Alan Silberberg, MD
Interventional Pain Medicine · Kyle, TXNPI 1902075922
Payments from drug & device makers
What this record shows
This record is dominated by speaking fees: $87,500 of the $111,988 with a category attached, or 78.1%. Medtronic accounts for 79.8% of it on its own, with 10 other manufacturers making up the rest. 2025 is the largest year on record at $90,029, more than ten times the $3,236 reported in 2019. Among interventional pain medicine clinicians in TX 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 750 payments — averaging $149.32 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medtronic$89K
- Abbott$21K
- Spinal Simplicity, LLC$429
- Foundation Fusion Solutions, LLC$290
- Relievant Medsystems, Inc.$138
- Boston Scientific$138
- plus $212 from 5 others
What the payments were for
- Speaking & faculty fees$87,50078%
- Food & beverage$24,37922%
- Education$760%
- Entertainment$330%
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 |
|---|---|---|
| Medtronic | 40 | $89,393 |
| Abbott | 675 | $21,389 |
| Spinal Simplicity, LLC | 17 | $429 |
| Foundation Fusion Solutions, LLC | 4 | $290 |
| Relievant Medsystems, Inc. | 4 | $138 |
| Boston Scientific | 4 | $138 |
| Painteq LLC | 1 | $103 |
| SPR Therapeutics, Inc | 1 | $43 |
| Nalu Medical, Inc. | 2 | $40 |
| Stimwave Technologies Incorporated | 1 | $13 |
| Johnson & Johnson | 1 | $12 |
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.
- PROCLAIM$3,181
- Proclaim Family of SCS IPGs$1,999
- Proclaim IPG$1,479
- OCTRODE$1,366
- Octrode SCS Leads$1,023
- INTELLIS ADAPTIVESTIM$938
- INCEPTIV$237
- VANTA ADAPTIVESTIM$153
- ETERNA$137
- HA MINUTEMAN G3-R$135
- PAINTEQ$103
How this compares
$111,988 in reported general payments places this provider in the 95th percentile of 287 interventional pain medicine providers in Texas.
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.
Other interventional pain medicine in Kyle
- Kristin JarzombekKyle$74K
- Timothy BednarKyle$28K
- Gabor RaczLubbock$3M
- Pankaj MehtaKilleen$2.1M
- Chad StephensSouthlake$1M
- Ankur KhoslaShenandoah$277K
- Brian RichDecatur$245K
- Brian BruelHouston$219K
- Bolkar SahinlerLubbock$188K
- Timothy RatinoFort Worth$139K
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.