Karina Valhalla Mandragon, PA-C
NPI 1083197768ActiveIndividual· Physician Assistant· Spokane, WA
Physician Assistant (PA-C) with Providence Health and Services Washington, practicing in Spokane, Washington. Their prescriptions cost Medicare Part D more than their services did: $67,264 for 460 claims, against $5,542 paid for services in 2024. Janssen Biotech, Inc. was the largest of 5 companies reporting payments in 2025, $430.60 in all, mostly food and beverage. Lists Providence Holy Family Hospital as a hospital affiliation.
Overview
| NPI | 1083197768 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Sep 10, 2018 |
| Last updated in NPPES | May 22, 2025 |
| Certified by provider | May 22, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (WA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 60 |
|---|---|
| Services billed | 66 across 11 procedure codes |
| Paid by Medicare | $5,542 |
Part D prescriptions in 2024
| Prescriptions (claims) | 460 · 860 30-day fills |
|---|---|
| Patients | 156 |
| Total drug cost | $67,264 |
| Generic share | 82% of claims |
Education and affiliations
| Graduation year | 2019 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Providence Health and Services WashingtonSpokane, WA · 784 clinicians
Hospital affiliation
- Providence Holy Family HospitalSpokane, WA
Industry payments (Open Payments)
- 2025$430.60 · 8 payments from 5 companies
- 2024$332.73 · 11 payments from 6 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Janssen Biotech, Inc. | $256.28 | 3 |
| Lilly USA, LLC | $64.31 | 2 |
| Madrigal Pharmaceuticals | $53.48 | 1 |
| Pharmacosmos Therapeutics Inc. | $35.88 | 1 |
| Regeneron Healthcare Solutions, Inc. | $20.65 | 1 |
What the 2025 payments were for
- Food and Beverage$353.61 · 7 payments
- Education$76.99 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 334 physician assistants in Spokane · All physician assistants in Washington