Covered recipient · General Payments record
MARLA JB SPRING
Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family
General Payments · PY2021–2023
$1,067.55
- Reported across 66 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
PY2023 · sorted by reported total
| Nature of payment | Amount | Records |
|---|---|---|
| Food and Beverage | $366.04 | 21 |
| Education | $13.89 | 1 |
By paying entity
PY2023 · sorted by reported total
| Paying entity | Amount | Records |
|---|---|---|
| Xeris Pharmaceuticals, Inc. | $142.47 | 8 |
| Lilly USA, LLC | $61.82 | 4 |
| NOVARTIS PHARMACEUTICALS CORPORATION | $46.00 | 3 |
| Amgen Inc. | $35.50 | 2 |
| Ascensia Diabetes Care US Inc. | $23.60 | 1 |
| CeQur Corporation | $20.83 | 1 |
| IBSA Pharma Inc. | $18.38 | 1 |
| SANOFI-AVENTIS U.S. LLC | $15.94 | 1 |
| Insulet Corporation | $15.39 | 1 |
By program year
All program years on this page · sorted by year
Payment records · PY2023 (22)
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
- Source files
- Dataset page · Bulk file · PY2021 , PY2022 , PY2023
- Generated from
- OP_DTL_GNRL_PGYR2023_P01232026_01102026.csv
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