Ashwin Gowda, MD
Sleep Medicine · Austin, TXNPI 1669447397
Payments from drug & device makers
What this record shows
This record is dominated by speaking fees: $48,885 of the $70,856 with a category attached, or 69.0%. 17 manufacturers reported payments, led by Lilly USA, LLC at 58.5% of the total. 2025 is the largest year on record at $43,719, more than ten times the $654 reported in 2019. Among sleep medicine clinicians in TX with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 306 payments — averaging $231.55 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Lilly USA, LLC$41K
- Axsome Therapeutics, Inc.$11K
- Jazz Pharmaceuticals Inc.$10K
- Inspire Medical Systems, Inc.$5K
- ZOLL Respicardia, Inc.$2K
- Avadel CNS Pharmaceuticals, LLC$360
- plus $1K from 11 others
What the payments were for
- Consulting fees$8,37012%
- Speaking & faculty fees$48,88569%
- Travel & lodging$4,9167%
- Food & beverage$8,36912%
- Education$3160%
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 |
|---|---|---|
| Lilly USA, LLC | 67 | $41,427 |
| Axsome Therapeutics, Inc. | 15 | $11,371 |
| Jazz Pharmaceuticals Inc. | 94 | $9,725 |
| Inspire Medical Systems, Inc. | 56 | $5,095 |
| ZOLL Respicardia, Inc. | 17 | $1,727 |
| Avadel CNS Pharmaceuticals, LLC | 20 | $360 |
| Harmony Biosciences LLC | 11 | $301 |
| Eisai Inc. | 6 | $230 |
| Ironshore Pharmaceuticals Inc. | 3 | $148 |
| Idorsia Pharmaceuticals US Inc | 5 | $106 |
| Teleflex LLC | 1 | $105 |
| Arbor Pharmaceuticals, Inc. | 6 | $93 |
| Watermark Medical, Inc. | 1 | $85 |
| Philips North America LLC | 1 | $31 |
| Currax Pharmaceuticals LLC | 1 | $23 |
| Azurity Pharmaceuticals, Inc. | 1 | $18 |
| Merck | 1 | $12 |
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.
- ZEPBOUND$40,025
- SUNOSI$19,657
- Inspire$2,453
- Inspire Upper Airway Stimulation System$1,378
- remede System$1,181
- Dayvigo$122
- XYWAV$119
- Jornay PM 20mg capsules (Bottle of 100)$117
- UroLift$105
How this compares
$70,856 in reported general payments places this provider in the 90th percentile of 112 sleep medicine providers in Texas.
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 |
|---|---|---|
| Lisdexamfetamine Dimesylate | 11 | $2,357 |
| Dextroamphetamine-AmphetamineDextroamphetamine/Amphetamine | 28 | $821 |
| Methylphenidate Hcl | 14 | $387 |
| Trazodone Hcl | 24 | $283 |
| Methadone Hcl | 11 | $93 |
| Zolpidem Tartrate | 15 | $12 |
Paid to pharmacies, not to this prescriber.
Other sleep medicine in Austin
- Bhavim DesaiAustin$17K
- John HudsonAustin$16K
- Vani VallabhaneniAustin$3K
- Gerard MeskillSugar Land$1M
- Vikas JainFrisco$673K
- Amit VermaHouston$493K
- Jerald SimmonsHouston$165K
- James AndrySan Antonio$100K
- William BurkesBeaumont$99K
- John DebusDallas$38K
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.