Victoria Flower, NP
Nurse Practitioner · Roseville, CANPI 1841423449
Payments from drug & device makers
What this record shows
The money is spread across several categories — speaking fees (51.1%), travel and lodging and consulting fees — rather than concentrated in one kind of arrangement. Medtronic accounts for 77.0% of it on its own, with 12 other manufacturers making up the rest. 2025 is the largest year on record at $40,467, more than ten times the $1,384 reported in 2021. Among nurse practitioner clinicians in CA 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 505 payments — averaging $209.47 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medtronic$81K
- SPR Therapeutics, Inc$13K
- Nalu Medical, Inc.$7K
- MML US, Inc.$772
- Boston Scientific$619
- Abbott$552
- plus $2K from 7 others
What the payments were for
- Consulting fees$14,43814%
- Speaking & faculty fees$54,09251%
- Travel & lodging$24,60423%
- Food & beverage$12,53112%
- Education$1170%
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 |
|---|---|---|
| Medtronic | 322 | $81,422 |
| SPR Therapeutics, Inc | 54 | $13,396 |
| Nalu Medical, Inc. | 46 | $7,467 |
| MML US, Inc. | 7 | $772 |
| Boston Scientific | 19 | $619 |
| Abbott | 8 | $552 |
| Relievant Medsystems, Inc. | 25 | $451 |
| Biotronik NRO, Inc. | 3 | $340 |
| Si-bone, Inc. | 4 | $269 |
| Vertex | 7 | $164 |
| Saluda Medical Americas, Inc. | 2 | $139 |
| Nevro Corp. | 6 | $119 |
| Vertos Medical, Inc. | 2 | $71 |
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.
- INTELLIS ADAPTIVESTIM$43,424
- SYNCHROMEDII$27,810
- SPRINT PNS System$12,535
- Nalu Neurostimulation System$6,788
- ReActiv8$721
- VANTA ADAPTIVESTIM$713
- PIVOX Oblique Lateral Spinal System$349
- BIOTRONIK$303
- INCEPTIV$250
- PROCLAIM$184
- Infinion 16$175
- ETERNA$171
- OSTEOCOOL RF ABLATION SYSTEM$147
- SPECTRA WAVEWRITER$146
- Evoke SCS$110
How this compares
$105,781 in reported general payments places this provider in the 95th percentile of 6,779 nurse practitioner providers in California.
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.
Other nurse practitioner in Roseville
- Shawna ChrismanRoseville$425K
- Kimberly NewlinRoseville$25K
- Rhonda HewittStanford$917K
- Linda TrinhIrvine$884K
- Denise SinagaNorthridge$728K
- Debbie TaySanta Monica$642K
- Joe GorelickCampbell$638K
- Lynsey LakinArcadia$540K
- Kelly ChoiRancho Cucamonga$483K
- Hamta ZareStanford$428K
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.