RxDoctor Payments Data

Diana Silas, DO

Orthopaedic Surgery · South Lyon, MINPI 1528371929

Payments from drug & device makers

What this record shows

This record is dominated by consulting fees: $132,015 of the $172,410 with a category attached, or 76.6%. Stryker accounts for 93.4% of it on its own, with 12 other manufacturers making up the rest. Among orthopaedic surgery clinicians in MI 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.

$172,410in general payments, 2019–2025

Across 283 payments — averaging $609.22 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Stryker$161K
  • Smith+Nephew$5K
  • Pinnacle, Inc$3K
  • Zimmer Biomet$1K
  • Medacta USA, Inc.$1K
  • Arthrex$464
  • plus $887 from 7 others

What the payments were for

  • Consulting fees$132,01577%
  • Travel & lodging$26,80416%
  • Food & beverage$11,7557%
  • Education$1,8351%

General payments by program year

19
20
21
22
23
24
25

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.

CompanyPaymentsTotal
Stryker190$161,103
Smith+Nephew40$4,622
Pinnacle, Inc9$2,656
Zimmer Biomet12$1,410
Medacta USA, Inc.9$1,267
Arthrex10$464
Johnson & Johnson7$416
My01 Inc.1$168
Baxter Healthcare1$117
Miach Orthopaedics, Inc.1$113
Sanara Medtech Inc.1$37
Medtronic1$21
Merck1$15

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.

How this compares

$172,410 in reported general payments places this provider in the 95th percentile of 829 orthopaedic surgery providers in Michigan.

See all orthopaedic surgery providers in Michigan

Medicare billing

Part B allowed, 2024
$70,270
Medicare patients
143
Services billed
563

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

DrugClaimsCost to plans & patients
Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen12$108
Ibuprofen18$84
Methylprednisolone13$65

Paid to pharmacies, not to this prescriber.

Other orthopaedic surgery in South Lyon

See the full list for Michigan

Where these figures come from

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