Michael Belsante, MD
Urology · Mount Juliet, TNNPI 1710118682
Payments from drug & device makers
What this record shows
The money is spread across several categories — food and beverage (35.1%), education and speaking fees — rather than concentrated in one kind of arrangement. 60 manufacturers reported payments, led by Intuitive Surgical at 31.2% of the total. Reporting peaked in 2020 at $15,817 and has fallen 79.7% since, to $3,217 in 2025. Among urology clinicians in TN 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 660 payments — averaging $88.32 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Intuitive Surgical$18K
- Boston Scientific$10K
- Astellas Pharma US Inc$9K
- Axonics, Inc.$4K
- Calyxo, Inc.$4K
- Sumitomo Pharma America, Inc.$1K
- plus $12K from 54 others
What the payments were for
- Consulting fees$4,3607%
- Speaking & faculty fees$12,98022%
- Travel & lodging$4,3447%
- Food & beverage$20,46935%
- Education$16,13528%
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.
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.
- Da Vinci Surgical System$18,084
- MYRBETRIQ$8,380
- UPSYLON$5,848
- CVAC Aspiration System$3,426
- Axonics$3,096
- Bulkamid$2,277
- Advantage System$800
- GENERAL - THERAPIES$760
- UroLift$649
- Axonics r-SNM System$499
- AquaBeam Robotic System$406
- GENERAL FEMALE SUI$341
- INTERSTIM$327
- Nanoknife$326
- UroCuff$276
- LithoVue$224
- UroLift System$223
- AMS 800 Artificial Urinary Sphincter$141
- SpaceOAR VUE System - 10mL$127
- FIRMAGON$125
How this compares
$58,288 in reported general payments places this provider in the 90th percentile of 276 urology providers in Tennessee.
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 |
|---|---|---|
| OrgovyxRelugolix | 120 | $321,360 |
| MyrbetriqMirabegron | 172 | $97,080 |
| GemtesaVibegron | 73 | $39,221 |
| Tamsulosin Hcl | 833 | $11,748 |
| Trospium Chloride ErTrospium Chloride | 70 | $9,426 |
| Testosterone | 49 | $7,011 |
| Solifenacin Succinate | 132 | $6,928 |
| Finasteride | 500 | $6,814 |
| PremarinEstrogens, Conjugated | 15 | $6,410 |
| Methenamine Hippurate | 47 | $3,364 |
| Tolterodine Tartrate ErTolterodine Tartrate | 32 | $3,154 |
| Testosterone Cypionate | 48 | $2,718 |
| Potassium Citrate ErPotassium Citrate | 14 | $2,578 |
| Silodosin | 20 | $2,512 |
| Estradiol | 37 | $2,458 |
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 |
|---|---|---|
| Sumitomo Pharma America, Inc.Orgovyx, Gemtesa | $1,039 | $360,581193 claims |
| Astellas Pharma US IncMyrbetriq | $9,255 | $97,080172 claims |
| PfizerPremarin | $864 | $6,41015 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 276 urology providers in Tennessee.
Other urology in Mount Juliet
- L KnollNashville$2.1M
- David GubinMemphis$1M
- Gautam JayramNashville$1M
- David MorrisHendersonville$871K
- Roger DmochowskiNashville$763K
- Paul EberGermantown$476K
- Ashley TapscottNashville$425K
- Raoul ConcepcionNashville$339K
- Melissa KaufmanNashville$312K
- Mark GreenbergerMemphis$249K
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.