IndustryPayments
Official source Data mirrored from Centers for Medicare & Medicaid Services Open Payments · General Payments · as published 2026-01-23 View official record Methodology

Covered recipient · General Payments record

VICTORIA MARY ORR-KIRSCH

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family

NPI
1154056026
CMS profile
11356299
Location
SAN ANTONIO, TX

General Payments · PY2022–2024

$2,201.13

  • Reported across 72 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$1,576.02

49 records · 0 disputed

Financial relationships do not necessarily indicate an improper relationship; the data is open to interpretation.

How these totals are calculated
  • The total is the sum of the General Payments records CMS published for the labeled program year(s), exactly as published. Nothing is estimated, weighted, or combined across categories.
  • General Payments only. Research and Ownership/Investment are separate datasets and are never summed with these figures; amounts are kept separate per program year.
  • Featured-page threshold (a presentation gate, not a judgment): records>=3 OR total>=100 (all years).
  • Methodology & Data — sourcing, labeling, and limitations.

Related groups: Family TX All categories

By nature of payment

PY2024 · sorted by reported total

Nature of paymentAmountRecords
Food and Beverage $1,476.03 48
Education $99.99 1

By paying entity

PY2024 · sorted by reported total

Paying entityAmountRecords
Inspire Medical Systems, Inc. $850.54 27
HARMONY BIOSCIENCES LLC $380.84 9
Axsome Therapeutics, Inc. $182.98 4
JAZZ PHARMACEUTICALS INC. $118.59 6
Avadel CNS Pharmaceuticals, LLC $27.96 2
Fisher & Paykel Healthcare Inc $15.11 1

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2022 $198.71 5
PY2023 $426.40 18
PY2024 $1,576.02 49

Payment records · PY2024 (49)

Sorted by paying entity, then date · as published by CMS

Program year 2024 20222023 Record-level detail is published for PY2024; earlier years are summarised in “By program year”.
Paying entity Amount Date Nature of payment Dispute status Published Record ID Source
Avadel CNS Pharmaceuticals, LLC $14.55 11/19/2024 Food and Beverage Undisputed 01/23/2026 1123394832 CMS
Avadel CNS Pharmaceuticals, LLC $13.41 12/11/2024 Food and Beverage Undisputed 01/23/2026 1123394834 CMS
Axsome Therapeutics, Inc. $14.11 01/16/2024 Food and Beverage Undisputed 01/23/2026 1148418605 CMS
Axsome Therapeutics, Inc. $19.41 06/12/2024 Food and Beverage Undisputed 01/23/2026 1148418607 CMS
Axsome Therapeutics, Inc. $125.00 10/01/2024 Food and Beverage Undisputed 01/23/2026 1148418609 CMS
Axsome Therapeutics, Inc. $24.46 12/17/2024 Food and Beverage Undisputed 01/23/2026 1148418611 CMS
Fisher & Paykel Healthcare Inc $15.11 07/24/2024 Food and Beverage Undisputed 01/23/2026 1143840899 CMS
Harmony Biosciences Llc $26.99 10/18/2024 Food and Beverage Undisputed 01/23/2026 1141479020 CMS
Harmony Biosciences Llc $22.53 11/18/2024 Food and Beverage Undisputed 01/23/2026 1141478554 CMS
HARMONY BIOSCIENCES LLC $25.90 02/13/2024 Food and Beverage Undisputed 01/23/2026 1126091405 CMS
HARMONY BIOSCIENCES LLC $42.49 06/06/2024 Food and Beverage Undisputed 01/23/2026 1126091403 CMS
HARMONY BIOSCIENCES LLC $7.98 07/15/2024 Food and Beverage Undisputed 01/23/2026 1126091411 CMS
HARMONY BIOSCIENCES LLC $99.99 07/22/2024 Education Undisputed 01/23/2026 1126091401 CMS
HARMONY BIOSCIENCES LLC $8.12 08/08/2024 Food and Beverage Undisputed 01/23/2026 1126091409 CMS
HARMONY BIOSCIENCES LLC $21.85 09/04/2024 Food and Beverage Undisputed 01/23/2026 1126091407 CMS
HARMONY BIOSCIENCES LLC $124.99 11/21/2024 Food and Beverage Undisputed 01/23/2026 1126091399 CMS
Inspire Medical Systems, Inc. $16.98 01/11/2024 Food and Beverage Undisputed 01/23/2026 1148164566 CMS
Inspire Medical Systems, Inc. $16.43 03/13/2024 Food and Beverage Undisputed 01/23/2026 1148164568 CMS
Inspire Medical Systems, Inc. $4.38 03/19/2024 Food and Beverage Undisputed 01/23/2026 1148164570 CMS
Inspire Medical Systems, Inc. $5.42 04/02/2024 Food and Beverage Undisputed 01/23/2026 1148164572 CMS
Inspire Medical Systems, Inc. $14.13 04/11/2024 Food and Beverage Undisputed 01/23/2026 1148164574 CMS
Inspire Medical Systems, Inc. $16.41 05/08/2024 Food and Beverage Undisputed 01/23/2026 1148164576 CMS
Inspire Medical Systems, Inc. $19.25 05/23/2024 Food and Beverage Undisputed 01/23/2026 1148164578 CMS
Inspire Medical Systems, Inc. $136.67 05/30/2024 Food and Beverage Undisputed 01/23/2026 1148164580 CMS
Inspire Medical Systems, Inc. $15.71 06/21/2024 Food and Beverage Undisputed 01/23/2026 1148164582 CMS
Inspire Medical Systems, Inc. $15.03 06/25/2024 Food and Beverage Undisputed 01/23/2026 1148164584 CMS
Inspire Medical Systems, Inc. $1.28 07/10/2024 Food and Beverage Undisputed 01/23/2026 1148164586 CMS
Inspire Medical Systems, Inc. $4.72 08/20/2024 Food and Beverage Undisputed 01/23/2026 1148164588 CMS
Inspire Medical Systems, Inc. $28.57 08/30/2024 Food and Beverage Undisputed 01/23/2026 1148164590 CMS
Inspire Medical Systems, Inc. $1.85 09/04/2024 Food and Beverage Undisputed 01/23/2026 1148164592 CMS
Inspire Medical Systems, Inc. $11.00 09/16/2024 Food and Beverage Undisputed 01/23/2026 1148164594 CMS
Inspire Medical Systems, Inc. $25.98 09/24/2024 Food and Beverage Undisputed 01/23/2026 1148164596 CMS
Inspire Medical Systems, Inc. $149.92 10/08/2024 Food and Beverage Undisputed 01/23/2026 1148164598 CMS
Inspire Medical Systems, Inc. $2.01 10/28/2024 Food and Beverage Undisputed 01/23/2026 1148164600 CMS
Inspire Medical Systems, Inc. $21.94 10/30/2024 Food and Beverage Undisputed 01/23/2026 1148164602 CMS
Inspire Medical Systems, Inc. $9.34 11/01/2024 Food and Beverage Undisputed 01/23/2026 1148164604 CMS
Inspire Medical Systems, Inc. $212.61 11/03/2024 Food and Beverage Undisputed 01/23/2026 1148164606 CMS
Inspire Medical Systems, Inc. $37.00 11/04/2024 Food and Beverage Undisputed 01/23/2026 1148164608 CMS
Inspire Medical Systems, Inc. $42.59 11/04/2024 Food and Beverage Undisputed 01/23/2026 1148164610 CMS
Inspire Medical Systems, Inc. $11.75 11/11/2024 Food and Beverage Undisputed 01/23/2026 1148164612 CMS
Inspire Medical Systems, Inc. $1.44 11/22/2024 Food and Beverage Undisputed 01/23/2026 1148164614 CMS
Inspire Medical Systems, Inc. $25.00 12/12/2024 Food and Beverage Undisputed 01/23/2026 1148164616 CMS
Inspire Medical Systems, Inc. $3.13 12/13/2024 Food and Beverage Undisputed 01/23/2026 1148164618 CMS
JAZZ PHARMACEUTICALS INC. $24.71 06/17/2024 Food and Beverage Undisputed 01/23/2026 1151296986 CMS
JAZZ PHARMACEUTICALS INC. $21.35 07/17/2024 Food and Beverage Undisputed 01/23/2026 1151296980 CMS
JAZZ PHARMACEUTICALS INC. $22.92 09/10/2024 Food and Beverage Undisputed 01/23/2026 1151296978 CMS
JAZZ PHARMACEUTICALS INC. $16.44 10/08/2024 Food and Beverage Undisputed 01/23/2026 1151296984 CMS
JAZZ PHARMACEUTICALS INC. $14.23 10/23/2024 Food and Beverage Undisputed 01/23/2026 1151296976 CMS
JAZZ PHARMACEUTICALS INC. $18.94 11/22/2024 Food and Beverage Undisputed 01/23/2026 1151296982 CMS

Source & provenance

Dataset
CMS Open Payments — General Payments
Publisher of source data
Centers for Medicare & Medicaid Services
CMS publication date
2026-01-23
Program years on this page
2022, 2023, 2024
Source files
Dataset page · Bulk file · PY2022 , PY2023 , PY2024
Generated from
OP_DTL_GNRL_PGYR2024_P01232026_01102026.csv

One page per canonical provider; split Profile_IDs are merged via Associated_Covered_Recipient_Profile_ID_1/_2 from the Covered Recipient Profile Supplement.

Corrections to the substance of a record route to CMS through its review-and-dispute process; errors in how this site mirrors or displays a record route to us. Both paths are described in Methodology & Data.