Omdevasena Thirugnanam, MD
Sleep Medicine · Cincinnati, OHNPI 1245434240
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 92.1% of the total across 255 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 16 manufacturers reported payments, led by Harmony Biosciences LLC at 28.7% of the total. 2025 is the largest year on record at $2,017, more than ten times the $62 reported in 2019.
Across 255 payments — averaging $26.85 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Harmony Biosciences LLC$2K
- Jazz Pharmaceuticals Inc.$2K
- Axsome Therapeutics, Inc.$898
- Idorsia Pharmaceuticals US Inc$697
- ZOLL Respicardia, Inc.$503
- Inspire Medical Systems, Inc.$400
- plus $747 from 10 others
What the payments were for
- Travel & lodging$3545%
- Food & beverage$6,30392%
- Education$1903%
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 | 100 | $1,966 |
| Jazz Pharmaceuticals Inc. | 54 | $1,636 |
| Axsome Therapeutics, Inc. | 28 | $898 |
| Idorsia Pharmaceuticals US Inc | 31 | $697 |
| ZOLL Respicardia, Inc. | 3 | $503 |
| Inspire Medical Systems, Inc. | 9 | $400 |
| Lilly USA, LLC | 7 | $247 |
| Avadel CNS Pharmaceuticals, LLC | 6 | $173 |
| Vanda Pharmaceuticals Inc. | 4 | $94 |
| Fisher & Paykel Healthcare Inc | 4 | $77 |
| Merck | 3 | $43 |
| Sanofi | 2 | $39 |
| Itamar Medical Inc | 1 | $24 |
| Novo Nordisk | 1 | $23 |
| Azurity Pharmaceuticals, Inc. | 1 | $16 |
| Boston Scientific | 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.
- SUNOSI$587
- remede System$484
- QUVIVIQ$336
- XYWAV$260
- Wakix$226
- Inspire Upper Airway Stimulation System$166
- ZEPBOUND$120
How this compares
$6,846 in reported general payments places this provider in the 80th percentile of 94 sleep medicine providers in Ohio.
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 | 20 | $1,643 |
| Pramipexole DihydrochloridePramipexole Di-Hcl | 43 | $860 |
| Ropinirole Hcl | 32 | $553 |
| Dextroamphetamine-AmphetamineDextroamphetamine/Amphetamine | 12 | $451 |
| Gabapentin | 40 | $200 |
| Zaleplon | 13 | $182 |
| Trazodone Hcl | 19 | $28 |
Paid to pharmacies, not to this prescriber.
Other sleep medicine in Cincinnati
- Shahrokh JavaheriCincinnati$404K
- Anthony SuchoskiCincinnati$89K
- Shayla PullenCincinnati$71K
- Sunil DamaCincinnati$7K
- Karthikeyan KanagarajanCincinnati$6K
- Chiranjeevi Pramodna SiddaguntaCincinnati$3K
- Bashar BrijawiCincinnati$3K
- Ann RomakerCincinnati$2K
- Roma UyCincinnati$1K
- Asim RoyDublin$666K
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.