Medicare Enrolled

Dr. Andrea Spence, NP

Internal Medicine · Allen Park, MI
Practice pattern: Mixed Practice — Diverse clinical practice across multiple procedure types
Low-engagement
16407 SOUTHFIELD RD STE A, Allen Park, MI 48101
3132713000
In practice since 2022 (4 years)
NPI: 1457001810 verify on NPPES ↗
Very High
DATA COVERAGE
Data in 4 of 4 federal sources
Measures public federal data availability — not provider quality
Informational, not a quality rating. This page presents federal public records about Dr. Spence from CMS (NPPES, Open Payments, Medicare Provider Utilization, PECOS). It is not medical advice, an endorsement, or a judgment of clinical quality. Always consult the provider directly and a licensed clinician for medical decisions. Read methodology →
Are you Dr. Spence? Request a correction or review of any data shown here. Provider portal →

What this data tells you about Dr. Spence

Dr. Andrea Spence is an internal medicine specialist in Allen Park, MI, with 4 years of NPI registration. Based on federal Medicare data, Dr. Spence performed 139 Medicare services across 70 unique beneficiaries.

Between the years covered by Open Payments, Dr. Spence received a total of $1,897 from 20 pharmaceutical and/or device companies across 79 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in internal 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. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.

✓ 4 years in practice ▲ 139 Medicare services $1,897 industry payments

Medicare Practice Summary

Medicare Utilization ↗
139
Medicare services
Bottom 15% in MI for internal medicine
Lower Medicare volume may reflect subspecialty focus, hospital-based work, or a higher share of non-Medicare patients.
70
Unique beneficiaries
$47
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~35 Medicare services per year of practice

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
Dialysis services, partial month (age 20+)
Dialysis treatment provided for a partial month of service for patients aged 20 years or older.
 112 $6 $20
Dialysis services for adults, 2-3 visits per month
This code covers dialysis services for patients aged 20 or older who have 2 to 3 physician visits per month.
 15 $200 $400
Dialysis services for patients 20 or older
Dialysis treatment provided to patients aged 20 years or older, involving four or more physician visits per month.
 12 $241 $475
How to read this data: This reflects Medicare patients only (typically 65+). Payment amounts are what Medicare paid the provider, not your out-of-pocket cost. A higher procedure volume generally indicates more experience with that procedure.

Industry Payment Transparency

Open Payments through 2024 ↗
$1,897
Total received (2021-2024)
Avg $474/year across 4 years
Top 27% in MI for internal medicine
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
20
Companies
79
Individual payments
All payments are legal and publicly reported · Not evidence of wrongdoing · How to interpret →

Payment profile

Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.

Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$1,642 (86.5%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$255 (13.5%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$1,014
2023
$553
2022
$196
2021
$134

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
OPKO Pharmaceuticals, LLC
$161
Ardelyx, Inc.
$142
Fresenius USA Marketing, Inc.
$132
Travere Therapeutics, Inc.
$112
Novartis Pharmaceuticals Corporation
$88
Boehringer Ingelheim Pharmaceuticals, Inc.
$81
CALLIDITAS THERAPEUTICS US INC.
$77
ANI Pharmaceuticals, Inc.
$61
AstraZeneca Pharmaceuticals LP
$50
Amgen Inc.
$42
CorMedix Inc.
$25
Lilly USA, LLC
$23
AKEBIA THERAPEUTICS INC
$20
Top 3 companies account for 42.8% of 2024 payments
All-time payments by company (2021-2024) ›
OPKO Pharmaceuticals, LLC
$255
CALLIDITAS THERAPEUTICS US INC.
$197
Travere Therapeutics, Inc.
$172
Baxter Healthcare
$163
Ardelyx, Inc.
$162
Fresenius USA Marketing, Inc.
$156
Acerta Pharma LLC
$134
Vifor Pharma, Inc.
$124
AstraZeneca Pharmaceuticals LP
$99
Novartis Pharmaceuticals Corporation
$88
Boehringer Ingelheim Pharmaceuticals, Inc.
$81
ANI Pharmaceuticals, Inc.
$61
Amgen Inc.
$42
Bayer Healthcare Pharmaceuticals Inc.
$38
CorMedix Inc.
$25
Lilly USA, LLC
$23
Calliditas Therapeutics US Inc.
$22
Aurinia Pharma U.S., Inc.
$21
AKEBIA THERAPEUTICS INC
$20
Takeda Pharmaceuticals U.S.A., Inc.
$15
Top 3 companies account for 32.9% of all-time payments
Associated products mentioned in payments ›
DefenCath · FARXIGA · GATTEX · IBSRELA · JARDIANCE · Kerendia · LUPKYNIS · PURIFIED CORTROPHIN GEL · RAYALDEE · TARPEYO · TAVNEOS · Vafseo · Velphoro · Veltassa
Should you be concerned? Payments from pharmaceutical and device companies are legal and common — 57% of U.S. physicians receive at least one. They often reflect legitimate consulting, research, or education. What matters is whether a recommended drug or device appears in your doctor's payment records. If so, consider asking your doctor about it. How to interpret this data →

Most payments (86%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.

Looking for an internal medicine specialist in Allen Park?
Compare internal medicine physicians in the Allen Park area by procedure volume, costs, and industry payment transparency.
Browse internal medicine physicians nearby

Geographic Context

Internal medicine physicians within 10 mi
2,824
Per 100K population
159.2
County median income
$59,521
Nearest hospital
BEAUMONT HOSPITAL - DEARBORN
3.3 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 reflects how much public data is available about a provider. How we calculate this →

Summary

Dr. Spence is a mixed practice specialist, with moderate Medicare volume, with low-engagement industry engagement.

This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →

Frequently Asked Questions

Is Dr. Spence experienced with dialysis services, partial month (age 20+)?
Based on Medicare claims data, Dr. Spence performed 112 dialysis services, partial month (age 20+) services. Research suggests that higher procedure volume is often associated with better outcomes, particularly for complex procedures. Note that Medicare data only captures patients aged 65 and older, so the total practice volume across all patients is likely higher.
Does Dr. Spence receive payments from pharmaceutical companies?
Yes. Dr. Spence received a total of $1,897 from 20 companies across 79 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common among physicians — 57% of all U.S. physicians receive at least one industry payment. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Dr. Spence's costs compare to other internal medicine physicians in Allen Park?
Dr. Spence's average Medicare payment per service is $47. Note that these figures represent what Medicare pays, not your out-of-pocket cost, which depends on your specific insurance plan and deductible. Procedure-level data above shows both what was submitted and what Medicare paid for each service type.
What does Data Coverage mean?
Data Coverage (currently Very High for Dr. Spence) measures how much public federal data is available about a provider. It is not a quality rating. A "Very High" or "High" level means the provider has data across multiple federal sources (NPPES, PECOS, Medicare Utilization, Open Payments), indicating a long track record of practice, Medicare participation, and industry disclosure. A "Low" or "Moderate" level may simply mean the provider is newer, does not see Medicare patients, or has not received any industry payments — none of which are inherently negative. Read our full methodology →
Is this data up to date?
Each data source has its own update cycle. Provider registry data (NPPES) is updated weekly. Medicare enrollment (PECOS) is updated monthly. Medicare practice data has a ~2 year lag — the most recent available is typically 2 years prior. Industry payment data (Open Payments) is published annually, usually in June, covering the prior calendar year. We display the data date prominently on each section so you always know how current it is. See our data freshness policy →

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About this page

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. Data Coverage reflects 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.

Provider corrections: Provider portal · Privacy questions: Privacy Policy · Terms: Terms of Use · Methodology: Methodology

Data Disclaimer — Data sourced from the Centers for Medicare & Medicaid Services (CMS): National Plan and Provider Enumeration System (NPPES), Open Payments program, Medicare Provider Utilization and Payment Data, and Provider Enrollment & Certification data (PECOS). Published under the Freedom of Information Act (FOIA). This website is not affiliated with, endorsed by, or authorized by CMS, HHS, or the U.S. Government. Data may contain errors as reported to CMS by providers and reporting entities. Payments from industry are legal and do not indicate wrongdoing. Medicare data reflects only patients aged 65+ or those with qualifying disabilities. For corrections, contact CMS directly. This information does not constitute medical advice and should not be used as the sole basis for choosing a healthcare provider. Procedure descriptions use plain language and do not reference CPT® codes, which are copyrighted by the American Medical Association. Full methodology → · Report a data error → · Privacy policy →