Tristan Pico, MD
Pain Medicine · Chandler, AZNPI 1508088196
Payments from drug & device makers
What this record shows
This record is dominated by speaking fees: $74,881 of the $121,051 with a category attached, or 61.9%. Boston Scientific accounts for 88.5% of it on its own, with 34 other manufacturers making up the rest. Reporting peaked in 2024 at $34,041 and has fallen 79.9% since, to $6,834 in 2025. Among pain medicine 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 605 payments — averaging $200.08 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Boston Scientific$107K
- Medtronic$6K
- Painteq LLC$2K
- Biotronik NRO, Inc.$1K
- Vertos Medical, Inc.$784
- Abbott$589
- plus $3K from 29 others
What the payments were for
- Consulting fees$18,14815%
- Speaking & faculty fees$74,88162%
- Travel & lodging$8,5297%
- Food & beverage$19,44316%
- Education$490%
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 |
|---|---|---|
| Boston Scientific | 332 | $107,111 |
| Medtronic(2 entities) | 92 | $6,020 |
| Painteq LLC | 34 | $1,784 |
| Biotronik NRO, Inc. | 18 | $1,274 |
| Vertos Medical, Inc. | 16 | $784 |
| Abbott | 9 | $589 |
| Vertiflex, Inc. | 16 | $502 |
| Relievant Medsystems, Inc. | 6 | $479 |
| Nalu Medical, Inc. | 12 | $477 |
| SPR Therapeutics, Inc | 6 | $305 |
| Stryker | 5 | $249 |
| Daiichi Sankyo Inc. | 4 | $184 |
| Saluda Medical Americas, Inc. | 4 | $169 |
| Nevro Corp. | 6 | $135 |
| Globus Medical(2 entities) | 3 | $134 |
| Curonix LLC | 1 | $108 |
| Arteriocyte Medical Systems, Inc. | 1 | $98 |
| Collegium Pharmaceutical, Inc. | 6 | $89 |
| Lilly USA, LLC | 5 | $71 |
| Biohaven Pharmaceuticals, Inc. | 4 | $61 |
| AbbVie | 4 | $57 |
| Scilex Pharmaceuticals Inc. | 3 | $51 |
| GRT US Holding, Inc. | 3 | $46 |
| IBSA Pharma Inc. | 2 | $34 |
| Pfizer | 2 | $33 |
| Assertio Therapeutics, Inc. | 2 | $31 |
| Almatica Pharma LLC | 1 | $30 |
| Alnylam Pharmaceuticals Inc. | 1 | $24 |
| Convatec Inc. | 1 | $23 |
| Orthogenrx Inc. | 1 | $21 |
| Biohaven Pharmaceutical Holding Company Ltd. | 1 | $18 |
| Supernus Pharmaceuticals, Inc. | 1 | $18 |
| Arbor Pharmaceuticals, Inc. | 1 | $16 |
| USWM, LLC | 1 | $16 |
| Bausch Health US, LLC | 1 | $11 |
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.
- WaveWriter Alpha Prime 16$14,562
- WAVEWRITER ALPHA$14,033
- GENERAL - THERAPIES$11,842
- SPECTRA WAVEWRITER$9,250
- Superion Indirect Decompression System$6,488
- SUPERION$6,200
- VERTIFLEX SUPERION$4,400
- GENERAL PAIN MANAGEMENT$3,506
- ADAPTIVESTIM$2,000
- Intracept$1,783
- PAINTEQ$1,104
- SYNCHROMEDII$960
- mild Device Kit$804
- Prospera$569
- NA$555
- INTELLIS ADAPTIVESTIM$484
- ENTRADA$479
- Watchman$476
- INTELLIS$425
- CLICK$407
How this compares
$121,051 in reported general payments places this provider in the 95th percentile of 180 pain medicine 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 |
|---|---|---|
| Tramadol Hcl ErTramadol Hcl | 11 | $772 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 27 | $633 |
| Oxycodone Hcl | 30 | $528 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 21 | $386 |
| Gabapentin | 11 | $181 |
| Tramadol Hcl | 14 | $166 |
| Mupirocin | 18 | $151 |
| Cephalexin | 26 | $132 |
Paid to pharmacies, not to this prescriber.
Other pain medicine in Chandler
- Stuart RammellChandler$24K
- Eric CornidezTucson$496K
- Tory McJunkinScottsdale$204K
- Minesh ZaveriPhoenix$187K
- Chad PletnickOro Valley$137K
- Selaiman NooriLake Havasu City$104K
- Christine HaddadPhoenix$98K
- Samir PatelOro Valley$70K
- Vivek IyerScottsdale$70K
- Kirk BowdenMesa$51K
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.