2026 1077680449 CMS
Oyster Point Pharma, Inc. $16.27 10/09/2024 Food and Beverage Undisputed 01/23/2026 1147415770 CMS
RxSight Inc $20.41 02/01/2024 Food and Beverage Undisputed 01/23/2026 1144211956 CMS
RxSight Inc $24.59 04/30/2024 Food and Beverage Undisputed 01/23/2026 1144211958 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
2018, 2019, 2020, 2021, 2022, 2023, 2024
Source files
Dataset page · Bulk file · PY2018 , PY2019 , PY2020 , PY2021 , PY2022 , PY2023 , PY2024
Generated from
OP_DTL_GNRL_PGYR2024_P01232026_01102026.csv

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