RxDoctor Payments Data

Maduwilla Silva, MD

Foot and Ankle Surgery · Seattle, WANPI 1346872579

Payments from drug & device makers

What this record shows

The money is spread across several categories — education (42.7%), travel and lodging and food and beverage — rather than concentrated in one kind of arrangement. 8 manufacturers reported payments, led by Summit Surgical Corp. at 42.7% of the total. Reporting peaked in 2021 at $2,400 and has fallen 53.9% since, to $1,107 in 2025.

$5,617in general payments, 2019–2025

Across 35 payments — averaging $160.50 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Summit Surgical Corp.$2K
  • Arthrex$1K
  • Stryker$874
  • Gemini Mountain Medical, LLC$815
  • Smith+Nephew$289
  • Legacy Ortho LLC$64
  • plus $71 from 2 others

What the payments were for

  • Travel & lodging$2,19739%
  • Food & beverage$1,02118%
  • Education$2,40043%

General payments by program year

21
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

$5,617 in reported general payments places this provider in the 70th percentile of 203 foot and ankle surgery providers in Washington.

See all foot and ankle surgery providers in Washington

Medicare billing

Part B allowed, 2024
$26,226
Medicare patients
92
Services billed
178

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.

Other foot and ankle surgery in Seattle

See the full list for Washington

Where these figures come from

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