Sam Kashani, MD
Sleep Medicine · Santa Monica, CANPI 1447639869
Payments from drug & device makers
What this record shows
This record is dominated by speaking fees: $161,980 of the $221,342 with a category attached, or 73.2%. 13 manufacturers reported payments, led by Jazz Pharmaceuticals Inc. at 53.5% of the total. 2025 is the largest year on record at $117,027, more than ten times the $190 reported in 2021. Among sleep medicine clinicians in CA 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 255 payments — averaging $868.01 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Jazz Pharmaceuticals Inc.$118K
- Avadel CNS Pharmaceuticals, LLC$55K
- Harmony Biosciences LLC$26K
- Axsome Therapeutics, Inc.$20K
- Takeda Pharmaceuticals U.S.A., Inc.$1K
- Inspire Medical Systems, Inc.$291
- plus $499 from 7 others
What the payments were for
- Consulting fees$22,99010%
- Speaking & faculty fees$161,98073%
- Travel & lodging$27,63912%
- Food & beverage$8,4714%
- Education$2620%
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 |
|---|---|---|
| Jazz Pharmaceuticals Inc. | 109 | $118,496 |
| Avadel CNS Pharmaceuticals, LLC | 75 | $54,693 |
| Harmony Biosciences LLC | 41 | $26,382 |
| Axsome Therapeutics, Inc. | 12 | $19,716 |
| Takeda Pharmaceuticals U.S.A., Inc. | 7 | $1,265 |
| Inspire Medical Systems, Inc. | 2 | $291 |
| Boston Scientific | 1 | $188 |
| Idorsia Pharmaceuticals US Inc | 1 | $121 |
| Itamar Medical Inc | 2 | $86 |
| Medtronic | 2 | $32 |
| Intuitive Surgical | 1 | $31 |
| Philips North America LLC | 1 | $26 |
| Medline Industries LP | 1 | $16 |
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
$221,342 in reported general payments places this provider in the 95th percentile of 200 sleep medicine providers in California.
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 |
|---|---|---|
| BelsomraSuvorexant | 26 | $13,127 |
| Zolpidem Tartrate | 87 | $1,660 |
| Doxepin Hcl | 11 | $969 |
| Eszopiclone | 40 | $529 |
| Zolpidem Tartrate ErZolpidem Tartrate | 21 | $467 |
| Fluticasone Propionate | 25 | $255 |
| Gabapentin | 33 | $244 |
Paid to pharmacies, not to this prescriber.
Other sleep medicine in Santa Monica
- Lisa ShivesSan Diego$1.4M
- Haramandeep SinghSan Ramon$1.1M
- Atul MalhotraSan Diego$771K
- Logan SchneiderStanford$506K
- Tony MasriLos Gatos$327K
- Emmanuel MignotStanford$135K
- Jerome HesterPalo Alto$74K
- Mark BuchfuhrerDowney$70K
- Clete KushidaStanford$58K
- Ronald PopperThousand Oaks$42K
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.