Official source Data mirrored from Centers for Medicare & Medicaid Services Open Payments · General Payments · as published 2026-01-23 View official record Methodology

Covered recipient · General Payments record

KAREN LEE MANCHESTER

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family

NPI
1801225941
CMS profile
10856980
Location
VALLEY CENTER, CA

General Payments · PY2021–2024

$584.48

  • Reported across 29 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$194.69

9 records · 0 disputed

Financial relationships do not necessarily indicate an improper relationship; the data is open to interpretation.

How these totals are calculated
  • The total is the sum of the General Payments records CMS published for the labeled program year(s), exactly as published. Nothing is estimated, weighted, or combined across categories.
  • General Payments only. Research and Ownership/Investment are separate datasets and are never summed with these figures; amounts are kept separate per program year.
  • Featured-page threshold (a presentation gate, not a judgment): records>=3 OR total>=100 (all years).
  • Methodology & Data — sourcing, labeling, and limitations.

By nature of payment

PY2024 · sorted by reported total

Nature of paymentAmountRecords
Food and Beverage $194.69 9

By paying entity

PY2024 · sorted by reported total

Paying entityAmountRecords
Astellas Pharma US Inc $60.00 2
Aspira Women's Health Inc $32.83 2
Biogen, Inc. $24.41 1
Hologic Sales and Service, LLC $22.75 1
Evofem Biosciences, Inc. $21.39 1
Minerva Surgical, Inc $18.76 1
PFIZER INC. $14.55 1

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2021 $65.82 4
PY2022 $266.09 13
PY2023 $57.88 3
PY2024 $194.69 9

Payment records · PY2024 (9)

Sorted by paying entity, then date · as published by CMS

Program year 2024 202120222023 Record-level detail is published for PY2024; earlier years are summarised in “By program year”.
Paying entity Amount Date Nature of payment Dispute status Published Record ID Source
Aspira Women's Health Inc $19.52 04/10/2024 Food and Beverage Undisputed 01/23/2026 1126777039 CMS
Aspira Women's Health Inc $13.31 06/28/2024 Food and Beverage Undisputed 01/23/2026 1126780140 CMS
Astellas Pharma US Inc $30.10 05/15/2024 Food and Beverage Undisputed 01/23/2026 1139519219 CMS
Astellas Pharma US Inc $29.90 06/25/2024 Food and Beverage Undisputed 01/23/2026 1139517097 CMS
Biogen, Inc. $24.41 10/02/2024 Food and Beverage Undisputed 01/23/2026 1104850318 CMS
Evofem Biosciences, Inc. $21.39 09/23/2024 Food and Beverage Undisputed 01/23/2026 1091278448 CMS
Hologic Sales and Service, LLC $22.75 05/07/2024 Food and Beverage Undisputed 01/23/2026 1084880550 CMS
Minerva Surgical, Inc $18.76 05/24/2024 Food and Beverage Undisputed 01/23/2026 1085611819 CMS
PFIZER INC. $14.55 06/11/2024 Food and Beverage Undisputed 01/23/2026 1131566368 CMS

Source & provenance

Dataset
CMS Open Payments — General Payments
Publisher of source data
Centers for Medicare & Medicaid Services
CMS publication date
2026-01-23
Program years on this page
2021, 2022, 2023, 2024
Source files
Dataset page · Bulk file · PY2021 , PY2022 , PY2023 , PY2024
Generated from
OP_DTL_GNRL_PGYR2024_P01232026_01102026.csv

One page per canonical provider; split Profile_IDs are merged via Associated_Covered_Recipient_Profile_ID_1/_2 from the Covered Recipient Profile Supplement.

Corrections to the substance of a record route to CMS through its review-and-dispute process; errors in how this site mirrors or displays a record route to us. Both paths are described in Methodology & Data.