Shethal Bearelly, MD
Otolaryngology · Tucson, AZNPI 1851688113
Payments from drug & device makers
What this record shows
The money is spread across several categories — education (41.9%), consulting fees and food and beverage — rather than concentrated in one kind of arrangement. 10 manufacturers reported payments, led by Intuitive Surgical at 46.6% of the total. Reporting peaked in 2020 at $5,134 and has fallen 80.8% since, to $987 in 2025. Among otolaryngology clinicians in AZ 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 48 payments — averaging $223.89 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Intuitive Surgical$5K
- EMD Serono, Inc.$3K
- Kls-martin L.p.$1K
- Stryker$933
- Johnson & Johnson$315
- Integra Lifesciences Corporation$259
- plus $316 from 4 others
What the payments were for
- Consulting fees$2,82026%
- Travel & lodging$1,12710%
- Food & beverage$2,30021%
- Education$4,50042%
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 |
|---|---|---|
| Intuitive Surgical | 8 | $5,004 |
| EMD Serono, Inc. | 1 | $2,820 |
| Kls-martin L.p. | 14 | $1,101 |
| Stryker | 9 | $933 |
| Johnson & Johnson | 3 | $315 |
| Integra Lifesciences Corporation | 8 | $259 |
| Arrinex, Inc. | 1 | $117 |
| Baxter Healthcare | 1 | $95 |
| Medtronic(2 entities) | 2 | $88 |
| Vioptix Inc | 1 | $15 |
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$4,886
- NA$607
- TRUMATCH$144
- CLARIFIX$117
How this compares
$10,747 in reported general payments places this provider in the 90th percentile of 150 otolaryngology providers in Arizona.
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 |
|---|---|---|
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 18 | $246 |
| Oxycodone Hcl | 16 | $76 |
Paid to pharmacies, not to this prescriber.
Other otolaryngology in Tucson
- Eugene ChangTucson$44K
- Afshin EmamiTucson$8K
- Matthew GroysmanTucson$6K
- Adam RayTucson$5K
- Christopher leTucson$5K
- John ChastainTucson$4K
- Robert DeanTucson$4K
- David HuTucson$4K
- Claire GleadhillTucson$3K
- Austin LeverTucson$3K
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.