Physician profile
Michael Alexander Silva
NPI 1366856361
$3,702.47
in general payments reported to CMS, 2019-2025
37 companies · $735 in 2025
The $735 reported for 2025 was more than what a typical Pain Medicine (Anesthesiology) provider received nationally (typical 2025 total: $458).
See the full distribution for Pain Medicine (Anesthesiology)
Payments by year
General payments by program year, as reported to CMS.
General payments by year: 2019: $85.08 · 2020: $89.93 · 2021: $487 · 2022: $827 · 2023: $855 · 2024: $623 · 2025: $735.
What the payments were for
Nature of payment as categorized by the reporting companies: meals, consulting, travel, and so on.
Food and Beverage: $2,214.
View as a table
| Payment type | Amount (2023-2025) |
|---|---|
| Food and Beverage | $2,213.75 |
Payment-type detail covers 2023-2025; earlier years are included in totals but not broken out here.
Who reported paying
General payments only, as reported to CMS. Product names cover 2023-2025.
| Company | General payments | Years | Top products |
|---|---|---|---|
| Collegium Pharmaceutical, INC. | $631.08 | 2020-2025 | Xtampza |
| Scilex Pharmaceuticals INC. | $392.23 | 2021-2025 | Ztlido |
| Medtronic, INC. | $371.66 | 2021-2025 | Intellis Adaptivestim, Pipeline, Kyphon Express II Kyphopak Tray |
| Balt USA, LLC | $300.11 | 2025 | Ballast 088 Long Sheath, Optima Coil System |
| Boston Scientific Corporation | $259.10 | 2022-2023 | Wavewriter Alpha Prime 16 |
| Abbvie INC. | $202.52 | 2021-2025 | Ubrelvy, Botox |
| Painteq LLC | $167.96 | 2021 | |
| Nevro Corp. | $156.90 | 2021-2023 | Senza |
| Abbott Laboratories | $155.28 | 2019-2023 | Proclaim |
| Saluda Medical Americas, INC. | $144.96 | 2025 | Evoke |
| Vgi Medical, LLC | $101.68 | 2022 | |
| Salix Pharmaceuticals, A Division of Bausch Health US, LLC | $80.22 | 2023-2025 | Relistor |
| Grt US Holding, INC. | $78.22 | 2022 | |
| Stryker Corporation | $77.21 | 2023 | N/A |
| Forte Bio-Pharma LLC | $72.94 | 2022-2024 | Prolate, Nalocet |
Show all 37 companies
| Company | General payments | Years | Top products |
|---|---|---|---|
| Azurity Pharmaceuticals, INC. | $69.27 | 2024 | Horizant |
| Almatica Pharma LLC | $46.07 | 2022 | |
| Novartis Pharmaceuticals Corporation | $41.00 | 2019-2021 | |
| Kowa Pharmaceuticals America, INC. | $32.83 | 2022 | |
| Averitas Pharma INC. | $31.58 | 2023 | Qutenza |
| Vertos Medical, INC. | $25.68 | 2022 | |
| Allergan, INC. | $23.78 | 2019-2020 | |
| Idorsia Pharmaceuticals US INC | $23.76 | 2022 | |
| Protega Pharmaceutials INC | $22.14 | 2023 | Roxybond |
| Spr Therapeutics, INC | $19.49 | 2022 | |
| Arbor Pharmaceuticals, INC. | $19.47 | 2020 | |
| Pfizer INC. | $17.36 | 2021 | |
| Radius Health, INC. | $16.48 | 2021 | |
| Ibsa Pharma INC. | $15.11 | 2021 | |
| Biofrontera INC. | $14.57 | 2021 | |
| Sonex Health, INC. | $14.52 | 2021 | |
| Curonix LLC | $14.47 | 2023 | Pns Freedom-4a Permanent Neurostimulator Receiver Kit Channel A |
| Electronic Waveform Lab, INC. | $13.86 | 2024 | |
| Redhill Biopharma INC. | $12.60 | 2021 | |
| Biodelivery Sciences International, INC. | $12.37 | 2021 | |
| Hikma Pharmaceuticals USA | $12.30 | 2022 | |
| Fidia Pharma USA INC. | $11.69 | 2021 |
Drugs and devices associated with these payments
CMS records which products a payment was associated with, not how the money was allocated. Association is not allocation: one payment can be associated with several products, and a product listing does not mean the payment was made because of that product. Product detail covers 2023-2025.
If you want to bring it up
Most clinicians are glad to talk about this. A respectful way in:
- "I saw Michael Silva listed in the CMS Open Payments database. Can you tell me about your work with those companies?"
- "Is there a generic or alternative to this medication, and would it work as well for me?"
- "What made you choose this particular treatment for my situation?"
These are normal questions. A good clinician will welcome them.
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Source: CMS Open Payments, program years 2019-2025, as reported to CMS by drug and device makers (published June 30, 2026). Drug and device detail covers 2023-2025.