Alexis da Silva, MD
Endocrinology, Diabetes & Metabolism · West Palm Beach, FLNPI 1568857530
Payments from drug & device makers
Across 734 payments — averaging $18.97 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Lilly USA, LLC$2K
- Amgen$2K
- Novo Nordisk$2K
- Sanofi-aventis U.S. LLC$942
- Mannkind Corporation$753
- Dexcom, Inc.$729
- plus $6K from 44 others
What the payments were for
- Food & beverage$13,84099%
- Education$851%
Most of this is food and beverage — typically meals provided during product presentations at a clinic or hospital. Nationally that is the single largest category of reported payments by count.
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.
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.
- iLet Bionic Pancreas$437
- EVENITY$357
- DEXCOM G7 GSS (161)$247
- Repatha$230
- DEXCOM STELO GLUCOSE BIOSENSOR$146
- Kerendia$144
- TWIIST$138
- MINIMED 780G$136
- TEPEZZA$119
- CRENESSITY$118
- t:slim X2 Insulin Pump with Control-IQ$101
How this compares
$13,925 in reported general payments places this provider in the 70th percentile of 586 endocrinology, diabetes & metabolism providers in Florida.
See all endocrinology, diabetes & metabolism providers in Florida →
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 |
|---|---|---|
| OzempicSemaglutide | 483 | $805,201 |
| JardianceEmpagliflozin | 372 | $541,610 |
| MounjaroTirzepatide | 252 | $374,457 |
| TrulicityDulaglutide | 145 | $243,553 |
| FarxigaDapagliflozin Propanediol | 107 | $151,611 |
| Tresiba Flextouch U-200Insulin Degludec | 75 | $119,907 |
| Tresiba Flextouch U-100Insulin Degludec | 115 | $90,831 |
| Soliqua 100-33Insulin Glargine/Lixisenatide | 47 | $75,826 |
| JanuviaSitagliptin Phosphate | 63 | $74,805 |
| RybelsusSemaglutide | 39 | $66,377 |
| TradjentaLinagliptin | 37 | $47,460 |
| Toujeo SolostarInsulin Glargine,hum.Rec.Anlog | 57 | $44,658 |
| Novolog FlexpenInsulin Aspart | 118 | $37,893 |
| Repatha SureclickEvolocumab | 37 | $37,000 |
| Lantus SolostarInsulin Glargine,hum.Rec.Anlog | 238 | $36,688 |
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 |
|---|---|---|
| Novo NordiskOzempic, Rybelsus, Novolog, Tresiba, Fiasp | $1,658 | $913,720617 claims |
| Lilly USA, LLCMounjaro, Trulicity, Humalog | $1,828 | $625,406417 claims |
| Boehringer IngelheimJardiance, Tradjenta | $322 | $589,070409 claims |
| AstraZenecaFarxiga | $149 | $151,611107 claims |
| MerckJanuvia, Janumet Xr | $124 | $103,96783 claims |
| Sanofi-aventis U.S. LLCSoliqua 100-33, Lantus | $942 | $82,43177 claims |
| Mannkind CorporationAfrezza | $753 | $23,36021 claims |
| AmgenProlia | $1,705 | $22,91013 claims |
| BayerKerendia | $585 | $19,45811 claims |
| AbbVieSynthroid | $452 | $18,695188 claims |
| Amneal Pharmaceuticals LLCLevothyroxine Sodium | $299 | $9,027763 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 70th percentile of 586 endocrinology, diabetes & metabolism providers in Florida.
Other endocrinology, diabetes & metabolism in West Palm Beach
- Barry HorowitzWest Palm Beach$7.1M
- William KayeWest Palm Beach$1.3M
- Richard PratleyOrlando$9.2M
- Jose MandryOcoee$9.1M
- Steven SmithOrlando$7.9M
- Tina ThethiOrlando$3.8M
- David SuttonJacksonville$3.1M
- Lorena Lewy-AlterbaumHollywood$3.1M
- Mae Sheikh AliJacksonville$2.9M
- James MageeJacksonville$2.7M
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.