Sarah Meskill, MD
Pediatric Emergency Medicine · Houston, TXNPI 1619265386
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $4,720 of the $5,975 with a category attached, or 79.0%. 9 manufacturers reported payments, led by Avadel CNS Pharmaceuticals, LLC at 36.2% of the total. 2025 is the largest year on record at $2,586, more than ten times the $250 reported in 2019. Among pediatric emergency medicine clinicians in TX 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 201 payments — averaging $29.73 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Avadel CNS Pharmaceuticals, LLC$2K
- Jazz Pharmaceuticals Inc.$2K
- Harmony Biosciences LLC$984
- Axsome Therapeutics, Inc.$711
- Idorsia Pharmaceuticals US Inc$250
- Lilly USA, LLC$37
- plus $72 from 3 others
What the payments were for
- Consulting fees$82014%
- Food & beverage$4,72079%
- Education$4357%
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 |
|---|---|---|
| Avadel CNS Pharmaceuticals, LLC | 54 | $2,161 |
| Jazz Pharmaceuticals Inc. | 45 | $1,760 |
| Harmony Biosciences LLC | 59 | $984 |
| Axsome Therapeutics, Inc. | 27 | $711 |
| Idorsia Pharmaceuticals US Inc | 10 | $250 |
| Lilly USA, LLC | 2 | $37 |
| Inspire Medical Systems, Inc. | 2 | $29 |
| ZOLL Respicardia, Inc. | 1 | $23 |
| Azurity Pharmaceuticals, Inc. | 1 | $20 |
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
$5,975 in reported general payments places this provider in the 95th percentile of 109 pediatric emergency medicine providers in Texas.
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 |
|---|---|---|
| Zaleplon | 12 | $137 |
Paid to pharmacies, not to this prescriber.
Other pediatric emergency medicine in Houston
- Stephanie DonigerHouston$3K
- Binita PatelHouston$2K
- Stephanie LeungHouston$2K
- Thomas McCartyHouston$1K
- Kiyetta AladeHouston$1K
- Andrea CruzHouston$427
- Mark WardHouston$418
- Jessica RankinHouston$195
- Catherine AnglinHouston$191
- Heather MachenHouston$155
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.