Zilbrysq
Payments companies reported to CMS as associated with Zilbrysq. "Associated with" is CMS's wording: it links a payment to a product without saying the money was spent on it.
By year
Payments reported as associated with Zilbrysq, per program year, as reported to CMS.
Who makes it
Specialties most often involved
Where the associated payments went, by the receiving clinician's specialty.
Clinicians most associated with Zilbrysq
These are the largest totals companies reported as associated with Zilbrysq. They are typically speaking or consulting arrangements, which companies must report by law; appearing here is not evidence of anything improper.
| Clinician | Location | Specialty | Associated payments (2023-2025) |
|---|---|---|---|
| Michael Rosario-Prieto | St Petersburg, FL | Neuromuscular Medicine (Psychiatry & Neurology) | $58,312.90 |
| Nicholas Silvestri | Buffalo, NY | Neuromuscular Medicine (Psychiatry & Neurology) | $49,519.05 |
| Perry Shieh | Los Angeles, CA | Neurology (Psychiatry & Neurology) | $47,720.33 |
| Samir Macwan | Rancho Mirage, CA | Neuromuscular Medicine (Psychiatry & Neurology) | $42,449.42 |
| Joshua Alpers | Chattanooga, TN | Neuromuscular Medicine (Psychiatry & Neurology) | $42,223.30 |
| Jon Durrani | Centerville, OH | Neurology (Psychiatry & Neurology) | $40,248.16 |
| Eduardo De Sousa | Moore, OK | Neurology (Psychiatry & Neurology) | $39,944.38 |
| Miriam Freimer | Columbus, OH | Neurology (Psychiatry & Neurology) | $35,901.00 |
| Hannah Machemehl | Arden, NC | Neurology (Psychiatry & Neurology) | $35,285.83 |
| Sonia Caraballo-Cartagena | Schaumburg, IL | Neurology (Psychiatry & Neurology) | $31,174.37 |
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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.