Gerard Meskill, MD
Sleep Medicine · Sugar Land, TXNPI 1295975324
Payments from drug & device makers
Across 1,794 payments — averaging $1026.44 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Alkermes, Inc.$716K
- Jazz Pharmaceuticals Inc.$582K
- Harmony Biosciences LLC$156K
- Axsome Therapeutics, Inc.$149K
- Avadel CNS Pharmaceuticals, LLC$130K
- Lilly USA, LLC$93K
- plus $16K from 14 others
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 |
|---|---|---|
| Alkermes, Inc. | 394 | $716,050 |
| Jazz Pharmaceuticals Inc. | 672 | $581,631 |
| Harmony Biosciences LLC | 250 | $156,368 |
| Axsome Therapeutics, Inc. | 165 | $148,747 |
| Avadel CNS Pharmaceuticals, LLC | 160 | $129,766 |
| Lilly USA, LLC | 104 | $92,556 |
| Idorsia Pharmaceuticals US Inc | 26 | $15,672 |
| Inspire Medical Systems, Inc. | 4 | $286 |
| AbbVie | 3 | $73 |
| Arbor Pharmaceuticals, Inc. | 5 | $67 |
| Amgen | 2 | $34 |
| Resmed Corp | 1 | $27 |
| Biohaven Pharmaceutical Holding Company Ltd. | 1 | $23 |
| Biohaven Pharmaceuticals, Inc. | 1 | $23 |
| ZOLL Respicardia, Inc. | 1 | $23 |
| Azurity Pharmaceuticals, Inc. | 1 | $20 |
| Livanova USA, Inc. | 1 | $18 |
| Merck | 1 | $17 |
| Pfizer | 1 | $14 |
| Novartis | 1 | $13 |
How this compares
$1,841,427 in reported general payments places this provider in the 95th 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.
Other sleep medicine in Sugar Land
- John HudsonAustin$10.4M
- James AndrySan Antonio$2.1M
- Henry ScheullerJbsa Lackland$1.5M
- Jerald SimmonsHouston$987K
- Vikas JainFrisco$673K
- Amit VermaHouston$522K
- William BurkesBeaumont$99K
- Ashwin GowdaAustin$71K
- John DebusDallas$38K
- Sejal JainDallas$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.