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

SANDRA K BIRCHEM

Allopathic & Osteopathic Physicians Internal Medicine Cardiovascular Disease

NPI
1902888241
CMS profile
474684
Location
SPRINGFIELD, MO

General Payments · PY2022–2024

$1,120.27

  • Reported across 37 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$710.27

23 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 $710.27 23

By paying entity

PY2024 · sorted by reported total

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2022 $67.43 4
PY2023 $342.57 10
PY2024 $710.27 23

Payment records · PY2024 (23)

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

Program year 2024 20222023 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
Abbott Laboratories $139.41 03/28/2024 Food and Beverage Undisputed 01/23/2026 1125331740 CMS
Amgen Inc. $97.92 02/22/2024 Food and Beverage Undisputed 01/23/2026 1115452647 CMS
Amgen Inc. $18.28 08/12/2024 Food and Beverage Undisputed 01/23/2026 1115452652 CMS
AstraZeneca Pharmaceuticals LP $13.61 03/27/2024 Food and Beverage Undisputed 01/23/2026 1105788132 CMS
AstraZeneca Pharmaceuticals LP $14.31 03/28/2024 Food and Beverage Undisputed 01/23/2026 1104393481 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $19.55 09/11/2024 Food and Beverage Undisputed 01/23/2026 1118229626 CMS
CVRx, Inc. $25.34 06/10/2024 Food and Beverage Undisputed 01/23/2026 1127676800 CMS
E.R. Squibb & Sons, L.L.C. $18.68 02/20/2024 Food and Beverage Undisputed 01/23/2026 1101794020 CMS
E.R. Squibb & Sons, L.L.C. $19.01 03/20/2024 Food and Beverage Undisputed 01/23/2026 1101794053 CMS
E.R. Squibb & Sons, L.L.C. $19.01 04/18/2024 Food and Beverage Undisputed 01/23/2026 1101794071 CMS
E.R. Squibb & Sons, L.L.C. $19.01 05/22/2024 Food and Beverage Undisputed 01/23/2026 1101794093 CMS
E.R. Squibb & Sons, L.L.C. $17.88 06/20/2024 Food and Beverage Undisputed 01/23/2026 1101794104 CMS
E.R. Squibb & Sons, L.L.C. $18.53 07/15/2024 Food and Beverage Undisputed 01/23/2026 1101794119 CMS
E.R. Squibb & Sons, L.L.C. $18.53 08/27/2024 Food and Beverage Undisputed 01/23/2026 1101794141 CMS
E.R. Squibb & Sons, L.L.C. $18.55 11/18/2024 Food and Beverage Undisputed 01/23/2026 1101794219 CMS
E.R. Squibb & Sons, L.L.C. $18.74 12/09/2024 Food and Beverage Undisputed 01/23/2026 1101794237 CMS
GENZYME CORPORATION $18.81 09/03/2024 Food and Beverage Undisputed 01/23/2026 1139585888 CMS
HEARTFLOW, INC. $23.19 04/15/2024 Food and Beverage Undisputed 01/23/2026 1154172929 CMS
HEARTFLOW, INC. $14.88 07/02/2024 Food and Beverage Undisputed 01/23/2026 1154172931 CMS
Medtronic, Inc. $83.29 01/23/2024 Food and Beverage Undisputed 01/23/2026 1119542303 CMS
Medtronic, Inc. $19.01 01/23/2024 Food and Beverage Undisputed 01/23/2026 1119542305 CMS
SANOFI-AVENTIS U.S. LLC $38.21 06/04/2024 Food and Beverage Undisputed 01/23/2026 1139585856 CMS
SCPHARMACEUTICALS INC. $16.52 09/12/2024 Food and Beverage Undisputed 01/23/2026 1132297671 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
2022, 2023, 2024
Source files
Dataset page · Bulk file · PY2022 , PY2023 , PY2024
Generated from
OP_DTL_GNRL_PGYR2024_P01232026_01102026.csv

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