Belachew Tessema, MD
Otolaryngology · Farmington, CTNPI 1417005000
Payments from drug & device makers
What this record shows
This record is dominated by speaking fees: $36,160 of the $45,008 with a category attached, or 80.3%. Sanofi accounts for 82.1% of it on its own, with 11 other manufacturers making up the rest. 2025 is the largest year on record at $42,536, more than ten times the $518 reported in 2019. Among otolaryngology clinicians in CT 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 93 payments — averaging $483.96 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Sanofi$37K
- Regeneron Healthcare Solutions, Inc.$7K
- Intersect ENT, Inc.$368
- Medtronic$174
- GSK$144
- Acclarent, Inc$142
- plus $341 from 6 others
What the payments were for
- Consulting fees$2,6486%
- Speaking & faculty fees$36,16080%
- Travel & lodging$3,5778%
- Food & beverage$2,5506%
- Education$730%
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 |
|---|---|---|
| Sanofi | 43 | $36,950 |
| Regeneron Healthcare Solutions, Inc. | 11 | $6,888 |
| Intersect ENT, Inc. | 5 | $368 |
| Medtronic(2 entities) | 10 | $174 |
| GSK | 7 | $144 |
| Acclarent, Inc | 6 | $142 |
| Optinose US, Inc. | 5 | $112 |
| Regeneron | 1 | $100 |
| Sanofi-aventis U.S. LLC | 2 | $73 |
| Stryker | 1 | $23 |
| Integra Lifesciences Corporation | 1 | $17 |
| Sanofi Pasteur Inc. | 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
$45,008 in reported general payments places this provider in the 95th percentile of 119 otolaryngology providers in Connecticut.
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 |
|---|---|---|
| Dupixent PenDupilumab | 25 | $93,551 |
| Dupixent SyringeDupilumab | 11 | $41,162 |
| Budesonide | 21 | $2,648 |
| Ipratropium Bromide | 67 | $2,507 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 50 | $580 |
| Doxycycline Monohydrate | 22 | $458 |
| Fluticasone Propionate | 22 | $291 |
| Omeprazole | 16 | $242 |
| Methylprednisolone | 27 | $207 |
| Prednisone | 52 | $169 |
| Doxycycline Hyclate | 11 | $95 |
| Famotidine | 17 | $80 |
| Azithromycin | 16 | $43 |
Paid to pharmacies, not to this prescriber.
Other otolaryngology in Farmington
- Seth BrownFarmington$39K
- Benjamin WycherlyFarmington$8K
- Todd FalconeFarmington$6K
- Denis LafreniereFarmington$4K
- Roshansa SinghFarmington$3K
- Jerlon ChiuFarmington$3K
- Danielle ScarolaFarmington$3K
- Erin AldayFarmington$2K
- Sara PaiNew Haven$160K
- Richard ManesNew Haven$67K
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.