Komal Ashraf, DO
Epilepsy · Columbia, MONPI 1457580490
Payments from drug & device makers
What this record shows
This record is dominated by speaking fees: $164,565 of the $202,355 with a category attached, or 81.3%. 39 manufacturers reported payments, led by UCB, Inc. at 45.0% of the total. Among epilepsy clinicians in MO 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 781 payments — averaging $259.10 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- UCB, Inc.$91K
- AbbVie$55K
- SK Life Science, Inc.$36K
- Livanova USA, Inc.$13K
- Jazz Pharmaceuticals Inc.$2K
- Greenwich Biosciences, Inc.$1K
- plus $5K from 33 others
Across 2 payments — averaging $11,527 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- SK Life Science, Inc.$23K
What the payments were for
- Consulting fees$11,2106%
- Speaking & faculty fees$164,56581%
- Travel & lodging$10,1075%
- Food & beverage$16,4728%
- Education$10%
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.
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.
- Briviact$50,280
- UBRELVY$41,464
- QULIPTA$27,282
- XCOPRI$24,187
- Nayzilam$15,534
- Fintepla$15,255
- VNS THERAPY SENTIVA MODEL 1000 GENERATOR$10,965
- Cenobamate$9,175
- BOTOX$3,990
- VNS Therapy$1,762
- Epidiolex$221
- Impella$121
- Fycompa$120
- NUEDEXTA$104
How this compares
$202,355 in reported general payments places this provider in the 95th percentile of 26 epilepsy 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 |
|---|---|---|
| BriviactBrivaracetam | 245 | $468,267 |
| FinteplaFenfluramine Hcl | 18 | $313,382 |
| EpidiolexCannabidiol (Cbd) | 64 | $253,253 |
| AptiomEslicarbazepine Acetate | 118 | $190,719 |
| XcopriCenobamate | 132 | $172,321 |
| NuedextaDextromethorphan Hbr/Quinidine | 41 | $71,791 |
| UbrelvyUbrogepant | 55 | $68,155 |
| NayzilamMidazolam | 47 | $40,292 |
| Emgality PenGalcanezumab-Gnlm | 50 | $35,231 |
| Lacosamide | 232 | $33,890 |
| ValtocoDiazepam | 22 | $23,346 |
| Nurtec OdtRimegepant Sulfate | 15 | $22,813 |
| QuliptaAtogepant | 11 | $18,913 |
| Carbamazepine ErCarbamazepine | 37 | $4,066 |
| Levetiracetam | 95 | $3,995 |
Paid to pharmacies, not to this prescriber.
Companies that both paid and supply prescribed drugs
These companies both reported payments to this provider and make drugs the provider prescribed under Medicare Part D in 2024. For most specialties this overlap is expected — a cardiologist who is paid by a cardiology drugmaker also treats heart disease. It is shown so the reader can see it, not because it implies anything on its own.
| Company | Paid to this provider | Part D cost of their drugs |
|---|---|---|
| UCB, Inc.Briviact, Fintepla, Nayzilam | $91,118 | $821,940310 claims |
| Sunovion Pharmaceuticals Inc.Aptiom | $19 | $190,719118 claims |
| SK Life Science, Inc.Xcopri | $35,594 | $172,321132 claims |
| AbbVieUbrelvy, Qulipta | $55,289 | $87,06866 claims |
| Avanir Pharmaceuticals, Inc.Nuedexta | $191 | $71,79141 claims |
| Neurelis, Inc.Valtoco | $96 | $23,34622 claims |
| PfizerNurtec Odt | $115 | $22,81315 claims |
Reading this fairly. The Part D column is what drug plans and patients paid pharmacies — this provider received none of it, and it reflects how many patients they treat and what those drugs cost. Against peers, this provider's reported payments sit in the 95th percentile of 26 epilepsy providers in Missouri.
Other epilepsy in Columbia
- Stephanie BustrosColumbia$2K
- Sean LanigarColumbia$140
- Daniel WeberSaint Louis$49K
- Robert HoganSaint Louis$13K
- Renee ShellhaasSaint Louis$12K
- Fabio Nascimento E SilvaSaint Louis$11K
- Oleg LobanovSaint Louis$7K
- Thomas FoutzSaint Louis$4K
- Adam GreenblattSaint Louis$3K
- Robin RytherSaint Louis$2K
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.