Mihir Desai, MD
Hand Surgery · Nashville, TNNPI 1962644658
Payments from drug & device makers
What this record shows
The money is spread across several categories — speaking fees (46.4%), consulting fees and travel and lodging — rather than concentrated in one kind of arrangement. Acumed LLC accounts for 87.6% of it on its own, with 8 other manufacturers making up the rest. Among hand surgery clinicians in TN 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 117 payments — averaging $937.91 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Acumed LLC$96K
- Axogen$13K
- Trimed, Inc.$629
- Intuitive Surgical$161
- Acera Surgical, Inc.$137
- Johnson & Johnson$19
- plus $49 from 3 others
Across 10 payments — averaging $13,496 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- Axogen$135K
Across 1 payment — averaging $10,040 each. An ownership or investment interest held by the physician or an immediate family member.
- Renerve Ltd$10K
What the payments were for
- Consulting fees$48,65744%
- Speaking & faculty fees$50,90446%
- Travel & lodging$8,0747%
- Food & beverage$2,0902%
- Entertainment$110%
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 |
|---|---|---|
| Acumed LLC | 96 | $96,143 |
| Axogen | 13 | $12,597 |
| Trimed, Inc. | 2 | $629 |
| Intuitive Surgical | 1 | $161 |
| Acera Surgical, Inc. | 1 | $137 |
| Johnson & Johnson | 1 | $19 |
| Stryker | 1 | $19 |
| Endo USA, Inc. | 1 | $17 |
| Music City Medical Technologies, LLC | 1 | $14 |
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.
- ACUMED$128,258
- Acu-Loc Wrist Plating System$39,905
- Hand Fracture System$37,430
- INnate Implant$28,421
- Acutrak Headless Compression Screw System$26,103
- Total Wrist Fusion Plating System$22,007
- Midshaft Forearm Plating System$21,753
- AxoGuard Nerve Protector$12,280
- AxoGuard Nerve Connector$12,280
- InFrame Implant$12,062
- Anatomic Radial Head System$8,150
- OsteoMed$7,942
- Clavicle Plating System$7,891
- Elbow Plating System$7,775
- AVANCE NERVE GRAFT$6,475
- Osteotomy System$5,407
- MODULAR HAND SYSTEM$5,183
- Bone Graft Harvesting System$2,100
- Acu-Loc Wrist Spanning System$1,750
- Radial Head Plating System$1,050
How this compares
$109,735 in reported general payments places this provider in the 95th percentile of 60 hand surgery 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 |
|---|---|---|
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 33 | $139 |
| Meloxicam | 31 | $102 |
| Oxycodone Hcl | 18 | $47 |
Paid to pharmacies, not to this prescriber.
Other hand surgery in Nashville
- Donald LeeNashville$546K
- Gleb MedvedevNashville$60K
- Todd RubinNashville$39K
- Jed MaslowNashville$29K
- Jane SiegelNashville$22K
- Michael VaughnNashville$13K
- Adam CochranNashville$8K
- Shaan PatelNashville$5K
- William MeltonNashville$5K
- Samuel CrosbyNashville$4K
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.