Jasper Mesarch
Anesthesiology · El Paso, TXNPI 1336302066
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $13,614 of the $16,329 with a category attached, or 83.4%. Avanos Medical accounts for 98.6% of it on its own, with 5 other manufacturers making up the rest. Reporting peaked in 2020 at $7,200 and has fallen 97.1% since, to $208 in 2025. Among anesthesiology clinicians in TX 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 38 payments — averaging $429.72 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Avanos Medical$16K
- Mindray DS USA, Inc.$97
- Merck$88
- Eagle Pharmaceuticals, Inc.$19
- Chiesi USA, Inc.$17
- Cardinal Health 200 LLC$15
What the payments were for
- Consulting fees$13,61483%
- Speaking & faculty fees$1,2007%
- Food & beverage$1,5009%
- Education$160%
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 |
|---|---|---|
| Avanos Medical | 27 | $16,094 |
| Mindray DS USA, Inc. | 3 | $97 |
| Merck | 5 | $88 |
| Eagle Pharmaceuticals, Inc. | 1 | $19 |
| Chiesi USA, Inc. | 1 | $17 |
| Cardinal Health 200 LLC | 1 | $15 |
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.
- ON-Q* PUMP AND ACCESSORIES$14,301
- ON-Q$1,200
- T-BLOC$108
How this compares
$16,329 in reported general payments places this provider in the 95th percentile of 3,899 anesthesiology 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 anesthesiology in El Paso
- Richard TeamesFort Worth$746K
- Tong GanHouston$700K
- Valentine GibsonRichardson$671K
- James MuellerDallas$636K
- Randy RobbinsPlano$593K
- Gabriel MenaHouston$494K
- Maxim EckmannSan Antonio$349K
- Iden CowanAustin$305K
- Ryan CaseyAustin$287K
- Girish JoshiDallas$239K
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.