Raman Malhotra, MD
Sleep Medicine · Saint Louis, MONPI 1215018452
Payments from drug & device makers
What this record shows
The money is spread across several categories — consulting fees (42.3%), travel and lodging and food and beverage — rather than concentrated in one kind of arrangement. 7 manufacturers reported payments, led by Axsome Therapeutics, Inc. at 58.1% of the total. Reporting peaked in 2024 at $4,620 and has fallen 72.7% since, to $1,262 in 2025. Among sleep medicine 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 35 payments — averaging $211.22 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Axsome Therapeutics, Inc.$4K
- Inspire Medical Systems, Inc.$3K
- Jazz Pharmaceuticals Inc.$192
- Harmony Biosciences LLC$140
- Fisher & Paykel Healthcare Inc$56
- Resmed Corp$47
- plus $18 from 1 others
What the payments were for
- Consulting fees$3,12542%
- Travel & lodging$2,47433%
- Food & beverage$1,60222%
- Education$1923%
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 |
|---|---|---|
| Axsome Therapeutics, Inc. | 9 | $4,294 |
| Inspire Medical Systems, Inc. | 15 | $2,646 |
| Jazz Pharmaceuticals Inc. | 3 | $192 |
| Harmony Biosciences LLC | 2 | $140 |
| Fisher & Paykel Healthcare Inc | 3 | $56 |
| Resmed Corp | 2 | $47 |
| Eyevance Pharmaceuticals LLC | 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.
- SUNOSI$4,060
- Inspire$1,950
- Inspire Upper Airway Stimulation System$221
How this compares
$7,393 in reported general payments places this provider in the 95th 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 |
|---|---|---|
| XywavSodium,calcium,mag,pot Oxybate | 12 | $244,190 |
| XyremSodium Oxybate | 12 | $243,817 |
| NeuproRotigotine | 15 | $22,995 |
| SunosiSolriamfetol Hcl | 17 | $15,276 |
| BelsomraSuvorexant | 13 | $5,644 |
| OxycontinOxycodone Hcl | 13 | $4,213 |
| Modafinil | 46 | $3,665 |
| Gabapentin | 106 | $2,078 |
| Zolpidem Tartrate ErZolpidem Tartrate | 31 | $1,667 |
| Dextroamphetamine-AmphetamineDextroamphetamine/Amphetamine | 53 | $1,665 |
| Clonazepam | 60 | $903 |
| Methylphenidate ErMethylphenidate Hcl | 15 | $898 |
| Dextroamphetamine-Amphet ErDextroamphetamine/Amphetamine | 27 | $670 |
| Ropinirole Hcl | 35 | $587 |
| Pramipexole DihydrochloridePramipexole Di-Hcl | 21 | $487 |
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 |
|---|---|---|
| Axsome Therapeutics, Inc.Sunosi | $4,294 | $15,27617 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 33 sleep medicine providers in Missouri.
Other sleep medicine in Saint Louis
- Rutwik PatelSaint Louis$4K
- Oscar SchwartzSaint Louis$3K
- Rod Elliott-MullensSaint Louis$2K
- Julie SahrmannSaint Louis$1K
- 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.