RxDoctor Payments Data

Lance Silverman, MD

Foot and Ankle Surgery · Roswell, GANPI 1609872159

Payments from drug & device makers

What this record shows

This record is dominated by consulting fees: $14,641 of the $19,869 with a category attached, or 73.7%. Ossio Inc accounts for 76.6% of it on its own, with 23 other manufacturers making up the rest. Reporting peaked in 2024 at $9,678 and has fallen 66.1% since, to $3,281 in 2025. Among foot and ankle surgery clinicians in GA 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.

$19,869in general payments, 2019–2025

Across 78 payments — averaging $254.73 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Ossio Inc$15K
  • Stryker$2K
  • Arcuro Medical Inc$560
  • Treace Medical Concepts, Inc.$302
  • Acumed LLC$296
  • Arthrex$261
  • plus $1K from 18 others

What the payments were for

  • Consulting fees$14,64174%
  • Travel & lodging$470%
  • Food & beverage$5,18126%

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.

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

$19,869 in reported general payments places this provider in the 90th percentile of 239 foot and ankle surgery providers in Georgia.

See all foot and ankle surgery providers in Georgia

Medicare billing

Part B allowed, 2024
$50,085
Medicare patients
90
Services billed
375

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
Celecoxib53$1,656
CefuroximeCefuroxime Axetil23$316
Cyclobenzaprine Hcl41$193
Ondansetron OdtOndansetron43$125
Oxycodone Hcl39$106
Pregabalin32$103

Paid to pharmacies, not to this prescriber.

Other foot and ankle surgery in Roswell

See the full list for Georgia

Where these figures come from

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