Vu Tran
Sleep Medicine · Santa Rosa, CANPI 1528021490
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $22,098 of the $26,670 with a category attached, or 82.9%. It is spread thinly across 37 manufacturers, the largest accounting for just 19.5% — the pattern of someone who eats at a lot of different presentations. 2025 is the largest year on record at $5,747, 3.9 times the $1,465 reported in 2019. Among sleep medicine clinicians in CA with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 922 payments — averaging $28.93 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AstraZeneca$5K
- GSK$5K
- Philips North America LLC$4K
- Boehringer Ingelheim$3K
- Sanofi$2K
- Apria Healthcare LLC$1K
- plus $6K from 31 others
What the payments were for
- Speaking & faculty fees$1,3805%
- Food & beverage$22,09883%
- Education$6102%
- Other$2,58110%
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 |
|---|---|---|
| AstraZeneca | 206 | $5,194 |
| GSK | 227 | $4,561 |
| Philips North America LLC | 45 | $3,711 |
| Boehringer Ingelheim | 136 | $3,456 |
| Sanofi | 80 | $2,113 |
| Apria Healthcare LLC | 3 | $1,380 |
| Regeneron Healthcare Solutions, Inc. | 33 | $1,136 |
| Harmony Biosciences LLC | 22 | $658 |
| Baxter Healthcare | 27 | $478 |
| Amgen | 17 | $445 |
| Sanofi-aventis U.S. LLC | 6 | $403 |
| Grifols USA, LLC | 18 | $380 |
| Novartis | 11 | $259 |
| Verona Pharma, Inc. | 9 | $221 |
| Electromed, Inc. | 11 | $208 |
| Hologic Inc | 1 | $197 |
| Takeda Pharmaceuticals U.S.A., Inc. | 7 | $192 |
| Lilly USA, LLC | 8 | $173 |
| Genentech USA, Inc. | 7 | $161 |
| Noctrix Health, Inc. | 1 | $149 |
| Insmed, Inc. | 5 | $135 |
| Inspire Medical Systems, Inc. | 4 | $134 |
| Mallinckrodt Hospital Products Inc. | 6 | $133 |
| AbbVie | 1 | $125 |
| CSL Behring | 6 | $118 |
| Advanced Respiratory, Inc | 5 | $104 |
| Jazz Pharmaceuticals Inc. | 4 | $92 |
| Resmed Corp | 3 | $76 |
| Shire North American Group Inc | 3 | $72 |
| United Therapeutics Corporation | 3 | $68 |
| Johnson & Johnson | 1 | $24 |
| Merck | 1 | $24 |
| Avanir Pharmaceuticals, Inc. | 1 | $24 |
| Avadel CNS Pharmaceuticals, LLC | 1 | $18 |
| Genentech, Inc. | 1 | $18 |
| Mylan Specialty L.p. | 1 | $17 |
| Fisher & Paykel Healthcare Inc | 1 | $15 |
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
$26,670 in reported general payments places this provider in the 90th 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 |
|---|---|---|
| OfevNintedanib Esylate | 65 | $761,292 |
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 500 | $453,156 |
| Dupixent PenDupilumab | 92 | $357,440 |
| TezspireTezepelumab-Ekko | 59 | $259,327 |
| Breztri AerosphereBudesonide/Glycopyr/Formoterol | 149 | $108,972 |
| Breo ElliptaFluticasone/Vilanterol | 97 | $54,895 |
| Anoro ElliptaUmeclidinium Brm/Vilanterol Tr | 27 | $21,862 |
| Spiriva RespimatTiotropium Bromide | 18 | $20,367 |
| Stiolto RespimatTiotropium Br/Olodaterol Hcl | 29 | $17,076 |
| SymbicortBudesonide/Formoterol Fumarate | 52 | $15,917 |
| Budesonide-Formoterol FumarateBudesonide/Formoterol Fumarate | 39 | $10,989 |
| Combivent RespimatIpratropium/Albuterol Sulfate | 19 | $10,132 |
| Montelukast Sodium | 698 | $7,934 |
| Arnuity ElliptaFluticasone Furoate | 13 | $7,673 |
| Albuterol Sulfate HfaAlbuterol Sulfate | 123 | $7,054 |
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 |
|---|---|---|
| Boehringer IngelheimOfev, Spiriva Respimat, Stiolto Respimat, Combivent Respimat | $3,456 | $808,867131 claims |
| GSKTrelegy Ellipta, Breo Ellipta, Anoro Ellipta, Arnuity Ellipta, Incruse Ellipta | $4,561 | $544,193658 claims |
| AstraZenecaTezspire, Breztri Aerosphere, Symbicort | $5,194 | $384,216260 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 90th percentile of 200 sleep medicine providers in California.
Other sleep medicine in Santa Rosa
- Lisa ShivesSan Diego$1.4M
- Haramandeep SinghSan Ramon$1.1M
- Atul MalhotraSan Diego$771K
- Logan SchneiderStanford$506K
- Tony MasriLos Gatos$327K
- Sam KashaniSanta Monica$221K
- Emmanuel MignotStanford$135K
- Jerome HesterPalo Alto$74K
- Mark BuchfuhrerDowney$70K
- Clete KushidaStanford$58K
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.