Krishna Mettu, MD
Sleep Medicine · Jefferson City, MONPI 1508977257
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 23 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. It is spread thinly across 13 manufacturers, the largest accounting for just 22.0% — the pattern of someone who eats at a lot of different presentations. Reporting peaked in 2020 at $234 and has fallen 64.0% since, to $84 in 2025. That places this record below the midpoint for sleep medicine clinicians in MO, where the typical reported total is $1,454.
Across 23 payments — averaging $33.58 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Inspire Medical Systems, Inc.$170
- Jazz Pharmaceuticals Inc.$121
- GSK$118
- Harmony Biosciences LLC$112
- Tonix Medicines, Inc.$84
- Abbott$36
- plus $131 from 7 others
What the payments were for
- Food & beverage$772100%
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 |
|---|---|---|
| Inspire Medical Systems, Inc. | 2 | $170 |
| Jazz Pharmaceuticals Inc. | 1 | $121 |
| GSK | 8 | $118 |
| Harmony Biosciences LLC | 1 | $112 |
| Tonix Medicines, Inc. | 1 | $84 |
| Abbott | 2 | $36 |
| Amgen | 2 | $27 |
| Novartis | 1 | $24 |
| Astellas Pharma US Inc | 1 | $19 |
| Philips North America LLC | 1 | $19 |
| Daiichi Sankyo Inc. | 1 | $16 |
| Lilly USA, LLC | 1 | $14 |
| Novo Nordisk | 1 | $11 |
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
$772 in reported general payments places this provider in the 45th 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 |
|---|---|---|
| Ropinirole Hcl | 39 | $675 |
| Modafinil | 28 | $653 |
| Armodafinil | 12 | $362 |
| Pramipexole DihydrochloridePramipexole Di-Hcl | 18 | $137 |
| Gabapentin | 11 | $131 |
| Eszopiclone | 13 | $88 |
| Clonazepam | 12 | $1 |
Paid to pharmacies, not to this prescriber.
Other sleep medicine in Jefferson City
- Steven GradneySpringfield$926K
- Raman MalhotraSaint Louis$7K
- David IngramKansas City$7K
- Joseph Roland EspirituSt. Louis$7K
- Rutwik PatelSaint Louis$4K
- Essam ElkadyJoplin$3K
- David KuhlmannSedalia$3K
- Oscar SchwartzSaint Louis$3K
- Beth WardChesterfield$2K
- Scott ShortenNorth Kansas City$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.