Julie Sahrmann, DO
Sleep Medicine · Saint Louis, MONPI 1235579491
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 48 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 7 manufacturers reported payments, led by Harmony Biosciences LLC at 53.2% of the total. That places this record below the midpoint for sleep medicine clinicians in MO, where the typical reported total is $1,454.
Across 48 payments — averaging $30.28 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Harmony Biosciences LLC$774
- Jazz Pharmaceuticals Inc.$261
- Regeneron Healthcare Solutions, Inc.$214
- Axsome Therapeutics, Inc.$102
- Inspire Medical Systems, Inc.$56
- Avadel CNS Pharmaceuticals, LLC$35
- plus $12 from 1 others
What the payments were for
- Food & beverage$1,454100%
Most of this is food and beverage — typically meals provided during product presentations at a clinic or hospital. Nationally that is the single largest category of reported payments by count.
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 |
|---|---|---|
| Harmony Biosciences LLC | 22 | $774 |
| Jazz Pharmaceuticals Inc. | 10 | $261 |
| Regeneron Healthcare Solutions, Inc. | 7 | $214 |
| Axsome Therapeutics, Inc. | 5 | $102 |
| Inspire Medical Systems, Inc. | 2 | $56 |
| Avadel CNS Pharmaceuticals, LLC | 1 | $35 |
| Philips North America LLC | 1 | $12 |
How this compares
$1,454 in reported general payments places this provider in the 50th percentile of 33 sleep medicine providers in Missouri.
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 | 13 | $886 |
| Gabapentin | 23 | $336 |
| Doxepin Hcl | 15 | $319 |
| Fluticasone Propionate | 21 | $271 |
| Zolpidem Tartrate | 11 | $225 |
Paid to pharmacies, not to this prescriber.
Other sleep medicine in Saint Louis
- Raman MalhotraSaint Louis$7K
- Rutwik PatelSaint Louis$4K
- Oscar SchwartzSaint Louis$3K
- Rod Elliott-MullensSaint Louis$2K
- Annie NguyenSaint Louis$455
- Alvan OmeniSaint Louis$398
- Shalini ParuthiSaint Louis$280
- Venkat Chintapally RaoSaint Louis$228
- Gabriela DebruinSaint Louis$125
- Eric LandsnessSaint Louis$105
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.