Hesham Elsharkawy, MD
Anesthesiology · Cleveland, OHNPI 1699949446
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $130,049 of the $188,887 with a category attached, or 68.9%. 12 manufacturers reported payments, led by Curonix LLC at 45.9% of the total. Among anesthesiology clinicians in OH 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 250 payments — averaging $755.55 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Curonix LLC$87K
- SPR Therapeutics, Inc$65K
- Pacira Pharmaceuticals Incorporated$32K
- Boston Scientific$2K
- Nevro Corp.$2K
- Medtronic$303
- plus $726 from 6 others
What the payments were for
- Consulting fees$130,04969%
- Speaking & faculty fees$24,00013%
- Travel & lodging$26,76614%
- Food & beverage$8,0724%
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 |
|---|---|---|
| Curonix LLC | 80 | $86,703 |
| SPR Therapeutics, Inc | 67 | $65,246 |
| Pacira Pharmaceuticals Incorporated | 52 | $32,086 |
| Boston Scientific | 21 | $1,961 |
| Nevro Corp. | 18 | $1,862 |
| Medtronic(2 entities) | 3 | $303 |
| Abbott | 3 | $260 |
| Si-bone, Inc. | 1 | $177 |
| MML US, Inc. | 1 | $166 |
| Heron Therapeutics, Inc. | 1 | $81 |
| Arbor Pharmaceuticals, Inc. | 2 | $29 |
| Relievant Medsystems, Inc. | 1 | $13 |
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
$188,887 in reported general payments places this provider in the 95th percentile of 1,623 anesthesiology providers in Ohio.
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 |
|---|---|---|
| Gabapentin | 255 | $2,351 |
| Lidocaine | 22 | $1,347 |
| Pregabalin | 86 | $1,331 |
| Tizanidine Hcl | 52 | $680 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 66 | $671 |
| Topiramate | 32 | $308 |
| Methocarbamol | 17 | $285 |
| Oxycodone Hcl | 93 | $283 |
| Baclofen | 20 | $138 |
| Meloxicam | 65 | $115 |
| Cephalexin | 29 | $110 |
| Acetaminophen-CodeineAcetaminophen With Codeine | 19 | $108 |
| Doxycycline Hyclate | 33 | $104 |
| Cyclobenzaprine Hcl | 22 | $91 |
| Tramadol Hcl | 50 | $87 |
Paid to pharmacies, not to this prescriber.
Other anesthesiology in Cleveland
- Sabry AyadCleveland$427K
- Edwin AveryCleveland$194K
- Basem AbdelmalakCleveland$147K
- Daniel SesslerCleveland$140K
- Andrew ShawCleveland$112K
- Michael SmithCleveland$75K
- Adi CosicCleveland$57K
- Sameam ShahrestaniCleveland$57K
- Peter SchoenwaldCleveland$55K
- Mark ChmielaCleveland$41K
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.