Who Paid My Doc
Laura Spyche
Nurse Practitioner Cheektowaga, NY Nurse Practitioner
NPI 1760511034 CMS profile 11250063
3469 Harlem Rd, Cheektowaga, NY 14225
General payments
$24,407
Research payments
$0
Ownership & investment interest
$0
Through program year 2025, Laura Spyche of Cheektowaga, NY is reported in the CMS Open Payments database as having received $24,407 across 201 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 99th percentile of Nurse Practitioner 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 | $125 | 1 | |
| 2024 | General | $5,237 | 35 | |
| 2023 | General | $1,101 | 60 | |
| 2022 | General | $8,932 | 49 | |
| 2021 | General | $9,012 | 56 |
Beside peers
- Laura Spyche
- Nurse Practitioner median
- Middle half of Nurse Practitioner
- National median
In program year 2025, general payments to Laura Spyche were reported at $125. Among 41,044 Nurse Practitioner profiles paid that year, the median was $174 and the middle half received between $55 and $557.
Show as a table
| Year | Laura Spyche | Nurse Practitioner median | Middle half | National median |
|---|---|---|---|---|
| 2019 | $0 | $50 | $22–$97 | $163 |
| 2020 | $0 | $40 | $16–$108 | $114 |
| 2021 | $9,012 | $135 | $40–$426 | $132 |
| 2022 | $8,932 | $152 | $48–$470 | $149 |
| 2023 | $1,101 | $166 | $54–$529 | $160 |
| 2024 | $5,237 | $173 | $55–$556 | $164 |
| 2025 | $125 | $174 | $55–$557 | $169 |
Breakdown
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 · 101 drugsPart D claims
3,556
Drug cost
$307,130
Branded share of claims
18.6%
| Drug | Type | Relative to their largest | Claims | Drug cost |
|---|---|---|---|---|
| Eliquis Apixaban | Brand | 112 | $80,583 | |
| Ozempic Semaglutide | Brand | 30 | $37,663 | |
| Velphoro Sucroferric Oxyhydroxide | Brand | 15 | $33,118 | |
| Jardiance Empagliflozin | Brand | 35 | $23,474 | |
| Farxiga Dapagliflozin Propanediol | Brand | 24 | $20,287 | |
| Rybelsus Semaglutide | Brand | 12 | $17,805 | |
| Xarelto Rivaroxaban | Brand | 19 | $16,861 | |
| Kerendia Finerenone | Brand | 12 | $7,841 | |
| Myrbetriq Mirabegron | Brand | 14 | $6,613 | |
| Gemtesa Vibegron | Brand | 11 | $5,338 |
The 10 drugs with the highest cost, of 101 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 · 25 billing codesPaid by Medicare
$52,321
Medicare patients
159
Services billed
549
| Condition among their Medicare patients | Relative to the most common | Share of patients |
|---|---|---|
| High blood pressure | 75% | |
| Chronic kidney disease | 66% | |
| Arthritis | 45% | |
| Ischemic heart disease | 42% | |
| Diabetes | 40% | |
| Heart failure | 40% | |
| Depression | 38% | |
| Alzheimer's or dementia | 36% |
| Drug given in the clinic | Where | Patients | Services | Paid by Medicare |
|---|---|---|---|---|
| Influenza vaccine, trivalent derived from cell cultures 90661 | Office | 18 | 18 | $650 |
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 11 products · payments 2024Two 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.
| Product | Paid by | Related payments | Part D claims | Part B services |
|---|---|---|---|---|
| Velphoro |
|
$4,871 | 15 | — |
| BREZTRI |
|
$58 | — | — |
| Kerendia |
|
$45 | 12 | — |
| VOQUEZNA |
|
$29 | — | — |
| MOUNJARO |
|
$20 | — | — |
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 11 in the dashboard with a free accountRecords
201 reportedEvery 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.
Related records
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All Nurse Practitioner
Everyone recorded under this specialty, nationwide.
Doctors in New York
Every practitioner in the state with a reported payment.
How to read this page
What each amount means, and what it does not mean.
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.