Kassia Silva
Interventional Pain Medicine · St Augustine, FLNPI 1003279316
Payments from drug & device makers
What this record shows
This record is dominated by grants: $35,000 of the $43,584 with a category attached, or 80.3%. 26 manufacturers reported payments, led by Medtronic at 52.9% of the total. Reporting peaked in 2020 at $35,153 and has fallen 99.9% since, to $51 in 2024. Among interventional pain medicine clinicians in FL 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 126 payments — averaging $345.91 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medtronic$23K
- Boston Scientific$16K
- MML US, Inc.$3K
- Abbott$721
- Relievant Medsystems, Inc.$462
- SPR Therapeutics, Inc$244
- plus $839 from 20 others
What the payments were for
- Grants$35,00080%
- Travel & lodging$4,53110%
- Food & beverage$3,9469%
- Education$1080%
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(2 entities) | 36 | $23,043 |
| Boston Scientific | 15 | $15,760 |
| MML US, Inc. | 17 | $2,514 |
| Abbott | 11 | $721 |
| Relievant Medsystems, Inc. | 4 | $462 |
| SPR Therapeutics, Inc | 6 | $244 |
| AbbVie | 9 | $184 |
| Painteq LLC | 2 | $142 |
| Tersera Therapeutics LLC | 4 | $102 |
| Amgen | 3 | $54 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 3 | $47 |
| Nevro Corp. | 2 | $37 |
| Biohaven Pharmaceuticals, Inc. | 1 | $37 |
| Lilly USA, LLC | 1 | $26 |
| Curonix LLC | 1 | $22 |
| Scilex Pharmaceuticals Inc. | 1 | $22 |
| Johnson & Johnson | 1 | $21 |
| Pfizer | 1 | $21 |
| Collegium Pharmaceutical, Inc. | 1 | $20 |
| IBSA Pharma Inc. | 1 | $20 |
| Biogen | 1 | $16 |
| Idorsia Pharmaceuticals US Inc | 1 | $16 |
| Vertos Medical, Inc. | 1 | $16 |
| Biohaven Pharmaceutical Holding Company Ltd. | 1 | $13 |
| Arbor Pharmaceuticals, Inc. | 1 | $12 |
| Nalu Medical, Inc. | 1 | $10 |
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.
- SYNCHROMED$20,000
- SPECTRA WAVEWRITER$15,000
- ReActiv8$2,252
- INTELLIS ADAPTIVESTIM$1,277
- KYPHON Balloon Kyphoplasty$849
- Intracept$719
- PROCLAIM$376
- WAVEWRITER ALPHA$224
- WaveWriter Alpha Prime 16$170
- Proclaim Family of SCS IPGs$135
- SPRINT PNS System$121
- PAINTEQ$115
How this compares
$43,584 in reported general payments places this provider in the 90th percentile of 278 interventional pain medicine providers in Florida.
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 |
|---|---|---|
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 151 | $2,619 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 79 | $2,163 |
| Pregabalin | 71 | $870 |
| Gabapentin | 78 | $773 |
| Tramadol Hcl | 121 | $627 |
| Oxycodone Hcl | 24 | $311 |
| Baclofen | 12 | $297 |
| Morphine Sulfate ErMorphine Sulfate | 13 | $228 |
| Cyclobenzaprine Hcl | 18 | $208 |
| Tizanidine Hcl | 13 | $134 |
Paid to pharmacies, not to this prescriber.
Other interventional pain medicine in St Augustine
- Joseph CartwrightSt Augustine$18K
- Raul MonzonSt Augustine$15K
- Louis RasoJupiter$1.3M
- Ajay AntonyGainesville$1.1M
- Michael EspositoVero Beach$777K
- Nomen AzeemRiverview$650K
- Stanley GolovacMerritt Island$367K
- Sunil PanchalLutz$363K
- Robert BallPort Charlotte$246K
- Justin MannJacksonville$243K
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.