Covered recipient · General Payments record

KIMBERLY A SPANO

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family

NPI: 1750927182
CMS profile: 11079142
Location: BELLEVILLE, IL

General Payments · PY2021–2024

$7,968.92

Reported across 424 records
CMS publication 2026-01-23

Latest program year · PY2024

$2,533.45

133 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 payment	Amount	Records
Food and Beverage	$2,533.45	133

By paying entity

PY2024 · sorted by reported total

Paying entity	Amount	Records
Acerta Pharma LLC	$500.85	26
Regeneron Healthcare Solutions, Inc.	$370.56	12
GlaxoSmithKline, LLC.	$278.36	17
JAZZ PHARMACEUTICALS INC.	$213.92	11
Electromed, Inc.	$212.83	26
HARMONY BIOSCIENCES LLC	$169.63	4
United Therapeutics Corporation	$128.50	6
GENZYME CORPORATION	$119.04	6
Avadel CNS Pharmaceuticals, LLC	$113.89	6
Mylan Specialty L.P.	$56.38	3
Boehringer Ingelheim Pharmaceuticals, Inc.	$51.39	2
Axsome Therapeutics, Inc.	$50.26	3
Grifols USA, LLC	$48.14	2
Shionogi Inc	$42.95	2
Merck Sharp & Dohme Corporation	$42.12	2
ResMed Corp	$34.71	1
Takeda Pharmaceuticals U.S.A., Inc.	$32.07	1
Actelion Pharmaceuticals US, Inc.	$30.53	1
Insmed, Inc.	$19.75	1
PFIZER INC.	$17.57	1

By program year

All program years on this page · sorted by year

Program year	Amount	Records
PY2021	$905.29	47
PY2022	$1,699.38	98
PY2023	$2,830.80	146
PY2024	$2,533.45	133

Payment records · PY2024 (133)

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

Program year 2024 2021 2022 2023 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
Actelion Pharmaceuticals US, Inc.	$30.53	02/07/2024	Food and Beverage	Undisputed	01/23/2026	1078885239	CMS
AstraZeneca Pharmaceuticals LP	$19.41	01/04/2024	Food and Beverage	Undisputed	01/23/2026	1104405749	CMS
AstraZeneca Pharmaceuticals LP	$24.63	02/05/2024	Food and Beverage	Undisputed	01/23/2026	1104511178	CMS
AstraZeneca Pharmaceuticals LP	$16.91	02/22/2024	Food and Beverage	Undisputed	01/23/2026	1104229357	CMS
AstraZeneca Pharmaceuticals LP	$24.06	03/06/2024	Food and Beverage	Undisputed	01/23/2026	1105576422	CMS
AstraZeneca Pharmaceuticals LP	$17.56	03/15/2024	Food and Beverage	Undisputed	01/23/2026	1105350551	CMS
AstraZeneca Pharmaceuticals LP	$24.89	03/15/2024	Food and Beverage	Undisputed	01/23/2026	1105697776	CMS
AstraZeneca Pharmaceuticals LP	$10.28	03/21/2024	Food and Beverage	Undisputed	01/23/2026	1105364638	CMS
AstraZeneca Pharmaceuticals LP	$17.40	04/09/2024	Food and Beverage	Undisputed	01/23/2026	1104780490	CMS
AstraZeneca Pharmaceuticals LP	$14.92	04/23/2024	Food and Beverage	Undisputed	01/23/2026	1104265125	CMS
AstraZeneca Pharmaceuticals LP	$13.74	04/23/2024	Food and Beverage	Undisputed	01/23/2026	1105721450	CMS
AstraZeneca Pharmaceuticals LP	$25.51	05/07/2024	Food and Beverage	Undisputed	01/23/2026	1105753121	CMS
AstraZeneca Pharmaceuticals LP	$13.82	05/30/2024	Food and Beverage	Undisputed	01/23/2026	1105807378	CMS
AstraZeneca Pharmaceuticals LP	$13.82	07/02/2024	Food and Beverage	Undisputed	01/23/2026	1105405581	CMS
AstraZeneca Pharmaceuticals LP	$15.44	08/09/2024	Food and Beverage	Undisputed	01/23/2026	1105745574	CMS
AstraZeneca Pharmaceuticals LP	$15.91	08/12/2024	Food and Beverage	Undisputed	01/23/2026	1104330890	CMS
AstraZeneca Pharmaceuticals LP	$18.83	08/19/2024	Food and Beverage	Undisputed	01/23/2026	1104610348	CMS
AstraZeneca Pharmaceuticals LP	$22.96	09/10/2024	Food and Beverage	Undisputed	01/23/2026	1104626898	CMS
AstraZeneca Pharmaceuticals LP	$20.57	09/17/2024	Food and Beverage	Undisputed	01/23/2026	1105855596	CMS
AstraZeneca Pharmaceuticals LP	$22.35	10/10/2024	Food and Beverage	Undisputed	01/23/2026	1104733567	CMS
AstraZeneca Pharmaceuticals LP	$20.47	10/16/2024	Food and Beverage	Undisputed	01/23/2026	1104386515	CMS
AstraZeneca Pharmaceuticals LP	$22.70	10/22/2024	Food and Beverage	Undisputed	01/23/2026	1104782864	CMS
AstraZeneca Pharmaceuticals LP	$23.94	11/18/2024	Food and Beverage	Undisputed	01/23/2026	1105661638	CMS
AstraZeneca Pharmaceuticals LP	$20.49	12/03/2024	Food and Beverage	Undisputed	01/23/2026	1104532754	CMS
AstraZeneca Pharmaceuticals LP	$21.38	12/03/2024	Food and Beverage	Undisputed	01/23/2026	1105281015	CMS
AstraZeneca Pharmaceuticals LP	$17.83	12/18/2024	Food and Beverage	Undisputed	01/23/2026	1105721766	CMS
AstraZeneca Pharmaceuticals LP	$21.03	12/19/2024	Food and Beverage	Undisputed	01/23/2026	1104742495	CMS
Avadel CNS Pharmaceuticals, LLC	$14.28	03/04/2024	Food and Beverage	Undisputed	01/23/2026	1123396248	CMS
Avadel CNS Pharmaceuticals, LLC	$17.73	04/04/2024	Food and Beverage	Undisputed	01/23/2026	1123396250	CMS
Avadel CNS Pharmaceuticals, LLC	$24.65	05/09/2024	Food and Beverage	Undisputed	01/23/2026	1123396252	CMS
Avadel CNS Pharmaceuticals, LLC	$18.44	06/11/2024	Food and Beverage	Undisputed	01/23/2026	1123396254	CMS
Avadel CNS Pharmaceuticals, LLC	$22.04	07/22/2024	Food and Beverage	Undisputed	01/23/2026	1123396256	CMS
Avadel CNS Pharmaceuticals, LLC	$16.75	11/26/2024	Food and Beverage	Undisputed	01/23/2026	1123396258	CMS
Axsome Therapeutics, Inc.	$15.62	04/08/2024	Food and Beverage	Undisputed	01/23/2026	1148379080	CMS
Axsome Therapeutics, Inc.	$21.10	05/28/2024	Food and Beverage	Undisputed	01/23/2026	1148379082	CMS
Axsome Therapeutics, Inc.	$13.54	12/04/2024	Food and Beverage	Undisputed	01/23/2026	1148379084	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$25.83	07/23/2024	Food and Beverage	Undisputed	01/23/2026	1118141352	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$25.56	10/08/2024	Food and Beverage	Undisputed	01/23/2026	1118141350	CMS
Electromed, Inc.	$10.79	01/31/2024	Food and Beverage	Undisputed	01/23/2026	1137914145	CMS
Electromed, Inc.	$2.23	02/15/2024	Food and Beverage	Undisputed	01/23/2026	1137914135	CMS
Electromed, Inc.	$4.54	02/15/2024	Food and Beverage	Undisputed	01/23/2026	1137914139	CMS
Electromed, Inc.	$8.19	02/16/2024	Food and Beverage	Undisputed	01/23/2026	1137914137	CMS
Electromed, Inc.	$5.54	02/19/2024	Food and Beverage	Undisputed	01/23/2026	1137914141	CMS
Electromed, Inc.	$1.58	02/19/2024	Food and Beverage	Undisputed	01/23/2026	1137914143	CMS
Electromed, Inc.	$6.97	03/13/2024	Food and Beverage	Undisputed	01/23/2026	1137914147	CMS
Electromed, Inc.	$8.82	03/19/2024	Food and Beverage	Undisputed	01/23/2026	1137914149	CMS
Electromed, Inc.	$12.71	04/08/2024	Food and Beverage	Undisputed	01/23/2026	1137914151	CMS
Electromed, Inc.	$11.65	04/17/2024	Food and Beverage	Undisputed	01/23/2026	1137914153	CMS
Electromed, Inc.	$8.40	04/23/2024	Food and Beverage	Undisputed	01/23/2026	1137914155	CMS
Electromed, Inc.	$13.72	05/06/2024	Food and Beverage	Undisputed	01/23/2026	1137914157	CMS
Electromed, Inc.	$11.13	05/13/2024	Food and Beverage	Undisputed	01/23/2026	1137914159	CMS
Electromed, Inc.	$4.83	06/08/2024	Food and Beverage	Undisputed	01/23/2026	1137914161	CMS
Electromed, Inc.	$11.85	06/24/2024	Food and Beverage	Undisputed	01/23/2026	1137914165	CMS
Electromed, Inc.	$3.41	06/26/2024	Food and Beverage	Undisputed	01/23/2026	1137914163	CMS
Electromed, Inc.	$12.88	08/01/2024	Food and Beverage	Undisputed	01/23/2026	1137914167	CMS
Electromed, Inc.	$13.11	08/28/2024	Food and Beverage	Undisputed	01/23/2026	1137914169	CMS
Electromed, Inc.	$0.85	09/09/2024	Food and Beverage	Undisputed	01/23/2026	1137914171	CMS
Electromed, Inc.	$12.41	09/09/2024	Food and Beverage	Undisputed	01/23/2026	1137914173	CMS
Electromed, Inc.	$12.31	10/07/2024	Food and Beverage	Undisputed	01/23/2026	1137914175	CMS
Electromed, Inc.	$13.26	11/05/2024	Food and Beverage	Undisputed	01/23/2026	1137914177	CMS
Electromed, Inc.	$14.86	11/15/2024	Food and Beverage	Undisputed	01/23/2026	1137914179	CMS
Electromed, Inc.	$1.62	11/15/2024	Food and Beverage	Undisputed	01/23/2026	1137914181	CMS
Electromed, Inc.	$2.21	11/15/2024	Food and Beverage	Undisputed	01/23/2026	1137914183	CMS
Electromed, Inc.	$2.96	11/26/2024	Food and Beverage	Undisputed	01/23/2026	1137914185	CMS
GENZYME CORPORATION	$16.54	05/14/2024	Food and Beverage	Undisputed	01/23/2026	1139880683	CMS
GENZYME CORPORATION	$21.07	06/24/2024	Food and Beverage	Undisputed	01/23/2026	1139880709	CMS
GENZYME CORPORATION	$28.36	07/29/2024	Food and Beverage	Undisputed	01/23/2026	1139880723	CMS
GENZYME CORPORATION	$14.02	08/13/2024	Food and Beverage	Undisputed	01/23/2026	1139880725	CMS
GENZYME CORPORATION	$19.52	10/31/2024	Food and Beverage	Undisputed	01/23/2026	1139880779	CMS
GENZYME CORPORATION	$19.53	12/09/2024	Food and Beverage	Undisputed	01/23/2026	1139880803	CMS
GlaxoSmithKline, LLC.	$17.46	01/30/2024	Food and Beverage	Undisputed	01/23/2026	1116347146	CMS
GlaxoSmithKline, LLC.	$19.64	02/01/2024	Food and Beverage	Undisputed	01/23/2026	1115973691	CMS
GlaxoSmithKline, LLC.	$24.65	02/20/2024	Food and Beverage	Undisputed	01/23/2026	1116275503	CMS
GlaxoSmithKline, LLC.	$14.50	02/26/2024	Food and Beverage	Undisputed	01/23/2026	1116476218	CMS
GlaxoSmithKline, LLC.	$11.39	03/18/2024	Food and Beverage	Undisputed	01/23/2026	1116194770	CMS
GlaxoSmithKline, LLC.	$6.59	05/09/2024	Food and Beverage	Undisputed	01/23/2026	1116299442	CMS
GlaxoSmithKline, LLC.	$6.08	05/22/2024	Food and Beverage	Undisputed	01/23/2026	1116629444	CMS
GlaxoSmithKline, LLC.	$22.58	05/24/2024	Food and Beverage	Undisputed	01/23/2026	1116504879	CMS
GlaxoSmithKline, LLC.	$17.13	07/24/2024	Food and Beverage	Undisputed	01/23/2026	1116507605	CMS
GlaxoSmithKline, LLC.	$20.11	08/06/2024	Food and Beverage	Undisputed	01/23/2026	1116612748	CMS
GlaxoSmithKline, LLC.	$12.07	08/15/2024	Food and Beverage	Undisputed	01/23/2026	1116220479	CMS
GlaxoSmithKline, LLC.	$22.75	09/02/2024	Food and Beverage	Undisputed	01/23/2026	1116269821	CMS
GlaxoSmithKline, LLC.	$15.64	09/12/2024	Food and Beverage	Undisputed	01/23/2026	1116052536	CMS
GlaxoSmithKline, LLC.	$14.81	11/04/2024	Food and Beverage	Undisputed	01/23/2026	1116517040	CMS
GlaxoSmithKline, LLC.	$20.33	11/08/2024	Food and Beverage	Undisputed	01/23/2026	1116141478	CMS
GlaxoSmithKline, LLC.	$15.75	12/03/2024	Food and Beverage	Undisputed	01/23/2026	1116023308	CMS
GlaxoSmithKline, LLC.	$16.88	12/03/2024	Food and Beverage	Undisputed	01/23/2026	1116370231	CMS
Grifols USA, LLC	$23.83	01/18/2024	Food and Beverage	Undisputed	01/23/2026	1124737083	CMS
Grifols USA, LLC	$24.31	04/25/2024	Food and Beverage	Undisputed	01/23/2026	1124737085	CMS
HARMONY BIOSCIENCES LLC	$42.73	03/21/2024	Food and Beverage	Undisputed	01/23/2026	1126066846	CMS
HARMONY BIOSCIENCES LLC	$39.19	04/04/2024	Food and Beverage	Undisputed	01/23/2026	1126066850	CMS
HARMONY BIOSCIENCES LLC	$45.04	05/08/2024	Food and Beverage	Undisputed	01/23/2026	1126066844	CMS
HARMONY BIOSCIENCES LLC	$42.67	06/05/2024	Food and Beverage	Undisputed	01/23/2026	1126066848	CMS
Insmed, Inc.	$19.75	12/10/2024	Food and Beverage	Undisputed	01/23/2026	1089580148	CMS
JAZZ PHARMACEUTICALS INC.	$27.01	01/24/2024	Food and Beverage	Undisputed	01/23/2026	1151314053	CMS
JAZZ PHARMACEUTICALS INC.	$30.67	03/01/2024	Food and Beverage	Undisputed	01/23/2026	1151314047	CMS
JAZZ PHARMACEUTICALS INC.	$27.29	03/28/2024	Food and Beverage	Undisputed	01/23/2026	1151314061	CMS
JAZZ PHARMACEUTICALS INC.	$24.94	04/30/2024	Food and Beverage	Undisputed	01/23/2026	1151314063	CMS
JAZZ PHARMACEUTICALS INC.	$18.28	05/02/2024	Food and Beverage	Undisputed	01/23/2026	1151314059	CMS
JAZZ PHARMACEUTICALS INC.	$3.16	06/27/2024	Food and Beverage	Undisputed	01/23/2026	1151314065	CMS
JAZZ PHARMACEUTICALS INC.	$14.01	06/28/2024	Food and Beverage	Undisputed	01/23/2026	1151314051	CMS
JAZZ PHARMACEUTICALS INC.	$24.68	07/29/2024	Food and Beverage	Undisputed	01/23/2026	1151314057	CMS
JAZZ PHARMACEUTICALS INC.	$20.45	08/27/2024	Food and Beverage	Undisputed	01/23/2026	1151314055	CMS
JAZZ PHARMACEUTICALS INC.	$0.62	11/19/2024	Food and Beverage	Undisputed	01/23/2026	1151314045	CMS
JAZZ PHARMACEUTICALS INC.	$22.81	11/19/2024	Food and Beverage	Undisputed	01/23/2026	1151314049	CMS
Merck Sharp & Dohme LLC	$23.36	01/10/2024	Food and Beverage	Undisputed	01/23/2026	1141782897	CMS
Merck Sharp & Dohme LLC	$18.76	03/06/2024	Food and Beverage	Undisputed	01/23/2026	1141782895	CMS
Mylan Specialty L.P.	$19.89	06/18/2024	Food and Beverage	Undisputed	01/23/2026	1147286614	CMS
Mylan Specialty L.P.	$23.31	07/18/2024	Food and Beverage	Undisputed	01/23/2026	1147290512	CMS
Mylan Specialty L.P.	$13.18	10/23/2024	Food and Beverage	Undisputed	01/23/2026	1147317455	CMS
PFIZER INC.	$17.57	06/14/2024	Food and Beverage	Undisputed	01/23/2026	1131465397	CMS
Regeneron Healthcare Solutions, Inc.	$19.50	01/08/2024	Food and Beverage	Undisputed	01/23/2026	1114376019	CMS
Regeneron Healthcare Solutions, Inc.	$14.94	02/13/2024	Food and Beverage	Undisputed	01/23/2026	1114376021	CMS
Regeneron Healthcare Solutions, Inc.	$31.25	03/11/2024	Food and Beverage	Undisputed	01/23/2026	1114376023	CMS
Regeneron Healthcare Solutions, Inc.	$25.55	04/15/2024	Food and Beverage	Undisputed	01/23/2026	1114376025	CMS
Regeneron Healthcare Solutions, Inc.	$30.60	06/06/2024	Food and Beverage	Undisputed	01/23/2026	1114376027	CMS
Regeneron Healthcare Solutions, Inc.	$31.78	07/10/2024	Food and Beverage	Undisputed	01/23/2026	1114376029	CMS
Regeneron Healthcare Solutions, Inc.	$30.62	07/15/2024	Food and Beverage	Undisputed	01/23/2026	1114376031	CMS
Regeneron Healthcare Solutions, Inc.	$21.06	08/29/2024	Food and Beverage	Undisputed	01/23/2026	1114376033	CMS
Regeneron Healthcare Solutions, Inc.	$17.78	09/16/2024	Food and Beverage	Undisputed	01/23/2026	1114376035	CMS
Regeneron Healthcare Solutions, Inc.	$102.53	09/20/2024	Food and Beverage	Undisputed	01/23/2026	1114376037	CMS
Regeneron Healthcare Solutions, Inc.	$22.16	10/14/2024	Food and Beverage	Undisputed	01/23/2026	1114376039	CMS
Regeneron Healthcare Solutions, Inc.	$22.79	11/11/2024	Food and Beverage	Undisputed	01/23/2026	1114376041	CMS
Resmed Corp	$34.71	03/06/2024	Food and Beverage	Undisputed	01/23/2026	1140204315	CMS
Shionogi Inc	$22.67	06/26/2024	Food and Beverage	Undisputed	01/23/2026	1154336568	CMS
Shionogi Inc	$20.28	10/16/2024	Food and Beverage	Undisputed	01/23/2026	1154336630	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$32.07	02/21/2024	Food and Beverage	Undisputed	01/23/2026	1137827329	CMS
United Therapeutics Corporation	$20.78	01/09/2024	Food and Beverage	Undisputed	01/23/2026	1149450227	CMS
United Therapeutics Corporation	$20.92	02/07/2024	Food and Beverage	Undisputed	01/23/2026	1149450843	CMS
United Therapeutics Corporation	$23.06	03/26/2024	Food and Beverage	Undisputed	01/23/2026	1149452658	CMS
United Therapeutics Corporation	$26.60	05/13/2024	Food and Beverage	Undisputed	01/23/2026	1149468092	CMS
United Therapeutics Corporation	$18.54	06/19/2024	Food and Beverage	Undisputed	01/23/2026	1149468094	CMS
United Therapeutics Corporation	$18.60	12/11/2024	Food and Beverage	Undisputed	01/23/2026	1149459766	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

One page per canonical provider; split Profile_IDs are merged via Associated_Covered_Recipient_Profile_ID_1/_2 from the Covered Recipient Profile Supplement.

Corrections to the substance of a record route to CMS through its review-and-dispute process; errors in how this site mirrors or displays a record route to us. Both paths are described in Methodology & Data.