Covered recipient · General Payments record
LAURA SPYCHE
Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner
General Payments · PY2021–2024
$24,282.31
- Reported across 200 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 |
|---|---|---|
| Honoraria | $4,500.00 | 3 |
| Food and Beverage | $486.07 | 21 |
| Travel and Lodging | $210.38 | 2 |
| Education | $40.83 | 9 |
By paying entity
PY2024 · sorted by reported total
| Paying entity | Amount | Records |
|---|---|---|
| Fresenius USA Marketing, Inc. | $4,871.07 | 9 |
| Retrophin, Inc. | $122.92 | 14 |
| Acerta Pharma LLC | $85.22 | 5 |
| Bayer HealthCare Pharmaceuticals Inc. | $45.49 | 2 |
| Lilly USA, LLC | $38.69 | 2 |
| Phathom Pharmaceuticals, Inc. | $29.14 | 1 |
| Amgen Inc. | $25.56 | 1 |
| Kyowa Kirin, Inc. | $19.19 | 1 |
By program year
All program years on this page · sorted by year
Payment records · PY2024 (35)
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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