Shelton Harrell
Critical Care Medicine · Nashville, TNNPI 1184920886
Payments from drug & device makers
What this record shows
The money is spread across several categories — speaking fees (56.1%), consulting fees and food and beverage — rather than concentrated in one kind of arrangement. 14 manufacturers reported payments, led by GSK at 54.3% of the total. Reporting peaked in 2021 at $6,816 and has fallen 94.2% since, to $393 in 2025. Among critical care medicine 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 43 payments — averaging $379.22 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- GSK$9K
- E.r. Squibb & Sons, L.L.C.$3K
- Sanofi$2K
- Bristol Myers Squibb$973
- Karyopharm Therapeutics Inc.$720
- Novartis$681
- plus $786 from 8 others
What the payments were for
- Consulting fees$3,14019%
- Speaking & faculty fees$9,14356%
- Travel & lodging$1,77611%
- Food & beverage$2,23114%
- Education$170%
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 |
|---|---|---|
| GSK | 10 | $8,851 |
| E.r. Squibb & Sons, L.L.C. | 2 | $2,553 |
| Sanofi | 3 | $1,743 |
| Bristol Myers Squibb | 8 | $973 |
| Karyopharm Therapeutics Inc. | 1 | $720 |
| Novartis | 9 | $681 |
| Adaptive Biotechnologies Corporation | 2 | $277 |
| Amgen | 2 | $138 |
| AstraZeneca | 1 | $125 |
| Johnson & Johnson | 1 | $99 |
| TG Therapeutics, Inc. | 1 | $53 |
| Pfizer | 1 | $48 |
| Beigene USA, Inc. | 1 | $28 |
| Teleflex LLC | 1 | $18 |
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
$16,307 in reported general payments places this provider in the 90th percentile of 141 critical care medicine 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 |
|---|---|---|
| RevlimidLenalidomide | 80 | $1,390,333 |
| PomalystPomalidomide | 34 | $814,864 |
| Lenalidomide | 41 | $547,952 |
| ImbruvicaIbrutinib | 14 | $223,061 |
| ValacyclovirValacyclovir Hcl | 65 | $2,833 |
| Fluconazole | 13 | $295 |
| Levofloxacin | 14 | $245 |
| Potassium Chloride | 14 | $222 |
| Omeprazole | 19 | $146 |
| Dexamethasone | 14 | $106 |
| Gabapentin | 11 | $72 |
| Atorvastatin Calcium | 13 | $49 |
| Tamsulosin Hcl | 14 | $46 |
| Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim | 13 | $39 |
| Montelukast Sodium | 14 | $39 |
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 |
|---|---|---|
| Bristol Myers SquibbRevlimid | $973 | $1,390,33380 claims |
| E.r. Squibb & Sons, L.L.C.Pomalyst | $2,553 | $814,86434 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 141 critical care medicine providers in Tennessee.
Other critical care medicine in Nashville
- Gordon BernardNashville$730K
- Todd RiceNashville$291K
- Jamie DeneauNashville$33K
- Ann GageNashville$22K
- Lorraine WareNashville$18K
- Joseph SchlesingerNashville$15K
- Angelo CanonicoNashville$15K
- Erik HessNashville$14K
- Jonathan CaseyNashville$13K
- Eugene ElyNashville$9K
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.