Astaad Dalal, MD
Sleep Medicine · Falls Church, VANPI 1184067522
Payments from drug & device makers
What this record shows
This record is dominated by speaking fees: $80,008 of the $98,557 with a category attached, or 81.2%. 40 manufacturers reported payments, led by Idorsia Pharmaceuticals US Inc at 42.4% of the total. Reporting peaked in 2023 at $56,224 and has fallen 59.1% since, to $22,979 in 2025. Among sleep medicine clinicians in VA 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 367 payments — averaging $268.55 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Idorsia Pharmaceuticals US Inc$42K
- Harmony Biosciences LLC$35K
- Lilly USA, LLC$15K
- Inspire Medical Systems, Inc.$1K
- AstraZeneca$832
- Sanofi$609
- plus $4K from 34 others
What the payments were for
- Consulting fees$6,6667%
- Speaking & faculty fees$80,00881%
- Travel & lodging$2,3412%
- Food & beverage$9,44110%
- Education$1000%
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 |
|---|---|---|
| Idorsia Pharmaceuticals US Inc | 64 | $41,807 |
| Harmony Biosciences LLC | 67 | $34,971 |
| Lilly USA, LLC | 32 | $15,432 |
| Inspire Medical Systems, Inc. | 10 | $1,072 |
| AstraZeneca(2 entities) | 37 | $832 |
| Sanofi | 26 | $609 |
| Avadel CNS Pharmaceuticals, LLC | 10 | $454 |
| Axsome Therapeutics, Inc. | 9 | $410 |
| Jazz Pharmaceuticals Inc. | 9 | $337 |
| United Therapeutics Corporation | 7 | $292 |
| Amgen | 10 | $230 |
| Takeda Pharmaceuticals U.S.A., Inc. | 9 | $228 |
| Electromed, Inc. | 13 | $215 |
| Mylan Specialty L.p. | 5 | $211 |
| GSK | 11 | $199 |
| Shionogi Inc | 6 | $155 |
| Boehringer Ingelheim | 6 | $154 |
| Mallinckrodt Hospital Products Inc. | 4 | $127 |
| Philips North America LLC | 2 | $115 |
| Merck | 3 | $81 |
| Grifols USA, LLC | 3 | $75 |
| Teva Pharmaceuticals USA, Inc. | 3 | $62 |
| ZOLL Respicardia, Inc. | 2 | $55 |
| 3b Medical, Inc. | 1 | $54 |
| Actelion Pharmaceuticals US, Inc. | 2 | $47 |
| Viatris Specialty LLC | 2 | $34 |
| Tempus AI, Inc | 1 | $29 |
| Vapotherm Inc | 1 | $26 |
| AbbVie | 1 | $26 |
| Novo Nordisk | 1 | $24 |
| Verona Pharma, Inc. | 1 | $23 |
| Vanda Pharmaceuticals Inc. | 1 | $22 |
| Vifor Pharma, Inc. | 1 | $22 |
| Pfizer | 1 | $21 |
| Regeneron Healthcare Solutions, Inc. | 1 | $21 |
| Insmed, Inc. | 1 | $20 |
| Hikma Pharmaceuticals USA | 1 | $18 |
| Resmed Corp | 1 | $17 |
| Optinose US, Inc. | 1 | $16 |
| Novartis | 1 | $16 |
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.
How this compares
$98,557 in reported general payments places this provider in the 95th percentile of 74 sleep medicine providers in Virginia.
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 |
|---|---|---|
| Modafinil | 12 | $1,900 |
| Trazodone Hcl | 45 | $362 |
| Zolpidem Tartrate | 33 | $150 |
| Clonazepam | 21 | $84 |
| Hydroxyzine Hcl | 13 | $54 |
| Gabapentin | 20 | $46 |
Paid to pharmacies, not to this prescriber.
Other sleep medicine in Falls Church
- Amit PatelFalls Church$14K
- Lawrence SteinFalls Church$3K
- Soumendro GoswamiFalls Church$2K
- Tajender VasuFalls Church$2K
- Jay KaufmanFalls Church$380
- William WinterCharlottesville$1.1M
- Michael PolskyNorth Chesterfield$99K
- Douglas PuryearMidlothian$49K
- Marc RaphaelsonLeesburg$47K
- Shahriar ShahzeidiLeesburg$27K
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.