Official source Data mirrored from Centers for Medicare & Medicaid Services Open Payments · General Payments · CMS publication 2026-06-30 View official record

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

A name match is not confirmation of identity. CMS publishes records for different people under similar names; the NPI, specialty, and location shown on this page are the CMS-published fields that distinguish them.

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General Payments · PY2024 · Entire year

$2,706.31

56 records · 0 disputed

Summary and payment records

  • CMS publication 2026-06-30
Read the payment records

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

— Centers for Medicare & Medicaid Services, Open Payments

A reported payment reflects a financial relationship a company disclosed. It does not indicate wrongdoing or a conflict of interest, and it says nothing about the quality of a provider's care.

These records are submitted to CMS and attested to by the reporting companies. CMS publishes them as reported; this site mirrors them without independent verification.

A payment attributed to a provider may have been made to a third party — a hospital, practice, or research institution — rather than paid to the provider personally.

How these totals are calculated
  • This total is the sum of the individual General Payments record amounts CMS published for the labeled program year(s); each record amount is used unmodified. The total itself is computed by this site. 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.
  • Methodology & Data — sourcing, labeling, and limitations.

Provider summaries generated . CMS updates this data on an annual cycle, and corrections or successful disputes made at CMS may not yet appear here. The official CMS record is authoritative for the current state. View the official CMS record ↗

By nature of payment

PY2024 · entire year · sorted by reported total

Nature of paymentAmountRecords
Food and Beverage $1,476.99 49
Travel and Lodging $1,039.33 5
Education $189.99 2

By paying entity

PY2024 · entire year · sorted by reported total

Page 1 of 2; records 1–50 of 56 matching records. This page contains 50 records (maximum 50), not the full filtered export. Use the CSV download for all matching records.

IndustryPayments · General Payments

VICTORIA MARY ORR-KIRSCH

NPI 1154056026 · CMS profile ID 11356299

Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner / Family

SAN ANTONIO, TX

A name match is not confirmation of identity. CMS publishes records for different people under similar names; the NPI, specialty, and location shown on this page are the CMS-published fields that distinguish them.

A payment attributed to a provider may have been made to a third party — a hospital, practice, or research institution — rather than paid to the provider personally.

General Payments, PY2024; Recipient scope: Physicians and non-physician practitioners; Reporting company: All reporting companies; Nature of payment: All payment types

Data edition: cms-20260630-workflow-20261105-v2; CMS publication: 2026-06-30; records imported: 2026-11-05T09:06:52.159882+00:00

Page 1 of 2; records 1–50 of 56 matching records. This page contains 50 records (maximum 50), not the full filtered export.

Filtered page: https://industrypayments.org/provider/npi-1154056026?year=2024&recipient=provider#records-h

CMS source: https://openpaymentsdata.cms.gov/dataset/e6b17c6a-2534-4207-a4a1-6746a14911ff

Cite these filtered records

The citation includes this program year, filters, data edition, and page of results.

Plain
VICTORIA MARY ORR-KIRSCH, NPI 1154056026, CMS profile ID 11356299. General Payments, PY2024; Recipient scope: Physicians and non-physician practitioners; Reporting company: All reporting companies; Nature of payment: All payment types. Data edition: cms-20260630-workflow-20261105-v2; CMS publication: 2026-06-30; records imported: 2026-11-05T09:06:52.159882+00:00. Page 1 of 2; records 1–50 of 56 matching records. This page contains 50 records (maximum 50), not the full filtered export. IndustryPayments. https://industrypayments.org/provider/npi-1154056026?year=2024&recipient=provider#records-h. Source: https://openpaymentsdata.cms.gov/dataset/e6b17c6a-2534-4207-a4a1-6746a14911ff.
APA 7
IndustryPayments. (2026). VICTORIA MARY ORR-KIRSCH, NPI 1154056026, CMS profile ID 11356299. General Payments, PY2024; Recipient scope: Physicians and non-physician practitioners; Reporting company: All reporting companies; Nature of payment: All payment types. Data edition: cms-20260630-workflow-20261105-v2; CMS publication: 2026-06-30; records imported: 2026-11-05T09:06:52.159882+00:00. Page 1 of 2; records 1–50 of 56 matching records. This page contains 50 records (maximum 50), not the full filtered export. [Filtered data set page]. https://industrypayments.org/provider/npi-1154056026?year=2024&recipient=provider#records-h. Source: https://openpaymentsdata.cms.gov/dataset/e6b17c6a-2534-4207-a4a1-6746a14911ff.
Bluebook
VICTORIA MARY ORR-KIRSCH, NPI 1154056026, CMS profile ID 11356299, IndustryPayments, General Payments, PY2024; Recipient scope: Physicians and non-physician practitioners; Reporting company: All reporting companies; Nature of payment: All payment types (Data edition: cms-20260630-workflow-20261105-v2; CMS publication: 2026-06-30; records imported: 2026-11-05T09:06:52.159882+00:00). Page 1 of 2; records 1–50 of 56 matching records. This page contains 50 records (maximum 50), not the full filtered export. Source: https://openpaymentsdata.cms.gov/dataset/e6b17c6a-2534-4207-a4a1-6746a14911ff. https://industrypayments.org/provider/npi-1154056026?year=2024&recipient=provider#records-h.

Centers for Medicare & Medicaid Services, Open Payments

Citation formats are provided for reference; check the requirements of your publication.

Payment records · PY2024

Ordering applied by this site (date, newest first, then paying entity) · record values are shown as CMS published them

General Payments · PY2024 · Physicians and non-physician practitioners · CMS publication 2026-06-30

56 matching records · $2,706.31 reported total · 0 disputed

Nature of payment: All payment types

Records imported here (UTC).

Link to these filtered records · CMS source dataset ↗

Download all 56 matching records (CSV)

CSV includes CMS record IDs, source and publication dates, the data edition, and a link to these filters. Formula-like text cells are prefixed with an apostrophe for spreadsheet safety.

Showing records 1–50 of 56.

Paying entityAmountDate Nature of paymentDispute statusPublication flagsPublished Record IDSource
Axsome Therapeutics, Inc. $24.4612/17/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1148418611 CMS
Inspire Medical Systems, Inc. $3.1312/13/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1148164618 CMS
Inspire Medical Systems, Inc. $25.0012/12/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1148164616 CMS
Avadel CNS Pharmaceuticals, LLC $13.4112/11/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1123394834 CMS
JAZZ PHARMACEUTICALS INC. $0.9611/27/2024 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1155979615 CMS
Inspire Medical Systems, Inc. $1.4411/22/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1148164614 CMS
JAZZ PHARMACEUTICALS INC. $18.9411/22/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1151296982 CMS
HARMONY BIOSCIENCES LLC $124.9911/21/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1126091399 CMS
Avadel CNS Pharmaceuticals, LLC $14.5511/19/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1123394832 CMS
Harmony Biosciences Llc $22.5311/18/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1141478554 CMS
Inspire Medical Systems, Inc. $11.7511/11/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1148164612 CMS
Inspire Medical Systems, Inc. $51.8111/08/2024 Travel and Lodging No dispute reported Delay: No
Change: NEW
06/30/2026 1156135334 CMS
Inspire Medical Systems, Inc. $18.7511/05/2024 Travel and Lodging No dispute reported Delay: No
Change: NEW
06/30/2026 1156135332 CMS
Inspire Medical Systems, Inc. $37.0011/04/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1148164608 CMS
Inspire Medical Systems, Inc. $42.5911/04/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1148164610 CMS
Inspire Medical Systems, Inc. $21.4511/04/2024 Travel and Lodging No dispute reported Delay: No
Change: NEW
06/30/2026 1156135328 CMS
Inspire Medical Systems, Inc. $290.1611/04/2024 Travel and Lodging No dispute reported Delay: No
Change: NEW
06/30/2026 1156135330 CMS
Inspire Medical Systems, Inc. $212.6111/03/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1148164606 CMS
Inspire Medical Systems, Inc. $9.3411/01/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1148164604 CMS
Inspire Medical Systems, Inc. $21.9410/30/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1148164602 CMS
Inspire Medical Systems, Inc. $2.0110/28/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1148164600 CMS
JAZZ PHARMACEUTICALS INC. $14.2310/23/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1151296976 CMS
Harmony Biosciences Llc $26.9910/18/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1141479020 CMS
Inspire Medical Systems, Inc. $657.1610/14/2024 Travel and Lodging No dispute reported Delay: No
Change: NEW
06/30/2026 1156135326 CMS
Inspire Medical Systems, Inc. $149.9210/08/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1148164598 CMS
JAZZ PHARMACEUTICALS INC. $16.4410/08/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1151296984 CMS
Axsome Therapeutics, Inc. $125.0010/01/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1148418609 CMS
Inspire Medical Systems, Inc. $25.9809/24/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1148164596 CMS
Inspire Medical Systems, Inc. $11.0009/16/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1148164594 CMS
JAZZ PHARMACEUTICALS INC. $22.9209/10/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1151296978 CMS
HARMONY BIOSCIENCES LLC $21.8509/04/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1126091407 CMS
Inspire Medical Systems, Inc. $1.8509/04/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1148164592 CMS
Inspire Medical Systems, Inc. $28.5708/30/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1148164590 CMS
Inspire Medical Systems, Inc. $4.7208/20/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1148164588 CMS
HARMONY BIOSCIENCES LLC $8.1208/08/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1126091409 CMS
Fisher & Paykel Healthcare Inc $15.1107/24/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1143840899 CMS
HARMONY BIOSCIENCES LLC $99.9907/22/2024 Education No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1126091401 CMS
JAZZ PHARMACEUTICALS INC. $21.3507/17/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1151296980 CMS
HARMONY BIOSCIENCES LLC $7.9807/15/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1126091411 CMS
JAZZ PHARMACEUTICALS INC. $90.0007/15/2024 Education No dispute reported Delay: No
Change: NEW
06/30/2026 1155979759 CMS
Inspire Medical Systems, Inc. $1.2807/10/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1148164586 CMS
Inspire Medical Systems, Inc. $15.0306/25/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1148164584 CMS
Inspire Medical Systems, Inc. $15.7106/21/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1148164582 CMS
JAZZ PHARMACEUTICALS INC. $24.7106/17/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1151296986 CMS
Axsome Therapeutics, Inc. $19.4106/12/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1148418607 CMS
HARMONY BIOSCIENCES LLC $42.4906/06/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1126091403 CMS
Inspire Medical Systems, Inc. $136.6705/30/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1148164580 CMS
Inspire Medical Systems, Inc. $19.2505/23/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1148164578 CMS
Inspire Medical Systems, Inc. $16.4105/08/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1148164576 CMS
Inspire Medical Systems, Inc. $14.1304/11/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1148164574 CMS

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2022 $323.70 7
PY2023 $481.40 19
PY2024 $2,706.31 56
PY2025 $1,227.61 37

Source & provenance

Dataset
CMS Open Payments — General Payments
Publisher of source data
Centers for Medicare & Medicaid Services
CMS publication date
2026-06-30
Program years on this page
2022, 2023, 2024, 2025
Source files and profile matching
Source files
Dataset page · Bulk file · PY2022 , PY2023 , PY2024 , PY2025
Generated from
OP_DTL_GNRL_PGYR2025_P06302026_06032026.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.