Leelasri Vanguru, MD
Sleep Medicine · Madison, ALNPI 1063899938
Payments from drug & device makers
What this record shows
The money is spread across several categories — travel and lodging (50.4%), food and beverage and education — rather than concentrated in one kind of arrangement. Inspire Medical Systems, Inc. accounts for 66.3% of it on its own, with 9 other manufacturers making up the rest. 2025 is the largest year on record at $1,172, more than ten times the $25 reported in 2019. That places this record below the midpoint for sleep medicine clinicians in AL, where the typical reported total is $3,427.
Across 33 payments — averaging $54.22 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Inspire Medical Systems, Inc.$1K
- Harmony Biosciences LLC$290
- Fisher & Paykel Healthcare Inc$81
- Jazz Pharmaceuticals Inc.$76
- Axsome Therapeutics, Inc.$43
- Avadel CNS Pharmaceuticals, LLC$27
- plus $86 from 4 others
What the payments were for
- Travel & lodging$90350%
- Food & beverage$78744%
- Education$1006%
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. | 11 | $1,187 |
| Harmony Biosciences LLC | 7 | $290 |
| Fisher & Paykel Healthcare Inc | 2 | $81 |
| Jazz Pharmaceuticals Inc. | 5 | $76 |
| Axsome Therapeutics, Inc. | 2 | $43 |
| Avadel CNS Pharmaceuticals, LLC | 1 | $27 |
| Lilly USA, LLC | 1 | $24 |
| 3b Medical, Inc. | 2 | $24 |
| Philips North America LLC | 1 | $20 |
| Resmed Corp | 1 | $18 |
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.
- Inspire$1,044
How this compares
$1,789 in reported general payments places this provider in the 30th percentile of 28 sleep medicine providers in Alabama.
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 sleep medicine in Madison
- James RoyHuntsville$823K
- Michael LedetDaphne$795K
- Gordon WarnerCullman$100K
- James GeyerTuscaloosa$61K
- Ashwin AnanthFoley$57K
- Christopher HopeOpelika$32K
- Bahador TafazoliCullman$26K
- Erin OzgunBirmingham$16K
- Felix MorrisFlorence$15K
- Alan ThomasBirmingham$13K
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.