RxDoctor Payments Data

Frank Silver, MD

Gynecology · Las Vegas, NVNPI 1629097514

Payments from drug & device makers

What this record shows

Almost everything reported here is food and beverage — 95.3% of the total across 12 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 9 manufacturers reported payments, led by Mayne Pharma Commercial LLC at 53.7% of the total. Reporting peaked in 2021 at $193 and has fallen 89.1% since, to $21 in 2025. That places this record below the midpoint for gynecology clinicians in NV, where the typical reported total is $1,013.

$347in general payments, 2019–2025

Across 12 payments — averaging $28.89 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Mayne Pharma Commercial LLC$186
  • Myovant Sciences Inc.$31
  • Astellas Pharma US Inc$29
  • AbbVie$23
  • Redhill Biopharma Inc.$18
  • Sumitomo Pharma America, Inc.$16
  • plus $44 from 3 others

What the payments were for

  • Food & beverage$33095%
  • Education$165%

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

19
20
21
22
23
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.

How this compares

$347 in reported general payments places this provider in the 35th percentile of 30 gynecology providers in Nevada.

See all gynecology providers in Nevada

Medicare billing

Part B allowed, 2024
$6,816
Medicare patients
23
Services billed
81

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
PremarinEstrogens, Conjugated12$9,951
Estradiol33$566
Nitrofurantoin Mono-MacroNitrofurantoin Monohyd/M-Cryst21$556
Medroxyprogesterone Acetate32$449

Paid to pharmacies, not to this prescriber.

Other gynecology in Las Vegas

See the full list for Nevada

Where these figures come from

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