Ryan Orosco, MD
Otolaryngology · Albuquerque, NMNPI 1427290279
Payments from drug & device makers
What this record shows
The money is spread across several categories — speaking fees (46.7%), food and beverage and consulting fees — rather than concentrated in one kind of arrangement. 8 manufacturers reported payments, led by Kls-martin L.p. at 58.0% of the total. 2025 is the largest year on record at $3,001, more than ten times the $149 reported in 2019. Among otolaryngology clinicians in NM 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 49 payments — averaging $167.05 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Kls-martin L.p.$5K
- Stryker$2K
- Applied Medical Resources Corporation$759
- Smith+Nephew$217
- Merck$149
- E.r. Squibb & Sons, L.L.C.$124
- plus $177 from 2 others
What the payments were for
- Consulting fees$1,30016%
- Speaking & faculty fees$3,82547%
- Travel & lodging$1,09813%
- Food & beverage$1,96224%
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 |
|---|---|---|
| Kls-martin L.p. | 15 | $4,748 |
| Stryker | 20 | $2,011 |
| Applied Medical Resources Corporation | 2 | $759 |
| Smith+Nephew | 3 | $217 |
| Merck | 1 | $149 |
| E.r. Squibb & Sons, L.L.C. | 2 | $124 |
| Integra Lifesciences Corporation | 5 | $111 |
| Tactile Systems Technology Inc | 1 | $65 |
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.
- NA$1,414
- GelPOINT V-Path$750
- VSP SYSTEM, VSP CRANIAL$372
- KEYTRUDA$149
- STRAVIX PL$147
How this compares
$8,185 in reported general payments places this provider in the 95th percentile of 39 otolaryngology providers in New Mexico.
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 |
|---|---|---|
| Oxycodone Hcl | 13 | $219 |
| Chlorhexidine Gluconate | 11 | $98 |
Paid to pharmacies, not to this prescriber.
Other otolaryngology in Albuquerque
- Jason MuddAlbuquerque$9K
- Shervin AminpourAlbuquerque$5K
- Lily LoveAlbuquerque$3K
- Noah SymeAlbuquerque$2K
- Robert MartinAlbuquerque$2K
- Gregg SchmedesAlbuquerque$1K
- Garth OlsonAlbuquerque$1K
- Angela MartinAlbuquerque$328
- Tania KraaiAlbuquerque$318
- Bonnie RenfroAlbuquerque$274
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.