Clinical Nurse Specialist Program year 2025 Reported 2021–2025 Source: CMS Open Payments, 2026 publication

Katherine Spears

Registered Nurse Lafayette, LA Clinical Nurse Specialist

NPI 1346430261 CMS profile 10509919

1015 Saint John St, Lafayette, LA 70501

Open in the dashboard

General payments

$1,906

103 records reported · program years 2021–2025

Research payments

$0

Paid to them · None reported · program years 2021–2025

Ownership & investment interest

$0

None reported

Through program year 2025, Katherine Spears of Lafayette, LA is reported in the CMS Open Payments database as having received $1,906 across 103 general payments and $0 in research payments paid to them.

No combined total General, research and ownership are kept apart. Each is reported under its own rules, and ownership is not money that moved at all but the value of a stake held. A meal, a clinical trial grant and a shareholding do not add up to anything meaningful, so this site does not add them.

General payments for this record sit in the 95th percentile of Registered Nurse profiles with reported payments. Percentile describes the distribution, not the conduct.

By program year

5 rows
Year Kind Relative to this record's peak year Amount Records
2025 General $563 28
2024 General $207 18
2023 General $279 13
2022 General $500 22
2021 General $357 22

Beside peers

Year by year, beside peers General payments · among profiles paid that year
  • Katherine Spears
  • Registered Nurse median
  • Middle half of Registered Nurse
  • National median

In program year 2025, general payments to Katherine Spears were reported at $563. Among 1,661 Registered Nurse profiles paid that year, the median was $74 and the middle half received between $27 and $193.

Show as a table
Year Katherine Spears Registered Nurse median Middle half National median
2019 $0 — — $163
2020 $0 — — $114
2021 $357 $53 $20–$148 $132
2022 $500 $53 $21–$146 $149
2023 $279 $84 $26–$196 $160
2024 $207 $80 $26–$187 $164
2025 $563 $74 $27–$193 $169

Breakdown

Who paid General payments · program years 2021–2025
  1. AbbVie, Inc. $422 30 payments
  2. Teva Pharmaceuticals USA, Inc. $314 17 payments
  3. Janssen Pharmaceuticals, Inc $312 10 payments
  4. Alkermes, Inc. $228 12 payments
  5. Neurocrine Biosciences, Inc. $197 8 payments
  6. Otsuka America Pharmaceutical, Inc. $186 11 payments
  7. ITI, Inc. $96 6 payments
  8. Boston Scientific Corporation $24 1 payment
  9. Indivior Inc. $20 1 payment
  10. E.R. Squibb & Sons, L.L.C. $20 1 payment
  11. Other $86 6 payments

Every payment, record by record

What the payments were for General payments · program years 2021–2025
  1. Food and Beverage $1,906 103 payments
Products named General payments · program years 2021–2025
  1. VRAYLAR $315 25 payments
  2. INVEGA SUSTENNA $251 7 payments
  3. AUSTEDO $228 13 payments
  4. ARISTADA Cns $228 12 payments
  5. ARISTADA Cns $228 12 payments
  6. INVEGA TRINZA $226 5 payments
  7. SPRAVATO $178 4 payments
  8. INGREZZA $176 7 payments
  9. LYBALVI $170 8 payments
  10. REXULTI $153 9 payments
  11. Other $1,182 59 payments

A payment can name more than one product, so these amounts overlap and do not add up to the general-payment figure.

Prescribing to Medicare patients

Part D · data year 2024 · 51 drugs

Part D claims

3,120

Median for Nurse Practitioner: 389

Drug cost

$282,089

Median for Nurse Practitioner: $21,885

Branded share of claims

23.8%

Median for Nurse Practitioner: 19.6%

Drugs this doctor was counted under in Medicare Part D 2024, by drug cost
Drug Type Relative to their largest Claims Drug cost
Invega Sustenna Paliperidone Palmitate Brand 62 $189,496
Trintellix Vortioxetine Hydrobromide Brand 22 $11,986
Paliperidone Er Paliperidone Brand 40 $10,343
Aripiprazole Generic 150 $7,046
Lurasidone Hcl Generic 36 $6,933
Divalproex Sodium Er Divalproex Sodium Brand 79 $6,711
Fetzima Levomilnacipran Hcl Brand 13 $5,965
Vyvanse Lisdexamfetamine Dimesylate Brand 12 $4,427
Fluphenazine Hcl Generic 11 $4,176
Oxcarbazepine Generic 109 $4,158

The 10 drugs with the highest cost, of 51 counted.

Drug cost is what was paid for the drugs at the pharmacy — by Medicare, the patient and others — and is not money to the prescriber. Medicare Part D only: drugs dispensed to Medicare beneficiaries. A drug with fewer than 11 claims for this prescriber is not published, so a missing drug does not mean zero. The medians are for the 229,976 Part D prescribers listed as Nurse Practitioner; they describe a distribution and say nothing about conduct.

Billing to Medicare

Part B · data year 2024 · 6 billing codes

Paid by Medicare

$44,549

Medicare's payments for the services billed

Medicare patients

256

Average age 66

Services billed

686

132 women, 124 men among their patients

Share of this provider's Medicare patients with each condition
Condition among their Medicare patients Relative to the most common Share of patients
High blood pressure 75%
Depression 75%
Arthritis 44%
Diabetes 43%
Alzheimer's or dementia 37%
Ischemic heart disease 30%
Chronic kidney disease 25%
COPD 23%

Medicare Part B only: services billed to Medicare. Rows covering fewer than 11 beneficiaries are not published. Only drugs given in the clinic are itemised here; the rest of what this provider billed is in the total above.

Payments and prescribing

First 5 of 6 products · payments 2024

Two separate records. The payments come from Open Payments and the claims from Medicare. They are set side by side because they name the same product; they do not show that a payment affected a prescription.

Products this doctor was paid in connection with in 2024, beside Medicare claims for the same product
Product Paid by Related payments Part D claims Part B services
VRAYLAR
  • AbbVie, Inc. $137
$137 — —
COBENFY
  • E.R. Squibb & Sons, L.L.C. $20
$20 — —
UZEDY
  • Teva Pharmaceuticals USA, Inc. $15
$15 — —
ACTHAR
  • Mallinckrodt Hospital Products Inc. $14
$14 — —
INVEGA SUSTENNA
  • Janssen Pharmaceuticals, Inc $11
$11 62 —

A dash means Medicare published no figure for this doctor and product — fewer than 11 claims, or the product is not covered under that part — which is not the same as none. Payments are general payments only; one that names several products is split evenly between them, so an amount is payments related to the product, not money paid for it.

See all 6 in the dashboard with a free account

Records

103 reported

Every payment, record by record

Date, company, amount, what it was for and the product named — filter by year, kind and company, or download as CSV.

Other Registered Nurse in Louisiana

Related records

What this means

U.S. law requires drug and medical device manufacturers to report payments and transfers of value they make to physicians and teaching hospitals. The Centers for Medicare & Medicaid Services publishes that record each year. This page shows what was reported about this person, and nothing else.

An ownership interest is different from the other two. It is not a payment: it is a stake — shares, options, a partnership holding — that a physician or an immediate family member held in a manufacturer during that year. The figure shown is what the stake was reported to be worth.

Research payments frequently pass through a clinician to the institution running a trial, and rarely represent personal income. They should be read differently from general payments.

Provenance

Source: CMS Open Payments · through program year 2025

Data current to program year 2025, from CMS's 2026 publication.

We reproduce what manufacturers reported. We do not verify, edit or correct the underlying records.

A payment record is not evidence of wrongdoing. Financial relationships between industry and medicine are legal, common and often necessary for research. Who Paid My Doc reports what was disclosed; it does not judge it.

Who Paid My Doc is independent and is not affiliated with, endorsed by or sponsored by CMS or any U.S. government agency. It is not a consumer reporting agency and this is not a consumer report; do not use it for decisions covered by the Fair Credit Reporting Act.

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