Gerardo Orfanos
Pediatrics · Edinburg, TXNPI 1306838040
Payments from drug & device makers
What this record shows
The money is spread across several categories — gifts (55.9%), other and food and beverage — rather than concentrated in one kind of arrangement. 19 manufacturers reported payments, led by A-dec, Inc. at 49.1% of the total. Reporting peaked in 2021 at $1,323 and has fallen 92.6% since, to $98 in 2025. Among pediatrics clinicians in TX 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 40 payments — averaging $77.48 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- A-dec, Inc.$2K
- Baxter Healthcare$777
- Welch Allyn$212
- GSK$171
- Takeda Pharmaceuticals U.S.A., Inc.$101
- Merck$67
- plus $250 from 13 others
Across 107 payments — averaging $14,899 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.
- Pfizer$934K
- BD$386K
- Abbott$250K
- GSK$20K
- Sanofi Pasteur Inc.$5K
What the payments were for
- Food & beverage$58819%
- Education$20%
- Gifts$1,73356%
- Other$77725%
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 |
|---|---|---|
| A-dec, Inc. | 3 | $1,521 |
| Baxter Healthcare | 1 | $777 |
| Welch Allyn | 2 | $212 |
| GSK | 9 | $171 |
| Takeda Pharmaceuticals U.S.A., Inc. | 6 | $101 |
| Merck | 4 | $67 |
| Genentech USA, Inc. | 2 | $31 |
| Planmeca USA, Inc. | 1 | $30 |
| Sanofi Pasteur Inc. | 1 | $25 |
| Corium, LLC | 2 | $25 |
| Seqirus USA Inc | 1 | $24 |
| Henry Schein, Inc. | 1 | $24 |
| Phadia US Inc. | 1 | $20 |
| Ironshore Pharmaceuticals Inc. | 1 | $17 |
| Tris Pharma Inc | 1 | $16 |
| Shire North American Group Inc | 1 | $13 |
| Cumberland Pharmaceuticals, Inc. | 1 | $11 |
| Novartis | 1 | $11 |
| Pfizer | 1 | $2 |
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
$3,099 in reported general payments places this provider in the 95th percentile of 5,361 pediatrics providers in Texas.
Other pediatrics in Edinburg
- Diana El-ZaimEdinburg$16K
- Rodrigo ArgenalEdinburg$6K
- Pedro PiedraHouston$729K
- Jason RiehsFrisco$216K
- Ivonne Sahagun-CarreonNew Braunfels$168K
- Angela ScheuerleDallas$118K
- Dianna BurnsSan Antonio$100K
- Jason TerkKeller$93K
- Vernon SuttonHouston$90K
- Laura ScalfanoPlano$74K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.