Steven Gradney, MD
Sleep Medicine · Springfield, MONPI 1477743839
Payments from drug & device makers
Across 1,341 payments — averaging $690.44 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Jazz Pharmaceuticals Inc.$362K
- Avadel CNS Pharmaceuticals, LLC$248K
- Harmony Biosciences LLC$143K
- Axsome Therapeutics, Inc.$105K
- Lilly USA, LLC$54K
- Inspire Medical Systems, Inc.$12K
- plus $2K from 8 others
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. | 483 | $362,408 |
| Avadel CNS Pharmaceuticals, LLC | 324 | $248,110 |
| Harmony Biosciences LLC | 217 | $142,568 |
| Axsome Therapeutics, Inc. | 161 | $105,435 |
| Lilly USA, LLC | 68 | $53,722 |
| Inspire Medical Systems, Inc. | 61 | $11,762 |
| ZOLL Respicardia, Inc. | 8 | $783 |
| Itamar Medical Inc | 4 | $559 |
| Idorsia Pharmaceuticals US Inc | 10 | $353 |
| SK Life Science, Inc. | 1 | $122 |
| Vanda Pharmaceuticals Inc. | 1 | $22 |
| Gilead | 1 | $17 |
| Apria Healthcare LLC | 1 | $13 |
| Fisher & Paykel Healthcare Inc | 1 | $12 |
How this compares
$925,885 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.
Other sleep medicine in Springfield
- John BrabsonSpringfield$863
- Raman MalhotraSaint Louis$7K
- David IngramKansas City$7K
- Joseph Roland EspirituSt. Louis$7K
- Rutwik PatelSaint Louis$4K
- Essam ElkadyJoplin$3K
- David KuhlmannSedalia$3K
- Oscar SchwartzSaint Louis$3K
- Beth WardChesterfield$2K
- Scott ShortenNorth Kansas City$2K
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.