Ryan Nelson, DO
Payments from drug & device makers
What this record shows
The money is spread across several categories — education (55.8%), speaking fees and food and beverage — rather than concentrated in one kind of arrangement. Intuitive Surgical accounts for 95.0% of it on its own, with 49 other manufacturers making up the rest. Reporting peaked in 2024 at $102,942 and has fallen 70.8% since, to $30,110 in 2025. Among urology clinicians in MI 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 592 payments — averaging $500.64 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Intuitive Surgical$282K
- Johnson & Johnson$3K
- Neotract Inc.$3K
- Smith+Nephew$2K
- Teleflex LLC$1K
- Astellas Pharma US Inc$652
- plus $5K from 44 others
What the payments were for
- Consulting fees$2,7781%
- Speaking & faculty fees$92,38231%
- Travel & lodging$17,4756%
- Food & beverage$18,4726%
- Education$165,24356%
- Gifts$320%
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$241,006
- DA VINCI SP$38,011
- UroLift$2,857
- Erleada$2,778
- Q-FIX Hip$1,515
- Hipstruments$1,515
- UroLift System$584
- FIRMAGON$242
- PROVENGE$218
- RESTORELLE$145
- CVAC Aspiration System$131
- Prolaris$122
- MYOSURE TISSUE REMOVAL DEVICE$112
- JEVTANA$102
- TITAN$101
How this compares
$296,381 in reported general payments places this provider in the 95th percentile of 400 urology providers in Michigan.
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 |
|---|---|---|
| XtandiEnzalutamide | 96 | $1,279,853 |
| Abiraterone Acetate | 65 | $98,497 |
| OrgovyxRelugolix | 35 | $89,953 |
| MyrbetriqMirabegron | 45 | $46,019 |
| Tamsulosin Hcl | 791 | $16,959 |
| Finasteride | 316 | $6,174 |
| Potassium Citrate ErPotassium Citrate | 61 | $4,586 |
| Tolterodine Tartrate ErTolterodine Tartrate | 42 | $4,452 |
| Alfuzosin Hcl ErAlfuzosin Hcl | 68 | $2,825 |
| Oxybutynin Chloride ErOxybutynin Chloride | 75 | $2,190 |
| Desmopressin Acetate | 29 | $2,058 |
| Nitrofurantoin Mono-MacroNitrofurantoin Monohyd/M-Cryst | 128 | $1,693 |
| Bicalutamide | 11 | $1,628 |
| Testosterone | 11 | $908 |
| Megestrol Acetate | 19 | $819 |
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 |
|---|---|---|
| Astellas Pharma US IncXtandi, Myrbetriq | $652 | $1,325,872141 claims |
| Janssen Scientific Affairs, LLCAbiraterone Acetate | $81 | $98,49765 claims |
| Sumitomo Pharma America, Inc.Orgovyx | $219 | $89,95335 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 95th percentile of 400 urology providers in Michigan.
Other urology in Utica
- Ashok ReddySterling Heights$4.9M
- William RobertsAnn Arbor$973K
- Kenneth KernenTroy$910K
- William JohnstonLivonia$675K
- Jason HafronWest Bloomfield$490K
- Khurshid GhaniAnn Arbor$413K
- Richard BennettRoyal Oak$361K
- Casey DauwAnn Arbor$188K
- Aram LoebDetroit$112K
- Marcus JamilPlymouth$103K
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.