Ashley Sikand, MD
Otolaryngology · Henderson, NVNPI 1477519825
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $267,863 of the $284,399 with a category attached, or 94.2%. Stryker accounts for 96.3% of it on its own, with 16 other manufacturers making up the rest. Reporting peaked in 2019 at $143,302 and has fallen 99.4% since, to $926 in 2025. Among otolaryngology clinicians in NV 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 427 payments — averaging $666.04 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Stryker$274K
- Acelrx Pharmaceuticals, Inc.$7K
- GSK$835
- Optinose US, Inc.$706
- Regeneron Healthcare Solutions, Inc.$631
- Sanofi$385
- plus $756 from 11 others
Across 4 payments — averaging $5440.38 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- Stryker$22K
What the payments were for
- Consulting fees$267,86394%
- Travel & lodging$4,9722%
- Food & beverage$11,4424%
- Education$1220%
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 |
|---|---|---|
| Stryker | 296 | $273,837 |
| Acelrx Pharmaceuticals, Inc. | 5 | $7,250 |
| GSK | 40 | $835 |
| Optinose US, Inc. | 31 | $706 |
| Regeneron Healthcare Solutions, Inc. | 23 | $631 |
| Sanofi | 15 | $385 |
| Medtronic | 2 | $232 |
| Acclarent, Inc | 2 | $127 |
| AstraZeneca | 1 | $125 |
| Sanofi-aventis U.S. LLC | 1 | $53 |
| Amgen | 2 | $52 |
| Inspire Medical Systems, Inc. | 2 | $51 |
| Intersect ENT, Inc. | 2 | $47 |
| Smith+Nephew | 2 | $36 |
| Johnson & Johnson | 1 | $15 |
| Phadia US Inc. | 1 | $13 |
| Aerin Medical Inc. | 1 | $6 |
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.
- ENTELLUS - XPRESS ENT DILATION SYSTEM$164,900
- CLARIFIX CRYOTHERAPY DEVICE$90,066
- XPRESS ENT DILATION SYSTEM$77,654
- LATERA$51,843
- SCOPIS ENT$28,574
- SHAVER SYSTEM$23,644
- TGS GUIDEWIRE$16,088
- DSUVIA$7,250
- ORTHOMAP$7,125
- SPIROX - LATERA$687
- ENTELLUS MEDICAL FOCESS SINUSCOPE$375
- HEMOPORE$375
- NASOPORE$375
- DUPIXENT$364
- ENTELLUS - FIAGON SINUS NAVIGATION SYSTEM$338
- ENTELLUS MEDICAL REINFORCED ANESTHESIA NEEDLE$309
- FIAGON NAVIGATION UNIT$295
- NUCALA$250
- FOCESS HD WIRELESS CAMERA$198
- XPRESS LOPROFILE$172
How this compares
$284,399 in reported general payments places this provider in the 95th percentile of 41 otolaryngology providers in Nevada.
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 |
|---|---|---|
| Azelastine Hcl | 176 | $6,144 |
| Fluticasone Propionate | 217 | $2,733 |
| Ipratropium Bromide | 110 | $2,464 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 192 | $1,409 |
| Ofloxacin | 15 | $629 |
| Methylprednisolone | 66 | $444 |
| Cephalexin | 24 | $378 |
| Famotidine | 32 | $360 |
| Doxycycline Hyclate | 44 | $309 |
| Mupirocin | 38 | $182 |
| Azithromycin | 48 | $173 |
| Lorazepam | 124 | $166 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 26 | $162 |
| Prednisone | 91 | $142 |
| Tramadol Hcl | 59 | $119 |
Paid to pharmacies, not to this prescriber.
Other otolaryngology in Henderson
- Lakeisha HenryHenderson$9K
- Randall WeingartenHenderson$5K
- Walter SchroederHenderson$4K
- Frederick GollHenderson$4K
- Jonathan SalinasHenderson$1K
- Timothy TolanHenderson$927
- David FoggiaHenderson$366
- Christopher PeersHenderson$17
- Oluwafunmilola OkuyemiLas Vegas$60K
- Jeannie KhavkinLas Vegas$22K
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.