Ashish Wadhwa, MD
Otolaryngology · Poway, CANPI 1477595189
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 99.3% of the total across 73 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. It is spread thinly across 22 manufacturers, the largest accounting for just 12.9% — the pattern of someone who eats at a lot of different presentations. Reporting peaked in 2024 at $587 and has fallen 51.4% since, to $285 in 2025.
Across 73 payments — averaging $37.02 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Sanofi$349
- Inspire Medical Systems, Inc.$343
- Stryker$324
- Neurent Medical Limited$255
- AstraZeneca$249
- Regeneron Healthcare Solutions, Inc.$241
- plus $942 from 16 others
What the payments were for
- Food & beverage$2,68499%
- Education$191%
Most of this is food and beverage — typically meals provided during product presentations at a clinic or hospital. Nationally that is the single largest category of reported payments by count.
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 |
|---|---|---|
| Sanofi | 14 | $349 |
| Inspire Medical Systems, Inc. | 6 | $343 |
| Stryker | 10 | $324 |
| Neurent Medical Limited | 3 | $255 |
| AstraZeneca | 4 | $249 |
| Regeneron Healthcare Solutions, Inc. | 6 | $241 |
| Biohaven Pharmaceuticals, Inc. | 3 | $157 |
| Novartis | 2 | $121 |
| Covidien LP | 1 | $111 |
| Optinose US, Inc. | 5 | $95 |
| Endogastric Solutions, Inc | 1 | $88 |
| GSK | 2 | $61 |
| Aerin Medical Inc. | 3 | $56 |
| Alk-abello, Inc | 2 | $50 |
| Intersect ENT, Inc. | 2 | $38 |
| Acclarent, Inc | 2 | $37 |
| Paratek Pharmaceuticals, Inc. | 1 | $27 |
| Integra Lifesciences Corporation | 1 | $23 |
| AbbVie | 1 | $20 |
| Medtronic | 1 | $19 |
| Travere Therapeutics, Inc. | 2 | $19 |
| Hikma Pharmaceuticals USA | 1 | $18 |
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.
- NEUROMARK Device$187
- NEUROMARK Radiofrequency Generator$187
- Inspire$158
- FARXIGA$125
- NURTEC ODT$118
How this compares
$2,702 in reported general payments places this provider in the 70th percentile of 1,021 otolaryngology 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.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Fluticasone Propionate | 157 | $2,721 |
| Azelastine-FluticasoneAzelastine/Fluticasone | 16 | $2,006 |
| Ipratropium Bromide | 70 | $1,962 |
| Azelastine Hcl | 40 | $1,525 |
| Omeprazole | 84 | $579 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 61 | $467 |
| Montelukast Sodium | 33 | $458 |
| Ofloxacin | 15 | $326 |
| Methylprednisolone | 43 | $319 |
| ValacyclovirValacyclovir Hcl | 20 | $292 |
| Famotidine | 20 | $279 |
| Azithromycin | 50 | $241 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 13 | $59 |
Paid to pharmacies, not to this prescriber.
Other otolaryngology in Poway
- Brian WeeksSan Diego$924K
- Randall OwRoseville$613K
- Amir MoradiVista$389K
- Keith BlackwellLos Angeles$349K
- Kalpna DurairajSun Valley$348K
- Todd MillerNewport Beach$259K
- Jeffrey SuhLos Angeles$223K
- Dennis TangLos Angeles$209K
- Jeffrey FeinfieldThousand Oaks$160K
- Jonathan SykesGranite Bay$148K
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.