Christopher Tirotta
Pediatric Anesthesiology · Louisville, KYNPI 1831150002
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $27,050 of the $43,022 with a category attached, or 62.9%. Pacira Pharmaceuticals Incorporated accounts for 85.5% of it on its own, with 8 other manufacturers making up the rest. Reporting peaked in 2022 at $14,981 and has fallen 88.1% since, to $1,784 in 2023.
Across 80 payments — averaging $537.78 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Pacira Pharmaceuticals Incorporated$37K
- CSL Behring$2K
- Merck$2K
- Nonin Medical, Inc.$1K
- Edwards Lifesciences$1K
- Terumo Cardiovascular Systems Corporation$192
- plus $139 from 3 others
Across 91 payments — averaging $6817.55 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- Pacira Pharmaceuticals Incorporated$561K
- Pfizer$31K
- Merck$15K
- Hemosonics LLC$13K
What the payments were for
- Consulting fees$27,05063%
- Speaking & faculty fees$10,72725%
- Travel & lodging$3,1917%
- Food & beverage$2,0555%
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 |
|---|---|---|
| Pacira Pharmaceuticals Incorporated | 50 | $36,794 |
| CSL Behring | 3 | $2,087 |
| Merck | 13 | $1,610 |
| Nonin Medical, Inc. | 1 | $1,200 |
| Edwards Lifesciences | 1 | $1,000 |
| Terumo Cardiovascular Systems Corporation | 5 | $192 |
| Abbott | 4 | $77 |
| Masimo Corporation | 2 | $35 |
| Mallinckrodt Enterprises LLC | 1 | $27 |
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
Too few pediatric anesthesiology providers in Kentuckyto place this figure against a meaningful peer group, so we don't.
Other pediatric anesthesiology in Louisville
- Olga WillettLouisville$212
- Haley FullerLouisville$198
- Mariana PalaciosLouisville$131
- Tyler McCambridgeLouisville$76
- Steve AudenLouisville$60
- Walter RoseLouisville$58
- Audra WebberLouisville$40
- Peter DaltonLouisville$24
- Melissa VeneracionLouisville$20
- Destiny ChauLouisville$18
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.