Brittany Silvers
Adult Health · Billings, MTNPI 1659810026
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $2,504 of the $3,769 with a category attached, or 66.4%. 15 manufacturers reported payments, led by Medtronic at 48.0% of the total. Reporting peaked in 2022 at $2,037 and has fallen 81.0% since, to $387 in 2025. Among adult health clinicians in MT 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 66 payments — averaging $57.10 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medtronic$2K
- Boston Scientific$412
- Abbott$360
- AstraZeneca$308
- Novartis$238
- Johnson & Johnson$222
- plus $419 from 9 others
What the payments were for
- Travel & lodging$1,26534%
- Food & beverage$2,50466%
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 | 15 | $1,811 |
| Boston Scientific | 8 | $412 |
| Abbott | 4 | $360 |
| AstraZeneca | 5 | $308 |
| Novartis | 12 | $238 |
| Johnson & Johnson | 9 | $222 |
| Abiomed | 4 | $143 |
| Edwards Lifesciences | 1 | $114 |
| Inspire Medical Systems, Inc. | 1 | $37 |
| E.r. Squibb & Sons, L.L.C. | 2 | $35 |
| Philips North America LLC | 1 | $28 |
| Boehringer Ingelheim | 1 | $24 |
| Chiesi USA, Inc. | 1 | $19 |
| Kiniksa Pharmaceuticals International, PLC | 1 | $15 |
| ZOLL Services LLC (a/k/a ZOLL Lifecor Corp) | 1 | $5 |
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.
- Micra$883
- MitraClip System$163
- MitraClip$149
- Watchman$125
How this compares
$3,769 in reported general payments places this provider in the 95th percentile of 27 adult health providers in Montana.
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 |
|---|---|---|
| EliquisApixaban | 78 | $72,664 |
| EntrestoSacubitril/Valsartan | 88 | $72,592 |
| JardianceEmpagliflozin | 57 | $52,259 |
| FarxigaDapagliflozin Propanediol | 19 | $10,934 |
| Metoprolol Succinate | 149 | $2,397 |
| Potassium Chloride | 57 | $961 |
| Isosorbide Dinitrate | 18 | $732 |
| Atorvastatin Calcium | 63 | $608 |
| ClopidogrelClopidogrel Bisulfate | 47 | $599 |
| Ezetimibe | 15 | $521 |
| Metoprolol Tartrate | 23 | $312 |
| Losartan Potassium | 38 | $310 |
| Spironolactone | 55 | $305 |
| Furosemide | 53 | $299 |
| Lisinopril | 43 | $269 |
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 |
|---|---|---|
| NovartisEntresto | $238 | $72,59288 claims |
| Boehringer IngelheimJardiance | $24 | $52,25957 claims |
| AstraZenecaFarxiga | $308 | $10,93419 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 95th percentile of 27 adult health providers in Montana.
Other adult health in Billings
- Tauna JefferyBillings$4K
- Joslyn ThompsonBillings$3K
- Karista WalshBillings$3K
- Janice OstermillerBillings$3K
- Gregory HubbsBillings$2K
- Kimberly AckermanBillings$2K
- Robin GarlandBillings$1K
- Amy GoffenaBillings$768
- Diane TruchotBillings$592
- Anna WeberBillings$325
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.