Brandy Manchester, PA
Physician Assistant · Spokane, WANPI 1285960708
Payments from drug & device makers
Across 249 payments — averaging $16.71 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- GSK$586
- Amgen$520
- Novo Nordisk$434
- AbbVie$391
- AstraZeneca$368
- Lilly USA, LLC$305
- plus $2K from 24 others
What the payments were for
- Food & beverage$4,160100%
Most of this is food and beverage — typically meals provided during product presentations at a clinic or hospital. Nationally that is the single largest category of reported payments by count.
General payments by program year
Who reported the general payments
Companies are grouped under their corporate parent — a single manufacturer often files under several CMS reporting entities. Research and ownership payments are counted separately and are not in this table.
| Company | Payments | Total |
|---|---|---|
| GSK | 27 | $586 |
| Amgen | 32 | $520 |
| Novo Nordisk | 29 | $434 |
| AbbVie | 26 | $391 |
| AstraZeneca | 14 | $368 |
| Lilly USA, LLC | 28 | $305 |
| Boehringer Ingelheim | 19 | $292 |
| Johnson & Johnson | 8 | $163 |
| Pfizer | 10 | $152 |
| Biohaven Pharmaceuticals, Inc. | 11 | $129 |
| Astellas Pharma US Inc | 4 | $72 |
| Boston Scientific | 4 | $71 |
| Takeda Pharmaceuticals U.S.A., Inc. | 3 | $63 |
| Otsuka America Pharmaceutical, Inc. | 3 | $63 |
| Biohaven Pharmaceutical Holding Company Ltd. | 4 | $63 |
| Eisai Inc. | 3 | $58 |
| Novartis | 3 | $53 |
| Mylan Specialty L.p. | 2 | $47 |
| Indivior Inc. | 3 | $44 |
| E.r. Squibb & Sons, L.L.C. | 3 | $43 |
| Amarin Pharma, Inc. | 2 | $43 |
| Bayer | 2 | $41 |
| Teva Pharmaceuticals USA, Inc. | 2 | $36 |
| Sunovion Pharmaceuticals Inc. | 1 | $22 |
| ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.) | 1 | $19 |
| Kowa Pharmaceuticals America, Inc. | 1 | $18 |
| Merck | 1 | $17 |
| Ultragenyx Pharmaceutical Inc. | 1 | $16 |
| Lundbeck LLC | 1 | $15 |
| Sanofi-aventis U.S. LLC | 1 | $13 |
What the payments were tied to
Products named in the reported payments. Only payments of $100 or more are attributed here — the typical reported payment nationally is a meal worth about $16, and listing those product-by-product would be noise.
How this compares
$4,160 in reported general payments places this provider in the 95th percentile of 2,741 physician assistant providers in Washington.
Medicare billing
What this is not: this is the amount Original Medicare Part B allowed for services this provider billed in 2024. It is not their income. It excludes Medicare Advantage — now more than half of all Medicare enrollment — along with Medicaid and all commercial insurance, and it is gross practice revenue before staff, rent, supplies and malpractice premiums. CMS also suppresses any figure covering ten or fewer patients, so low-volume providers appear smaller than they are.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Gabapentin | 18 | $138 |
| Methylprednisolone | 14 | $65 |
| Oxycodone Hcl | 16 | $62 |
| Cyclobenzaprine Hcl | 12 | $39 |
Paid to pharmacies, not to this prescriber.
Other physician assistant in Spokane
- Regan BrownSpokane$56K
- Makena TurnerSpokane$20K
- Jeremy BrettSpokane$18K
- John WhiteSpokane$13K
- Staci DumertonSpokane$12K
- Daniel RhoadsSpokane$9K
- Lori TschetterSpokane$9K
- Jacob WolffSpokane$8K
- Trent LenglSpokane$7K
- Gareth OlstadSpokane$7K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Billing: Medicare Physician & Other Practitioners, data year 2024. Original Medicare Part B only.
- Identity: NPPES NPI Registry, July 2026.