Covered recipient · General Payments record

CLAUDIA SPENCER

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family

NPI: 1912457292
CMS profile: 10674617
Location: SAN ANTONIO, TX

General Payments · PY2021–2024

$15,043.28

Reported across 749 records
CMS publication 2026-01-23

Latest program year · PY2024

$3,021.99

146 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	$3,021.99	146

By paying entity

PY2024 · sorted by reported total

Paying entity	Amount	Records
Lilly USA, LLC	$503.37	24
Novo Nordisk AS	$475.12	24
Amgen Inc.	$254.83	17
DEXCOM, INC.	$234.89	11
Boehringer Ingelheim Pharmaceuticals, Inc.	$228.38	14
SANOFI-AVENTIS U.S. LLC	$222.35	11
Tandem Diabetes Care, Inc.	$146.35	2
BETA BIONICS, INC.	$145.84	1
Radius Health, Inc.	$100.59	5
SHIELD THERAPEUTICS INC	$90.45	6
ABBVIE INC.	$86.53	6
Ascensia Diabetes Care US Inc.	$85.52	1
Insulet Corporation	$70.43	4
Bayer HealthCare Pharmaceuticals Inc.	$60.92	3
Abbott Laboratories	$60.77	3
Corcept Therapeutics	$57.47	3
Amphastar Pharmaceuticals, Inc.	$55.24	3
NOVARTIS PHARMACEUTICALS CORPORATION	$46.13	3
Kyowa Kirin, Inc.	$38.80	2
Acerta Pharma LLC	$23.31	1
MannKind Corporation	$20.32	1
Alexion Pharmaceuticals, Inc.	$14.38	1

By program year

All program years on this page · sorted by year

Program year	Amount	Records
PY2021	$3,905.39	232
PY2022	$4,311.38	213
PY2023	$3,804.52	158
PY2024	$3,021.99	146

Payment records · PY2024 (146)

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
Abbott Laboratories	$17.42	01/23/2024	Food and Beverage	Undisputed	01/23/2026	1125335071	CMS
Abbott Laboratories	$21.38	10/21/2024	Food and Beverage	Undisputed	01/23/2026	1125335073	CMS
Abbott Laboratories	$21.97	12/19/2024	Food and Beverage	Undisputed	01/23/2026	1125335075	CMS
ABBVIE INC.	$13.87	03/06/2024	Food and Beverage	Undisputed	01/23/2026	1107671357	CMS
ABBVIE INC.	$13.83	04/03/2024	Food and Beverage	Undisputed	01/23/2026	1107671359	CMS
ABBVIE INC.	$14.26	05/08/2024	Food and Beverage	Undisputed	01/23/2026	1107671361	CMS
ABBVIE INC.	$14.78	07/10/2024	Food and Beverage	Undisputed	01/23/2026	1107671363	CMS
ABBVIE INC.	$13.61	09/11/2024	Food and Beverage	Undisputed	01/23/2026	1107671365	CMS
ABBVIE INC.	$16.18	10/09/2024	Food and Beverage	Undisputed	01/23/2026	1107671367	CMS
Alexion Pharmaceuticals, Inc.	$14.38	08/10/2024	Food and Beverage	Undisputed	01/23/2026	1093920458	CMS
Amgen Inc.	$2.54	01/19/2024	Food and Beverage	Undisputed	01/23/2026	1115934739	CMS
Amgen Inc.	$2.83	01/19/2024	Food and Beverage	Undisputed	01/23/2026	1115934744	CMS
Amgen Inc.	$1.65	01/19/2024	Food and Beverage	Undisputed	01/23/2026	1115934749	CMS
Amgen Inc.	$2.22	02/21/2024	Food and Beverage	Undisputed	01/23/2026	1115934697	CMS
Amgen Inc.	$2.24	02/21/2024	Food and Beverage	Undisputed	01/23/2026	1115934756	CMS
Amgen Inc.	$1.31	02/21/2024	Food and Beverage	Undisputed	01/23/2026	1115934761	CMS
Amgen Inc.	$9.55	03/05/2024	Food and Beverage	Undisputed	01/23/2026	1115934685	CMS
Amgen Inc.	$21.12	03/13/2024	Food and Beverage	Undisputed	01/23/2026	1115934669	CMS
Amgen Inc.	$132.14	03/26/2024	Food and Beverage	Undisputed	01/23/2026	1115934703	CMS
Amgen Inc.	$13.00	04/09/2024	Food and Beverage	Undisputed	01/23/2026	1115934692	CMS
Amgen Inc.	$11.74	07/11/2024	Food and Beverage	Undisputed	01/23/2026	1115934729	CMS
Amgen Inc.	$1.19	08/22/2024	Food and Beverage	Undisputed	01/23/2026	1115934708	CMS
Amgen Inc.	$3.16	08/22/2024	Food and Beverage	Undisputed	01/23/2026	1115934714	CMS
Amgen Inc.	$2.71	08/22/2024	Food and Beverage	Undisputed	01/23/2026	1115934718	CMS
Amgen Inc.	$13.70	10/29/2024	Food and Beverage	Undisputed	01/23/2026	1115934675	CMS
Amgen Inc.	$24.83	11/04/2024	Food and Beverage	Undisputed	01/23/2026	1115934723	CMS
Amgen Inc.	$8.90	11/07/2024	Food and Beverage	Undisputed	01/23/2026	1115934735	CMS
Amphastar Pharmaceuticals, Inc.	$16.33	05/23/2024	Food and Beverage	Undisputed	01/23/2026	1149951772	CMS
Amphastar Pharmaceuticals, Inc.	$15.49	07/24/2024	Food and Beverage	Undisputed	01/23/2026	1149951767	CMS
Amphastar Pharmaceuticals, Inc.	$23.42	12/04/2024	Food and Beverage	Undisputed	01/23/2026	1149960735	CMS
Ascensia Diabetes Care Us Inc.	$85.52	08/22/2024	Food and Beverage	Undisputed	01/23/2026	1089092511	CMS
AstraZeneca Pharmaceuticals LP	$23.31	07/02/2024	Food and Beverage	Undisputed	01/23/2026	1104227853	CMS
Bayer Healthcare Pharmaceuticals Inc.	$17.94	01/24/2024	Food and Beverage	Undisputed	01/23/2026	1086340007	CMS
Bayer Healthcare Pharmaceuticals Inc.	$13.42	09/05/2024	Food and Beverage	Undisputed	01/23/2026	1086357728	CMS
Bayer Healthcare Pharmaceuticals Inc.	$29.56	10/09/2024	Food and Beverage	Undisputed	01/23/2026	1086274654	CMS
BETA BIONICS, INC.	$145.84	08/06/2024	Food and Beverage	Undisputed	01/23/2026	1087881195	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$19.86	02/07/2024	Food and Beverage	Undisputed	01/23/2026	1118232504	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$11.61	03/07/2024	Food and Beverage	Undisputed	01/23/2026	1118232516	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$20.57	03/28/2024	Food and Beverage	Undisputed	01/23/2026	1118232506	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$9.12	05/09/2024	Food and Beverage	Undisputed	01/23/2026	1118232512	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$12.77	05/15/2024	Food and Beverage	Undisputed	01/23/2026	1118232518	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$20.61	05/23/2024	Food and Beverage	Undisputed	01/23/2026	1118232508	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$9.72	06/05/2024	Food and Beverage	Undisputed	01/23/2026	1118232514	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$18.75	08/06/2024	Food and Beverage	Undisputed	01/23/2026	1118232528	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$14.88	09/05/2024	Food and Beverage	Undisputed	01/23/2026	1118232520	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$22.72	10/04/2024	Food and Beverage	Undisputed	01/23/2026	1118232510	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$19.84	10/17/2024	Food and Beverage	Undisputed	01/23/2026	1118232502	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$15.71	10/29/2024	Food and Beverage	Undisputed	01/23/2026	1118232522	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$15.88	11/21/2024	Food and Beverage	Undisputed	01/23/2026	1118232524	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$16.34	12/19/2024	Food and Beverage	Undisputed	01/23/2026	1118232526	CMS
Corcept Therapeutics	$17.35	10/08/2024	Food and Beverage	Undisputed	01/23/2026	1117760350	CMS
Corcept Therapeutics	$24.34	11/12/2024	Food and Beverage	Undisputed	01/23/2026	1117760388	CMS
Corcept Therapeutics	$15.78	12/16/2024	Food and Beverage	Undisputed	01/23/2026	1117760408	CMS
Dexcom, Inc.	$17.14	04/11/2024	Food and Beverage	Undisputed	01/23/2026	1153355192	CMS
Dexcom, Inc.	$18.52	05/09/2024	Food and Beverage	Undisputed	01/23/2026	1153355194	CMS
Dexcom, Inc.	$13.64	06/06/2024	Food and Beverage	Undisputed	01/23/2026	1153355196	CMS
Dexcom, Inc.	$1.27	06/17/2024	Food and Beverage	Undisputed	01/23/2026	1153355198	CMS
Dexcom, Inc.	$21.61	07/11/2024	Food and Beverage	Undisputed	01/23/2026	1153355200	CMS
Dexcom, Inc.	$17.26	08/19/2024	Food and Beverage	Undisputed	01/23/2026	1153355206	CMS
Dexcom, Inc.	$95.69	08/23/2024	Food and Beverage	Undisputed	01/23/2026	1153355202	CMS
Dexcom, Inc.	$22.52	08/27/2024	Food and Beverage	Undisputed	01/23/2026	1153355204	CMS
Dexcom, Inc.	$11.55	10/02/2024	Food and Beverage	Undisputed	01/23/2026	1153355208	CMS
Dexcom, Inc.	$4.67	11/12/2024	Food and Beverage	Undisputed	01/23/2026	1153355210	CMS
Dexcom, Inc.	$11.02	12/12/2024	Food and Beverage	Undisputed	01/23/2026	1153355212	CMS
Insulet Corporation	$19.48	05/10/2024	Food and Beverage	Undisputed	01/23/2026	1116793697	CMS
Insulet Corporation	$16.26	06/23/2024	Food and Beverage	Undisputed	01/23/2026	1116793695	CMS
Insulet Corporation	$15.38	08/11/2024	Food and Beverage	Undisputed	01/23/2026	1116812874	CMS
Insulet Corporation	$19.31	12/03/2024	Food and Beverage	Undisputed	01/23/2026	1116827382	CMS
Kyowa Kirin, Inc.	$15.66	05/16/2024	Food and Beverage	Undisputed	01/23/2026	1127048357	CMS
Kyowa Kirin, Inc.	$23.14	09/03/2024	Food and Beverage	Undisputed	01/23/2026	1127048359	CMS
Lilly USA, LLC	$13.51	01/25/2024	Food and Beverage	Undisputed	01/23/2026	1135605031	CMS
Lilly USA, LLC	$20.67	01/29/2024	Food and Beverage	Undisputed	01/23/2026	1135614769	CMS
Lilly USA, LLC	$16.21	02/06/2024	Food and Beverage	Undisputed	01/23/2026	1135546151	CMS
Lilly USA, LLC	$13.49	02/14/2024	Food and Beverage	Undisputed	01/23/2026	1135599107	CMS
Lilly USA, LLC	$17.78	03/06/2024	Food and Beverage	Undisputed	01/23/2026	1135558098	CMS
Lilly USA, LLC	$17.73	03/06/2024	Food and Beverage	Undisputed	01/23/2026	1135614767	CMS
Lilly USA, LLC	$21.33	04/03/2024	Food and Beverage	Undisputed	01/23/2026	1135546147	CMS
Lilly USA, LLC	$19.55	04/10/2024	Food and Beverage	Undisputed	01/23/2026	1135614771	CMS
Lilly USA, LLC	$18.78	04/16/2024	Food and Beverage	Undisputed	01/23/2026	1135591920	CMS
Lilly USA, LLC	$15.02	04/17/2024	Food and Beverage	Undisputed	01/23/2026	1135558094	CMS
Lilly USA, LLC	$24.38	05/07/2024	Food and Beverage	Undisputed	01/23/2026	1135599105	CMS
Lilly USA, LLC	$14.81	05/08/2024	Food and Beverage	Undisputed	01/23/2026	1135558096	CMS
Lilly USA, LLC	$16.14	05/15/2024	Food and Beverage	Undisputed	01/23/2026	1135605033	CMS
Lilly USA, LLC	$119.99	05/15/2024	Food and Beverage	Undisputed	01/23/2026	1135615725	CMS
Lilly USA, LLC	$17.24	05/31/2024	Food and Beverage	Undisputed	01/23/2026	1135591916	CMS
Lilly USA, LLC	$19.97	06/07/2024	Food and Beverage	Undisputed	01/23/2026	1135628133	CMS
Lilly USA, LLC	$14.36	06/14/2024	Food and Beverage	Undisputed	01/23/2026	1135599109	CMS
Lilly USA, LLC	$15.05	06/18/2024	Food and Beverage	Undisputed	01/23/2026	1135591918	CMS
Lilly USA, LLC	$17.12	08/07/2024	Food and Beverage	Undisputed	01/23/2026	1135546149	CMS
Lilly USA, LLC	$13.06	08/13/2024	Food and Beverage	Undisputed	01/23/2026	1135605029	CMS
Lilly USA, LLC	$18.17	08/28/2024	Food and Beverage	Undisputed	01/23/2026	1135546153	CMS
Lilly USA, LLC	$0.97	08/28/2024	Food and Beverage	Undisputed	01/23/2026	1135599111	CMS
Lilly USA, LLC	$16.14	09/10/2024	Food and Beverage	Undisputed	01/23/2026	1135599113	CMS
Lilly USA, LLC	$21.90	10/28/2024	Food and Beverage	Undisputed	01/23/2026	1135558092	CMS
Mannkind Corporation	$20.32	10/21/2024	Food and Beverage	Undisputed	01/23/2026	1145859041	CMS
Novartis Pharmaceuticals Corporation	$17.17	01/17/2024	Food and Beverage	Undisputed	01/23/2026	1086968802	CMS
Novartis Pharmaceuticals Corporation	$15.34	02/29/2024	Food and Beverage	Undisputed	01/23/2026	1086968804	CMS
Novartis Pharmaceuticals Corporation	$13.62	05/06/2024	Food and Beverage	Undisputed	01/23/2026	1086968806	CMS
Novo Nordisk Inc	$18.96	01/10/2024	Food and Beverage	Undisputed	01/23/2026	1100592016	CMS
Novo Nordisk Inc	$8.10	01/12/2024	Food and Beverage	Undisputed	01/23/2026	1100634235	CMS
Novo Nordisk Inc	$20.38	01/25/2024	Food and Beverage	Undisputed	01/23/2026	1100475153	CMS
Novo Nordisk Inc	$24.11	02/09/2024	Food and Beverage	Undisputed	01/23/2026	1100281140	CMS
Novo Nordisk Inc	$16.81	02/23/2024	Food and Beverage	Undisputed	01/23/2026	1100646099	CMS
Novo Nordisk Inc	$9.30	03/08/2024	Food and Beverage	Undisputed	01/23/2026	1100476056	CMS
Novo Nordisk Inc	$15.89	03/21/2024	Food and Beverage	Undisputed	01/23/2026	1100284572	CMS
Novo Nordisk Inc	$14.23	03/26/2024	Food and Beverage	Undisputed	01/23/2026	1100338541	CMS
Novo Nordisk Inc	$18.53	04/25/2024	Food and Beverage	Undisputed	01/23/2026	1100247692	CMS
Novo Nordisk Inc	$16.35	04/26/2024	Food and Beverage	Undisputed	01/23/2026	1100257944	CMS
Novo Nordisk Inc	$19.14	05/22/2024	Food and Beverage	Undisputed	01/23/2026	1100596985	CMS
Novo Nordisk Inc	$10.94	06/03/2024	Food and Beverage	Undisputed	01/23/2026	1100584804	CMS
Novo Nordisk Inc	$16.49	06/05/2024	Food and Beverage	Undisputed	01/23/2026	1100433401	CMS
Novo Nordisk Inc	$14.93	06/20/2024	Food and Beverage	Undisputed	01/23/2026	1100397492	CMS
Novo Nordisk Inc	$21.80	07/22/2024	Food and Beverage	Undisputed	01/23/2026	1100642652	CMS
Novo Nordisk Inc	$32.44	08/23/2024	Food and Beverage	Undisputed	01/23/2026	1100543832	CMS
Novo Nordisk Inc	$124.44	08/24/2024	Food and Beverage	Undisputed	01/23/2026	1100611950	CMS
Novo Nordisk Inc	$9.81	09/09/2024	Food and Beverage	Undisputed	01/23/2026	1100589629	CMS
Novo Nordisk Inc	$1.07	10/16/2024	Food and Beverage	Undisputed	01/23/2026	1100301573	CMS
Novo Nordisk Inc	$4.12	10/16/2024	Food and Beverage	Undisputed	01/23/2026	1100408084	CMS
Novo Nordisk Inc	$3.52	10/16/2024	Food and Beverage	Undisputed	01/23/2026	1100444303	CMS
Novo Nordisk Inc	$17.24	10/24/2024	Food and Beverage	Undisputed	01/23/2026	1100443199	CMS
Novo Nordisk Inc	$20.55	11/19/2024	Food and Beverage	Undisputed	01/23/2026	1100463182	CMS
Novo Nordisk Inc	$15.97	12/17/2024	Food and Beverage	Undisputed	01/23/2026	1100288886	CMS
Radius Health, Inc.	$32.98	08/24/2024	Food and Beverage	Undisputed	01/23/2026	1090011964	CMS
Radius Health, Inc.	$20.33	08/26/2024	Food and Beverage	Undisputed	01/23/2026	1090011969	CMS
Radius Health, Inc.	$18.90	09/25/2024	Food and Beverage	Undisputed	01/23/2026	1090011974	CMS
Radius Health, Inc.	$13.19	10/30/2024	Food and Beverage	Undisputed	01/23/2026	1090011986	CMS
Radius Health, Inc.	$15.19	12/04/2024	Food and Beverage	Undisputed	01/23/2026	1090011980	CMS
SANOFI-AVENTIS U.S. LLC	$19.18	01/04/2024	Food and Beverage	Undisputed	01/23/2026	1139853131	CMS
SANOFI-AVENTIS U.S. LLC	$8.05	02/23/2024	Food and Beverage	Undisputed	01/23/2026	1139853137	CMS
SANOFI-AVENTIS U.S. LLC	$11.86	03/27/2024	Food and Beverage	Undisputed	01/23/2026	1139853163	CMS
SANOFI-AVENTIS U.S. LLC	$66.67	04/03/2024	Food and Beverage	Undisputed	01/23/2026	1139853151	CMS
SANOFI-AVENTIS U.S. LLC	$17.92	08/06/2024	Food and Beverage	Undisputed	01/23/2026	1139853173	CMS
SANOFI-AVENTIS U.S. LLC	$16.64	09/24/2024	Food and Beverage	Undisputed	01/23/2026	1139853213	CMS
SANOFI-AVENTIS U.S. LLC	$14.45	10/09/2024	Food and Beverage	Undisputed	01/23/2026	1139853221	CMS
SANOFI-AVENTIS U.S. LLC	$20.79	10/15/2024	Food and Beverage	Undisputed	01/23/2026	1139853227	CMS
SANOFI-AVENTIS U.S. LLC	$17.30	11/20/2024	Food and Beverage	Undisputed	01/23/2026	1139853243	CMS
SANOFI-AVENTIS U.S. LLC	$13.52	12/06/2024	Food and Beverage	Undisputed	01/23/2026	1139853259	CMS
SANOFI-AVENTIS U.S. LLC	$15.97	12/11/2024	Food and Beverage	Undisputed	01/23/2026	1139853265	CMS
SHIELD THERAPEUTICS INC	$17.00	02/19/2024	Food and Beverage	Undisputed	01/23/2026	1150121327	CMS
SHIELD THERAPEUTICS INC	$16.25	04/24/2024	Food and Beverage	Undisputed	01/23/2026	1150128168	CMS
SHIELD THERAPEUTICS INC	$13.51	06/17/2024	Food and Beverage	Undisputed	01/23/2026	1150134983	CMS
SHIELD THERAPEUTICS INC	$15.51	08/14/2024	Food and Beverage	Undisputed	01/23/2026	1150142152	CMS
SHIELD THERAPEUTICS INC	$13.12	09/24/2024	Food and Beverage	Undisputed	01/23/2026	1150147205	CMS
SHIELD THERAPEUTICS INC	$15.06	10/17/2024	Food and Beverage	Undisputed	01/23/2026	1150150061	CMS
Tandem Diabetes Care, Inc.	$125.00	03/25/2024	Food and Beverage	Undisputed	01/23/2026	1138740107	CMS
Tandem Diabetes Care, Inc.	$21.35	05/30/2024	Food and Beverage	Undisputed	01/23/2026	1138740189	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

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