Janet Orozco
Surgical · Sun City, AZNPI 1285745091
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 98.0% of the total across 68 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. It is spread thinly across 23 manufacturers, the largest accounting for just 22.9% — the pattern of someone who eats at a lot of different presentations. Reporting peaked in 2024 at $922 and has fallen 62.8% since, to $343 in 2025.
Across 68 payments — averaging $30.97 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Nalu Medical, Inc.$483
- Medtronic$216
- Nevro Corp.$174
- Boston Scientific$165
- Spinal Simplicity, LLC$162
- Collegium Pharmaceutical, Inc.$129
- plus $778 from 17 others
What the payments were for
- Food & beverage$2,06498%
- Education$422%
Most of this is food and beverage — typically meals provided during product presentations at a clinic or hospital. Nationally that is the single largest category of reported payments by count.
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 |
|---|---|---|
| Nalu Medical, Inc. | 9 | $483 |
| Medtronic | 2 | $216 |
| Nevro Corp. | 3 | $174 |
| Boston Scientific | 7 | $165 |
| Spinal Simplicity, LLC | 2 | $162 |
| Collegium Pharmaceutical, Inc. | 8 | $129 |
| Amgen | 4 | $88 |
| Pacira Therapeutics, Inc. | 2 | $74 |
| Hikma Pharmaceuticals USA | 4 | $74 |
| Novo Nordisk | 4 | $71 |
| Teva Pharmaceuticals USA, Inc. | 3 | $68 |
| Biohaven Pharmaceuticals, Inc. | 3 | $57 |
| Averitas Pharma Inc. | 2 | $51 |
| Astellas Pharma US Inc | 2 | $48 |
| Scilex Pharmaceuticals Inc. | 2 | $40 |
| Pfizer | 2 | $37 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 2 | $35 |
| Foundation Fusion Solutions, LLC | 2 | $33 |
| Painteq LLC | 1 | $22 |
| Redhill Biopharma Inc. | 1 | $21 |
| Corcept Therapeutics | 1 | $21 |
| Novartis | 1 | $19 |
| AstraZeneca | 1 | $18 |
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.
- Nalu Neurostimulation System$254
- HA MINUTEMAN G3-R$146
- Senza$132
- INCEPTIV$119
How this compares
$2,106 in reported general payments places this provider in the 80th 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 |
|---|---|---|
| MounjaroTirzepatide | 16 | $16,681 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 70 | $3,093 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 92 | $2,056 |
| Oxycodone Hcl | 98 | $1,566 |
| Gabapentin | 65 | $795 |
| Pregabalin | 29 | $535 |
| Duloxetine Hcl | 18 | $401 |
| Cyclobenzaprine Hcl | 29 | $312 |
| Tramadol Hcl | 40 | $250 |
| Tizanidine Hcl | 19 | $167 |
| Diclofenac Potassium | 14 | $52 |
Paid to pharmacies, not to this prescriber.
Other surgical in Sun City
- Phillip SpencerSun City$2K
- Ryan Hill-FalkenthalGoodyear$53K
- Karla FrickPhoenix$38K
- Justin WilliamsOro Valley$19K
- Ethan MeyerScottsdale$8K
- Christina CudzewiczPhoenix$7K
- Sarah MullerPhoenix$6K
- Alfredo AltamiranoTucson$6K
- Danielle MollerGoodyear$6K
- Jenise TondiniGoodyear$6K
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.