Spies
Payments companies reported to CMS as associated with Spies. "Associated with" is CMS's wording: it links a payment to a product without saying the money was spent on it.
By year
Payments reported as associated with Spies, per program year, as reported to CMS.
Who makes it
Specialties most often involved
Where the associated payments went, by the receiving clinician's specialty.
Clinicians most associated with Spies
These are the largest totals companies reported as associated with Spies. They are typically speaking or consulting arrangements, which companies must report by law; appearing here is not evidence of anything improper.
| Clinician | Location | Specialty | Associated payments (2023-2025) |
|---|---|---|---|
| Sandeep Malhotra | Middletown, NY | Surgery | $26.92 |
| Douglas James | Hackensack, NJ | Surgical Critical Care | $26.92 |
| Mohammed Ismael | Middletown, NY | Surgery | $26.92 |
| Elizabeth Kao | Middletown, NY | Surgery | $26.92 |
| Andrew Knauer | Harris, NY | Surgery | $26.92 |
| Nadia Bhuyain | Middletown, NY | Surgery | $26.92 |
| Zeyad Loubnan | Middletown, NY | Surgery | $26.92 |
| Howard Karpoff | Middletown, NY | Surgery | $26.92 |
| Lauren Licata | Middletown, NY | Surgery | $26.92 |
| Paramjeet Singh | Middletown, NY | Surgery | $26.92 |
Prescribed Spies?
See what its makers reported for your doctor. Two steps, private, no account.
Source: CMS Open Payments, program years 2019-2025, as reported to CMS by drug and device makers (published June 30, 2026). Drug and device detail covers 2023-2025.