Gina Fragione
Physician Assistant · Graham, WANPI 1477502870
Payments from drug & device makers
What this record shows
The money is spread across several categories — speaking fees (58.4%), food and beverage and travel and lodging — rather than concentrated in one kind of arrangement. 22 manufacturers reported payments, led by Galderma Laboratories, L.p. at 28.4% of the total. Reporting peaked in 2021 at $40,722 and has fallen 99.6% since, to $147 in 2025. Among physician assistant clinicians in WA with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 470 payments — averaging $146.49 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Galderma Laboratories, L.p.$20K
- Amgen$17K
- Sun Pharmaceutical Industries Inc.$8K
- Incyte Corporation$7K
- VYNE Pharmaceuticals Inc.$5K
- Novartis$3K
- plus $10K from 16 others
What the payments were for
- Consulting fees$4,4406%
- Speaking & faculty fees$40,17458%
- Travel & lodging$8,59212%
- Food & beverage$15,49022%
- Education$1530%
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 |
|---|---|---|
| Galderma Laboratories, L.p. | 71 | $19,556 |
| Amgen | 61 | $16,590 |
| Sun Pharmaceutical Industries Inc. | 21 | $7,992 |
| Incyte Corporation | 19 | $6,758 |
| VYNE Pharmaceuticals Inc. | 18 | $5,438 |
| Novartis | 72 | $2,846 |
| Regeneron Healthcare Solutions, Inc. | 15 | $2,740 |
| E.r. Squibb & Sons, L.L.C. | 17 | $1,629 |
| AbbVie(2 entities) | 55 | $1,483 |
| LEO Pharma Inc. | 9 | $1,249 |
| UCB, Inc. | 38 | $1,021 |
| Sanofi | 18 | $389 |
| Pfizer | 11 | $297 |
| Ortho Dermatologics, A Division Of Bausch Health US, LLC | 23 | $285 |
| Lilly USA, LLC | 12 | $268 |
| Dermavant Sciences, Inc. | 1 | $81 |
| Revance Therapeutics, Inc. | 1 | $75 |
| Janssen Scientific Affairs, LLC | 1 | $48 |
| Johnson & Johnson | 3 | $47 |
| Dermira, Inc. | 2 | $24 |
| Almirall LLC | 1 | $19 |
| Sanofi-aventis U.S. LLC | 1 | $12 |
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
$68,848 in reported general payments places this provider in the 95th percentile of 2,741 physician assistant providers in Washington.
Other physician assistant in Graham
- Jill KandoraShoreline$437K
- Jeannette HartRichland$263K
- Lance KeckTacoma$162K
- Erinn KingSeattle$129K
- Christy VathSeattle$75K
- Scott TaylorMercer Island$71K
- Regan BrownSpokane$56K
- Justin ChapinSeattle$40K
- Susan DuffyBellevue$23K
- Makena TurnerSpokane$20K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.