RxDoctor Payments Data

Marc Silver, MD

Cardiovascular Disease · Chandler, AZNPI 1992818520

Payments from drug & device makers

What this record shows

This record is dominated by consulting fees: $161,500 of the $173,492 with a category attached, or 93.1%. Daxor Corporation accounts for 89.9% of it on its own, with 13 other manufacturers making up the rest. 2025 is the largest year on record at $79,997, more than ten times the $647 reported in 2019. Among cardiovascular disease clinicians in AZ 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.

$173,492in general payments, 2019–2025

Across 51 payments — averaging $3401.80 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Daxor Corporation$156K
  • Impulse Dynamics (USA) Inc.$16K
  • Medicure Pharma Inc.$615
  • BD$172
  • Abiomed$162
  • Alnylam Pharmaceuticals Inc.$155
  • plus $464 from 8 others
$1,640in research payments, 2019–2025

Across 2 payments — averaging $820.00 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.

  • Pfizer$2K

What the payments were for

  • Consulting fees$161,50093%
  • Speaking & faculty fees$8,5095%
  • Travel & lodging$1,5841%
  • Food & beverage$1,8801%
  • Education$180%

General payments by program year

19
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
Daxor Corporation13$156,000
Impulse Dynamics (USA) Inc.21$15,924
Medicure Pharma Inc.2$615
BD1$172
Abiomed2$162
Alnylam Pharmaceuticals Inc.1$155
Daiichi Sankyo Inc.2$133
Cardiac Dimensions, Inc.1$90
Scpharmaceuticals Inc.1$75
Livanova USA, Inc.1$41
AstraZeneca2$38
Pfizer2$36
Boston Scientific1$32
Picard Medical Inc.1$18

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

$173,492 in reported general payments places this provider in the 95th percentile of 423 cardiovascular disease providers in Arizona.

See all cardiovascular disease providers in Arizona

Medicare billing

Part B allowed, 2024
$23,465
Medicare patients
82
Services billed
209

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
VyndamaxTafamidis23$871,262
VyndaqelTafamidis Meglumine11$245,655
EntrestoSacubitril/Valsartan31$42,327
EliquisApixaban15$20,505
JardianceEmpagliflozin22$18,817
Carvedilol84$955
Isosorbide Mononitrate30$826
Torsemide37$797
Metoprolol Succinate38$629
Potassium Chloride19$602
Furosemide33$240
Spironolactone56$220
Lisinopril18$64
Atorvastatin Calcium11$47

Paid to pharmacies, not to this prescriber.

Companies that both paid and supply prescribed drugs

These companies both reported payments to this provider and make drugs the provider prescribed under Medicare Part D in 2024. For most specialties this overlap is expected — a cardiologist who is paid by a cardiology drugmaker also treats heart disease. It is shown so the reader can see it, not because it implies anything on its own.

CompanyPaid to this providerPart D cost of their drugs
PfizerVyndamax, Vyndaqel, Eliquis$36$1,137,42249 claims

Reading this fairly. The Part D column is what drug plans and patients paid pharmacies — this provider received none of it, and it reflects how many patients they treat and what those drugs cost. Against peers, this provider's reported payments sit in the 95th percentile of 423 cardiovascular disease providers in Arizona.

Other cardiovascular disease in Chandler

See the full list for Arizona

Where these figures come from

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