Andrew Silva, MD
Pediatric Otolaryngology · Lansdowne, VANPI 1972569192
Payments from drug & device makers
What this record shows
The money is spread across several categories — food and beverage (54.9%), travel and lodging and education — rather than concentrated in one kind of arrangement. 23 manufacturers reported payments, led by Medtronic at 41.1% of the total. Reporting peaked in 2022 at $4,172 and has fallen 72.6% since, to $1,142 in 2025.
Across 109 payments — averaging $68.26 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medtronic$3K
- Medical Device Business Services, Inc.$960
- Sanofi$604
- Acclarent, Inc$486
- Integra Lifesciences Corporation$361
- Regeneron Healthcare Solutions, Inc.$323
- plus $2K from 17 others
What the payments were for
- Travel & lodging$3,33845%
- Food & beverage$4,08855%
- Education$150%
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.
| Company | Payments | Total |
|---|---|---|
| Medtronic | 7 | $3,059 |
| Medical Device Business Services, Inc. | 7 | $960 |
| Sanofi | 13 | $604 |
| Acclarent, Inc | 9 | $486 |
| Integra Lifesciences Corporation | 8 | $361 |
| Regeneron Healthcare Solutions, Inc. | 8 | $323 |
| Optinose US, Inc. | 13 | $248 |
| GSK | 6 | $223 |
| Inspire Medical Systems, Inc. | 4 | $218 |
| AstraZeneca | 4 | $181 |
| Kowa Pharmaceuticals America, Inc. | 7 | $110 |
| Aerin Medical Inc. | 4 | $88 |
| Pacira Pharmaceuticals Incorporated | 1 | $86 |
| Stryker | 3 | $77 |
| Neurent Medical Limited | 3 | $77 |
| Arbor Pharmaceuticals, Inc. | 4 | $68 |
| Smith+Nephew | 2 | $58 |
| Supreme Orthopedic Systems, LLC | 1 | $53 |
| Baxter Healthcare | 1 | $47 |
| Innovation Technologies Inc | 1 | $43 |
| Cochlear Americas | 1 | $36 |
| Alk-abello, Inc | 1 | $20 |
| Checkpoint Surgical, 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.
- SINUVA$2,134
- PROPEL$925
- DUPIXENT$565
- TruDi Nav Cable$312
- Acclarent Aera$258
- Inspira Air$258
- RELIEVA SPINPLUS NAV$258
- TruDi Probe$258
- Inspire$171
- NUCALA$127
How this compares
Too few pediatric otolaryngology providers in Virginiato place this figure against a meaningful peer group, so we don't.
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 |
|---|---|---|
| Ipratropium Bromide | 91 | $2,492 |
| Ofloxacin | 16 | $1,389 |
| Azelastine Hcl | 23 | $656 |
| Cefdinir | 26 | $519 |
| Omeprazole | 15 | $337 |
| Triamterene-HydrochlorothiazidTriamterene/Hydrochlorothiazid | 11 | $92 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 11 | $79 |
Paid to pharmacies, not to this prescriber.
Other pediatric otolaryngology in Lansdowne
- Betsy VasquezSterling$2K
- Robert BahadoriFairfax$2K
- Casey YoungFairfax$830
- William BrandCharlottesville$363
- Kaelan BlackFairfax$272
- Ghedak AnsariRichmond$256
- Kastley MarvinPortsmouth$134
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.