Dr. John Spence, M. D.
What this data tells you about Dr. Spence
Dr. John Spence is a family medicine in Marianna, FL, with 19 years in practice. Based on federal Medicare data, Dr. Spence performed 2,491 Medicare services across 1,345 unique beneficiaries.
Between the years covered by Open Payments, Dr. Spence received a total of $16,059 from 65 pharmaceutical and/or device companies across 1056 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in family medicine. Most payments are for meals and travel — low-value interactions common across virtually all practicing physicians. Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Dr. Spence is Very High — reflecting how much public federal data is available about this provider. This is not a quality rating. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.
Medicare Practice Summary
Medicare Utilization ↗Top procedures by volume
Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.
| Procedure | Volume | Avg. paid | Avg. submitted |
|---|---|---|---|
| Office visit, established patient (20-29 min) | 452 | $59 | $155 |
| Office visit, established patient (30-39 min) | 366 | $82 | $225 |
| Steroid injection (triamcinolone) | 306 | $1 | $20 |
| Nursing facility visit, low complexity | 155 | $56 | $140 |
| Hospital follow-up visit, moderate complexity | 151 | $61 | $148 |
| Chronic care management, first 20 min/month | 147 | $48 | $84 |
| Hospital follow-up visit, high complexity | 106 | $95 | $213 |
| Annual wellness visit, follow-up | 87 | $127 | $231 |
| Annual depression screening | 83 | $18 | $36 |
| Hospital discharge day management, 30 minutes or less | 76 | $62 | $149 |
| Flu vaccine administration | 64 | $30 | $59 |
| Flu vaccine, high-dose | 60 | $72 | $120 |
| Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and | 47 | $39 | $107 |
| Joint injection, major joint | 46 | $51 | $128 |
| Nursing facility visit, moderate complexity | 44 | $82 | $184 |
| Drug injection, under skin or into muscle | 43 | $10 | $60 |
| Transitional care management services for problem of at least moderate complexity | 42 | $153 | $368 |
| Initial hospital admission, moderate complexity | 36 | $97 | $283 |
| Initial hospital admission, high complexity | 35 | $134 | $414 |
| Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians a | 33 | $29 | $81 |
| Hemoglobin A1c test (diabetes monitoring) | 28 | $10 | $40 |
| Urinalysis, manual | 25 | $3 | $10 |
| Injection of trigger points, 1-2 muscles | 22 | $37 | $114 |
| Testing for presence of drug, read by direct observation | 20 | $12 | $30 |
| Advance care planning consultation, first 30 min | 17 | $68 | $173 |
Industry Payment Transparency
Open Payments through 2024 ↗Payment profile
Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
Payments by company (2024)
Associated products mentioned in payments ›
Most payments (100%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians. Total industry engagement is in the top 2% for family medicine in FL.
Geographic Context
0.0 mi
Data Sources
| Provider Registry | ✓ NPPES | Weekly updates |
| Medicare Enrollment | ✓ PECOS | Monthly updates |
| Practice Data | ✓ Medicare Util. | Annual (CY lag) |
| Industry Payments | ✓ Open Payments | CY 2024 |
| Disciplinary History | — Not public | N/A |
This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This measures how much public data is available about a provider — not how good they are. How we calculate this →
Summary
Dr. Spence is a clinical cardiology specialist, with above-average Medicare volume (top 14% in FL), and high industry engagement (low-engagement, top 2%), with 19 years of practice experience.
This summary is auto-generated from federal data. It describes data availability and patterns — not clinical quality. Read our methodology →
Frequently Asked Questions
Is Dr. Spence experienced with office visit, established patient (20-29 min)?
Does Dr. Spence receive payments from pharmaceutical companies?
How do Dr. Spence's costs compare to other family medicines in Marianna?
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All data on this page is sourced verbatim from public federal records published by the U.S. Centers for Medicare & Medicaid Services (CMS): NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.
This page is not medical advice, an endorsement, a recommendation, or a quality rating. The Transparency Score measures data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.
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