Covered recipient · General Payments record

ALEXANDER I SPIRA

Allopathic & Osteopathic Physicians Internal Medicine Hematology & Oncology

NPI: 1902874514
CMS profile: 132222
Location: FAIRFAX, VA

General Payments · PY2018–2024

$477,724.44

Reported across 431 records
CMS publication 2026-01-23

Latest program year · PY2024

$73,886.19

125 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
Consulting Fee	$66,726.25	31
Travel and Lodging	$4,095.35	21
Food and Beverage	$3,064.59	73

By paying entity

PY2024 · sorted by reported total

Paying entity	Amount	Records
Janssen Biotech, Inc.	$15,689.44	37
Genentech USA, Inc.	$12,141.13	10
Merck Sharp & Dohme Corporation	$7,104.49	8
Acerta Pharma LLC	$6,391.46	11
Eli Lilly and Company	$6,300.00	3
ABBVIE INC.	$5,737.50	3
Daiichi Sankyo Inc.	$5,014.93	7
Janssen Research & Development, LLC	$4,932.00	1
AstraZeneca UK Limited	$4,320.29	6
Janssen Global Services, LLC	$3,037.50	3
Bayer HealthCare Pharmaceuticals Inc.	$2,154.93	3
Amgen Inc.	$343.00	1
NOVARTIS PHARMACEUTICALS CORPORATION	$168.27	8
E.R. Squibb & Sons, L.L.C.	$64.95	3
Genentech, Inc.	$51.35	1
BeiGene USA, Inc.	$42.14	2
Takeda Pharmaceuticals U.S.A., Inc.	$41.59	2
SOBI, INC	$40.13	2
PFIZER INC.	$39.93	2
PUMA BIOTECHNOLOGY, INC.	$37.83	2
PharmaEssentia USA Corporation	$31.81	1
Celgene Corporation	$26.63	1
Regeneron Healthcare Solutions, Inc.	$26.37	1
Alexion Pharmaceuticals, Inc.	$25.22	1
SERVIER PHARMACEUTICALS LLC	$23.44	1
ARRAY BIOPHARMA INC	$22.51	1
TAIHO ONCOLOGY, INC.	$21.39	1
GlaxoSmithKline, LLC.	$19.55	1
Medtronic, Inc.	$18.76	1
EISAI INC.	$17.65	1

By program year

All program years on this page · sorted by year

Program year	Amount	Records
PY2018	$53,672.83	54
PY2019	$52,629.00	56
PY2020	$79,987.69	41
PY2021	$88,674.00	51
PY2022	$57,567.75	34
PY2023	$71,306.98	70
PY2024	$73,886.19	125

Payment records · PY2024 (125)

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

Program year 2024 2018 2019 2020 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
ABBVIE INC.	$337.50	04/17/2024	Consulting Fee	Undisputed	01/23/2026	1106148141	CMS
ABBVIE INC.	$4,725.00	05/20/2024	Consulting Fee	Undisputed	01/23/2026	1106148143	CMS
ABBVIE INC.	$675.00	09/10/2024	Consulting Fee	Undisputed	01/23/2026	1106148145	CMS
Alexion Pharmaceuticals, Inc.	$25.22	04/29/2024	Food and Beverage	Undisputed	01/23/2026	1094044230	CMS
Amgen Inc.	$343.00	04/05/2024	Consulting Fee	Undisputed	01/23/2026	1117690958	CMS
ARRAY BIOPHARMA INC	$22.51	12/18/2024	Food and Beverage	Undisputed	01/23/2026	1131480315	CMS
AstraZeneca Pharmaceuticals LP	$49.25	02/21/2024	Food and Beverage	Undisputed	01/23/2026	1104355388	CMS
AstraZeneca Pharmaceuticals LP	$80.18	02/21/2024	Food and Beverage	Undisputed	01/23/2026	1104515526	CMS
AstraZeneca Pharmaceuticals LP	$22.17	02/21/2024	Food and Beverage	Undisputed	01/23/2026	1105450207	CMS
AstraZeneca Pharmaceuticals LP	$52.39	02/21/2024	Food and Beverage	Undisputed	01/23/2026	1105740342	CMS
AstraZeneca Pharmaceuticals LP	$45.26	02/21/2024	Food and Beverage	Undisputed	01/23/2026	1105773964	CMS
AstraZeneca Pharmaceuticals LP	$20.33	02/23/2024	Food and Beverage	Undisputed	01/23/2026	1104555242	CMS
AstraZeneca Pharmaceuticals LP	$2,220.00	03/05/2024	Consulting Fee	Undisputed	01/23/2026	1105687589	CMS
AstraZeneca Pharmaceuticals LP	$1,526.25	05/03/2024	Consulting Fee	Undisputed	01/23/2026	1105665568	CMS
AstraZeneca Pharmaceuticals LP	$135.00	05/30/2024	Food and Beverage	Undisputed	01/23/2026	1104436219	CMS
AstraZeneca Pharmaceuticals LP	$2,220.00	10/29/2024	Consulting Fee	Undisputed	01/23/2026	1104305998	CMS
AstraZeneca Pharmaceuticals LP	$20.63	11/19/2024	Food and Beverage	Undisputed	01/23/2026	1104428117	CMS
AstraZeneca UK Limited	$1,387.50	01/17/2024	Consulting Fee	Undisputed	01/23/2026	1093928922	CMS
AstraZeneca UK Limited	$555.00	01/23/2024	Consulting Fee	Undisputed	01/23/2026	1093998175	CMS
AstraZeneca UK Limited	$2,220.00	07/09/2024	Consulting Fee	Undisputed	01/23/2026	1093919164	CMS
AstraZeneca UK Limited	$55.00	09/06/2024	Food and Beverage	Undisputed	01/23/2026	1093940653	CMS
AstraZeneca UK Limited	$55.00	09/06/2024	Food and Beverage	Undisputed	01/23/2026	1093990274	CMS
AstraZeneca UK Limited	$47.79	09/06/2024	Food and Beverage	Undisputed	01/23/2026	1094049083	CMS
Bayer Healthcare Pharmaceuticals Inc.	$2,100.00	05/13/2024	Consulting Fee	Undisputed	01/23/2026	1086235196	CMS
Bayer Healthcare Pharmaceuticals Inc.	$25.53	10/29/2024	Food and Beverage	Undisputed	01/23/2026	1086251520	CMS
Bayer Healthcare Pharmaceuticals Inc.	$29.40	11/06/2024	Food and Beverage	Undisputed	01/23/2026	1086257848	CMS
BeiGene USA, Inc.	$21.38	05/21/2024	Food and Beverage	Undisputed	01/23/2026	1120861783	CMS
BeiGene USA, Inc.	$20.76	10/01/2024	Food and Beverage	Undisputed	01/23/2026	1120861785	CMS
Celgene Corporation	$26.63	11/13/2024	Food and Beverage	Undisputed	01/23/2026	1101078336	CMS
Daiichi Sankyo Inc.	$937.50	01/10/2024	Consulting Fee	Undisputed	01/23/2026	1089485958	CMS
Daiichi Sankyo Inc.	$1,250.00	01/10/2024	Consulting Fee	Undisputed	01/23/2026	1089485962	CMS
Daiichi Sankyo Inc.	$832.50	08/21/2024	Consulting Fee	Undisputed	01/23/2026	1089485960	CMS
Daiichi Sankyo Inc.	$1,942.50	09/11/2024	Consulting Fee	Undisputed	01/23/2026	1089485956	CMS
Daiichi Sankyo Inc.	$2.78	09/30/2024	Food and Beverage	Undisputed	01/23/2026	1089485952	CMS
Daiichi Sankyo Inc.	$20.12	10/01/2024	Food and Beverage	Undisputed	01/23/2026	1089485950	CMS
Daiichi Sankyo Inc.	$29.53	11/11/2024	Food and Beverage	Undisputed	01/23/2026	1089485954	CMS
E.R. Squibb & Sons, L.L.C.	$19.38	09/03/2024	Food and Beverage	Undisputed	01/23/2026	1101206634	CMS
E.R. Squibb & Sons, L.L.C.	$22.37	09/11/2024	Food and Beverage	Undisputed	01/23/2026	1101206636	CMS
E.R. Squibb & Sons, L.L.C.	$23.20	11/14/2024	Food and Beverage	Undisputed	01/23/2026	1101206662	CMS
Eisai Inc.	$17.65	07/18/2024	Food and Beverage	Undisputed	01/23/2026	1110727779	CMS
Eli Lilly and Company	$1,800.00	04/09/2024	Consulting Fee	Undisputed	01/23/2026	1136014294	CMS
Eli Lilly and Company	$1,350.00	09/13/2024	Consulting Fee	Undisputed	01/23/2026	1136017517	CMS
Eli Lilly and Company	$3,150.00	09/13/2024	Consulting Fee	Undisputed	01/23/2026	1136017519	CMS
Genentech USA, Inc.	$8.00	01/31/2024	Travel and Lodging	Undisputed	01/23/2026	1132973863	CMS
Genentech USA, Inc.	$470.17	01/31/2024	Travel and Lodging	Undisputed	01/23/2026	1132973865	CMS
Genentech USA, Inc.	$218.82	01/31/2024	Travel and Lodging	Undisputed	01/23/2026	1132973869	CMS
Genentech USA, Inc.	$40.26	01/31/2024	Food and Beverage	Undisputed	01/23/2026	1132973871	CMS
Genentech USA, Inc.	$148.62	01/31/2024	Food and Beverage	Undisputed	01/23/2026	1132973879	CMS
Genentech USA, Inc.	$203.53	02/01/2024	Travel and Lodging	Undisputed	01/23/2026	1132973861	CMS
Genentech USA, Inc.	$28.07	02/01/2024	Food and Beverage	Undisputed	01/23/2026	1132973867	CMS
Genentech USA, Inc.	$3.66	02/22/2024	Food and Beverage	Undisputed	01/23/2026	1132973859	CMS
Genentech USA, Inc.	$9,880.00	04/09/2024	Consulting Fee	Undisputed	01/23/2026	1132973873	CMS
Genentech USA, Inc.	$1,140.00	04/19/2024	Consulting Fee	Undisputed	01/23/2026	1132973875	CMS
Genentech, Inc.	$51.35	01/31/2024	Food and Beverage	Undisputed	01/23/2026	1132973877	CMS
GlaxoSmithKline, LLC.	$19.55	07/30/2024	Food and Beverage	Undisputed	01/23/2026	1116733814	CMS
Janssen Biotech, Inc.	$404.29	01/03/2024	Travel and Lodging	Undisputed	01/23/2026	1078796920	CMS
Janssen Biotech, Inc.	$166.86	01/17/2024	Travel and Lodging	Undisputed	01/23/2026	1078796222	CMS
Janssen Biotech, Inc.	$4.16	01/17/2024	Food and Beverage	Undisputed	01/23/2026	1078796625	CMS
Janssen Biotech, Inc.	$4.82	01/17/2024	Food and Beverage	Undisputed	01/23/2026	1078796761	CMS
Janssen Biotech, Inc.	$31.95	01/17/2024	Food and Beverage	Undisputed	01/23/2026	1078797579	CMS
Janssen Biotech, Inc.	$53.08	01/17/2024	Food and Beverage	Undisputed	01/23/2026	1078797823	CMS
Janssen Biotech, Inc.	$10.64	01/17/2024	Food and Beverage	Undisputed	01/23/2026	1078798103	CMS
Janssen Biotech, Inc.	$222.98	01/17/2024	Travel and Lodging	Undisputed	01/23/2026	1078798349	CMS
Janssen Biotech, Inc.	$32.00	01/18/2024	Travel and Lodging	Undisputed	01/23/2026	1078796439	CMS
Janssen Biotech, Inc.	$4,200.00	02/02/2024	Consulting Fee	Undisputed	01/23/2026	1078798032	CMS
Janssen Biotech, Inc.	$36.04	02/23/2024	Food and Beverage	Undisputed	01/23/2026	1078796991	CMS
Janssen Biotech, Inc.	$700.00	03/01/2024	Consulting Fee	Undisputed	01/23/2026	1078797659	CMS
Janssen Biotech, Inc.	$35.37	03/04/2024	Food and Beverage	Undisputed	01/23/2026	1078797607	CMS
Janssen Biotech, Inc.	$28.74	03/04/2024	Food and Beverage	Undisputed	01/23/2026	1078798596	CMS
Janssen Biotech, Inc.	$15.72	03/05/2024	Food and Beverage	Undisputed	01/23/2026	1078797948	CMS
Janssen Biotech, Inc.	$48.99	03/06/2024	Food and Beverage	Undisputed	01/23/2026	1078797051	CMS
Janssen Biotech, Inc.	$65.48	03/06/2024	Food and Beverage	Undisputed	01/23/2026	1078797318	CMS
Janssen Biotech, Inc.	$72.03	04/27/2024	Food and Beverage	Undisputed	01/23/2026	1078798213	CMS
Janssen Biotech, Inc.	$1,400.00	05/03/2024	Consulting Fee	Undisputed	01/23/2026	1078798304	CMS
Janssen Biotech, Inc.	$350.00	05/17/2024	Consulting Fee	Undisputed	01/23/2026	1078796302	CMS
Janssen Biotech, Inc.	$51.10	05/30/2024	Travel and Lodging	Undisputed	01/23/2026	1078796876	CMS
Janssen Biotech, Inc.	$125.04	05/30/2024	Food and Beverage	Undisputed	01/23/2026	1078797786	CMS
Janssen Biotech, Inc.	$3,500.00	06/28/2024	Consulting Fee	Undisputed	01/23/2026	1078797714	CMS
Janssen Biotech, Inc.	$23.90	06/30/2024	Food and Beverage	Undisputed	01/23/2026	1078797611	CMS
Janssen Biotech, Inc.	$2,100.00	10/04/2024	Consulting Fee	Undisputed	01/23/2026	1078798139	CMS
Janssen Biotech, Inc.	$320.46	10/28/2024	Travel and Lodging	Undisputed	01/23/2026	1078797233	CMS
Janssen Biotech, Inc.	$760.00	11/12/2024	Food and Beverage	Undisputed	01/23/2026	1078796294	CMS
Janssen Biotech, Inc.	$16.26	11/12/2024	Food and Beverage	Undisputed	01/23/2026	1078797678	CMS
Janssen Biotech, Inc.	$230.46	11/12/2024	Travel and Lodging	Undisputed	01/23/2026	1078798790	CMS
Janssen Biotech, Inc.	$169.51	11/13/2024	Travel and Lodging	Undisputed	01/23/2026	1078796880	CMS
Janssen Biotech, Inc.	$5.30	11/13/2024	Food and Beverage	Undisputed	01/23/2026	1078797510	CMS
Janssen Biotech, Inc.	$225.91	11/13/2024	Travel and Lodging	Undisputed	01/23/2026	1078797562	CMS
Janssen Biotech, Inc.	$87.00	11/14/2024	Travel and Lodging	Undisputed	01/23/2026	1078796399	CMS
Janssen Biotech, Inc.	$18.40	11/14/2024	Food and Beverage	Undisputed	01/23/2026	1078796447	CMS
Janssen Biotech, Inc.	$5.20	11/14/2024	Food and Beverage	Undisputed	01/23/2026	1078797369	CMS
Janssen Biotech, Inc.	$15.00	11/14/2024	Travel and Lodging	Undisputed	01/23/2026	1078798655	CMS
Janssen Biotech, Inc.	$152.75	11/14/2024	Travel and Lodging	Undisputed	01/23/2026	1078798706	CMS
Janssen Global Services, LLC	$337.50	02/01/2024	Consulting Fee	Undisputed	01/23/2026	1077592405	CMS
Janssen Global Services, LLC	$1,350.00	04/15/2024	Consulting Fee	Undisputed	01/23/2026	1077592409	CMS
Janssen Global Services, LLC	$1,350.00	05/31/2024	Consulting Fee	Undisputed	01/23/2026	1077592407	CMS
Janssen Research & Development, LLC	$4,932.00	07/17/2024	Consulting Fee	Undisputed	01/23/2026	1077589289	CMS
Medtronic, Inc.	$18.76	08/19/2024	Food and Beverage	Undisputed	01/23/2026	1119542131	CMS
Merck Sharp & Dohme LLC	$269.00	10/16/2024	Travel and Lodging	Undisputed	01/23/2026	1141742669	CMS
Merck Sharp & Dohme LLC	$177.20	10/16/2024	Travel and Lodging	Undisputed	01/23/2026	1141742673	CMS
Merck Sharp & Dohme LLC	$40.99	10/17/2024	Food and Beverage	Undisputed	01/23/2026	1141742665	CMS
Merck Sharp & Dohme LLC	$31.99	10/17/2024	Food and Beverage	Undisputed	01/23/2026	1141742667	CMS
Merck Sharp & Dohme LLC	$163.64	10/17/2024	Travel and Lodging	Undisputed	01/23/2026	1141742671	CMS
Merck Sharp & Dohme LLC	$356.67	10/17/2024	Travel and Lodging	Undisputed	01/23/2026	1141882900	CMS
Merck Sharp & Dohme LLC	$5,915.00	10/28/2024	Consulting Fee	Undisputed	01/23/2026	1141559862	CMS
Merck Sharp & Dohme LLC	$150.00	10/28/2024	Travel and Lodging	Undisputed	01/23/2026	1141559876	CMS
Novartis Pharmaceuticals Corporation	$19.43	02/07/2024	Food and Beverage	Undisputed	01/23/2026	1087158645	CMS
Novartis Pharmaceuticals Corporation	$25.20	08/01/2024	Food and Beverage	Undisputed	01/23/2026	1087158647	CMS
Novartis Pharmaceuticals Corporation	$24.18	10/03/2024	Food and Beverage	Undisputed	01/23/2026	1087158649	CMS
Novartis Pharmaceuticals Corporation	$31.25	10/15/2024	Food and Beverage	Undisputed	01/23/2026	1087158655	CMS
Novartis Pharmaceuticals Corporation	$24.32	10/31/2024	Food and Beverage	Undisputed	01/23/2026	1087158651	CMS
Novartis Pharmaceuticals Corporation	$0.18	10/31/2024	Food and Beverage	Undisputed	01/23/2026	1087158653	CMS
Novartis Pharmaceuticals Corporation	$14.85	11/15/2024	Food and Beverage	Undisputed	01/23/2026	1087158657	CMS
Novartis Pharmaceuticals Corporation	$28.86	12/04/2024	Food and Beverage	Undisputed	01/23/2026	1087158659	CMS
PFIZER INC.	$23.89	07/23/2024	Food and Beverage	Undisputed	01/23/2026	1131773221	CMS
PFIZER INC.	$16.04	08/27/2024	Food and Beverage	Undisputed	01/23/2026	1131904763	CMS
PharmaEssentia USA Corporation	$31.81	11/05/2024	Food and Beverage	Undisputed	01/23/2026	1137302580	CMS
PUMA BIOTECHNOLOGY, INC.	$18.65	05/19/2024	Food and Beverage	Undisputed	01/23/2026	1113841497	CMS
PUMA BIOTECHNOLOGY, INC.	$19.18	11/04/2024	Food and Beverage	Undisputed	01/23/2026	1113839735	CMS
Regeneron Healthcare Solutions, Inc.	$26.37	10/31/2024	Food and Beverage	Undisputed	01/23/2026	1114189348	CMS
SERVIER PHARMACEUTICALS LLC	$23.44	12/17/2024	Food and Beverage	Undisputed	01/23/2026	1147257858	CMS
SOBI, INC	$21.97	08/13/2024	Food and Beverage	Undisputed	01/23/2026	1141409580	CMS
SOBI, INC	$18.16	11/20/2024	Food and Beverage	Undisputed	01/23/2026	1141428363	CMS
TAIHO ONCOLOGY, INC.	$21.39	08/01/2024	Food and Beverage	Undisputed	01/23/2026	1137935151	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$20.87	07/09/2024	Food and Beverage	Undisputed	01/23/2026	1144968198	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$20.72	12/20/2024	Food and Beverage	Undisputed	01/23/2026	1144968200	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

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.