Kathryn Smiley
Physician Assistant · San Diego, CANPI 1780158733
Payments from drug & device makers
What this record shows
The money is spread across several categories — food and beverage (52.9%), consulting fees and travel and lodging — rather than concentrated in one kind of arrangement. 43 manufacturers reported payments, led by Novartis at 35.9% of the total. 2025 is the largest year on record at $13,367, more than ten times the $83 reported in 2021. Among physician assistant clinicians in CA 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 354 payments — averaging $92.07 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Novartis$12K
- Sanofi$6K
- Incyte Corporation$1K
- GSK$1K
- Regeneron$986
- Regeneron Healthcare Solutions, Inc.$986
- plus $11K from 37 others
What the payments were for
- Consulting fees$9,43029%
- Speaking & faculty fees$2,5008%
- Travel & lodging$3,37610%
- Food & beverage$17,25253%
- Education$370%
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.
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
$32,595 in reported general payments places this provider in the 95th percentile of 10,423 physician assistant providers in California.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Dupixent PenDupilumab | 16 | $58,371 |
| Albuterol Sulfate HfaAlbuterol Sulfate | 11 | $524 |
| Azelastine Hcl | 11 | $191 |
Paid to pharmacies, not to this prescriber.
Other physician assistant in San Diego
- Jeremy AdlerSan Diego$82K
- Anne DenslowSan Diego$43K
- Andrea NguyenIrvine$1M
- Mikhail AlperMadera$889K
- Erin JensenUpland$716K
- Franklin ClineSacramento$458K
- Carla CrespoMarina del Rey$297K
- Katherine OsakiEl Centro$274K
- Shawna JonesFountain Valley$266K
- Heather AustinSalinas$219K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.