Ana Margarita Hernandez Silen
Obstetrics & Gynecology · Tifton, GANPI 1871752907
Payments from drug & device makers
What this record shows
The money is spread across several categories — education (56.4%), food and beverage and travel and lodging — rather than concentrated in one kind of arrangement. Intuitive Surgical accounts for 63.5% of it on its own, with 26 other manufacturers making up the rest. 2025 is the largest year on record at $3,499, more than ten times the $300 reported in 2019. Among obstetrics & gynecology clinicians in GA 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 113 payments — averaging $48.42 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Intuitive Surgical$3K
- Astellas Pharma US Inc$304
- AbbVie$277
- Hologic Sales And Service, LLC$246
- Shield Therapeutics Inc$148
- Amgen$125
- plus $895 from 21 others
What the payments were for
- Travel & lodging$4598%
- Food & beverage$1,92835%
- Education$3,08556%
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 | 7 | $3,476 |
| Astellas Pharma US Inc | 7 | $304 |
| AbbVie | 15 | $277 |
| Hologic Sales And Service, LLC | 19 | $246 |
| Shield Therapeutics Inc | 8 | $148 |
| Amgen | 9 | $125 |
| Sumitomo Pharma America, Inc. | 6 | $103 |
| Pfizer | 5 | $98 |
| Bayer | 5 | $97 |
| Organon | 5 | $88 |
| Aspira Women's Health Inc | 2 | $69 |
| Avion Pharmaceuticals | 3 | $61 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 3 | $50 |
| Coopersurgical, Inc. | 2 | $41 |
| Radius Health, Inc. | 2 | $41 |
| Daiichi Sankyo Inc. | 2 | $36 |
| Therapeuticsmd, Inc. | 2 | $30 |
| Baxter Healthcare | 1 | $25 |
| Axonics, Inc. | 1 | $22 |
| Biohaven Pharmaceuticals, Inc. | 1 | $21 |
| Takeda Pharmaceuticals U.S.A., Inc. | 2 | $21 |
| Evofem Biosciences, Inc. | 1 | $18 |
| Sage Therapeutics, LLC | 1 | $17 |
| Roche Diagnostics Corporation | 1 | $16 |
| Urovant Sciences Inc | 1 | $14 |
| Lilly USA, LLC | 1 | $14 |
| Lupin Inc. | 1 | $14 |
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.
- DAVINCI XI$3,000
- Da Vinci Surgical System$447
- Veozah$122
How this compares
$5,472 in reported general payments places this provider in the 90th percentile of 1,324 obstetrics & gynecology providers in Georgia.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Estradiol | 16 | $190 |
Paid to pharmacies, not to this prescriber.
Other obstetrics & gynecology in Tifton
- Edmund KimLawrenceville$628K
- Jacquelin WaltersDuluth$147K
- Nicole SparksJohns Creek$121K
- Lethenia BakerThomaston$111K
- Renee AllenAtlanta$74K
- Matthew RalstenFayetteville$64K
- Murray FreedmanAugusta$48K
- Tosha Rogers-JonesAtlanta$46K
- Teresa ByrdMarietta$41K
- Christopher BassilSuwanee$39K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.