Alfredo Altamirano
Surgical · Tucson, AZNPI 1699876862
Payments from drug & device makers
What this record shows
11 manufacturers reported payments, led by Abbott at 42.2% of the total. 2025 is the largest year on record at $2,485, 6.5 times the $384 reported in 2021. Among surgical clinicians in AZ 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 115 payments — averaging $53.70 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Abbott$3K
- Getinge USA Sales, LLC$1K
- Intuitive Surgical$1K
- Terumo Cardiovascular Systems Corporation$918
- Alnylam Pharmaceuticals Inc.$152
- Merck$42
- plus $110 from 5 others
What the payments were for
- Travel & lodging$3,14551%
- Food & beverage$3,03149%
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 |
|---|---|---|
| Abbott | 87 | $2,604 |
| Getinge USA Sales, LLC | 8 | $1,316 |
| Intuitive Surgical | 6 | $1,035 |
| Terumo Cardiovascular Systems Corporation | 4 | $918 |
| Alnylam Pharmaceuticals Inc. | 2 | $152 |
| Merck | 2 | $42 |
| GSK | 2 | $32 |
| Johnson & Johnson | 1 | $25 |
| Bridgebio Pharma, Inc. | 1 | $22 |
| E.r. Squibb & Sons, L.L.C. | 1 | $16 |
| Amgen | 1 | $15 |
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
$6,176 in reported general payments places this provider in the 95th percentile of 271 surgical providers in Arizona.
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 |
|---|---|---|
| Nebivolol Hcl | 24 | $486 |
| Oxycodone Hcl | 13 | $354 |
| Gabapentin | 19 | $342 |
| Metoprolol Succinate | 35 | $339 |
| Lisinopril | 40 | $312 |
| Hydroxyzine Hcl | 19 | $270 |
| Losartan Potassium | 24 | $248 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 23 | $235 |
| Tamsulosin Hcl | 28 | $230 |
| Carvedilol | 28 | $209 |
| Digoxin | 17 | $206 |
| Metolazone | 18 | $204 |
| Metoprolol Tartrate | 35 | $201 |
| Potassium Chloride | 11 | $192 |
| Ezetimibe | 20 | $175 |
Paid to pharmacies, not to this prescriber.
Other surgical in Tucson
- Rachelle TomeiTucson$4K
- Nicole Nelson-BridgesTucson$3K
- Sameer HazbounTucson$2K
- Dennis PaulTucson$2K
- Richard BurtTucson$2K
- Ryan Hill-FalkenthalGoodyear$53K
- Karla FrickPhoenix$38K
- Justin WilliamsOro Valley$19K
- Ethan MeyerScottsdale$8K
- Christina CudzewiczPhoenix$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.