Michael Silva, MD
Pain Medicine · North Miami, FLNPI 1366856361
Payments from drug & device makers
Across 141 payments — averaging $26.26 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Collegium Pharmaceutical, Inc.$631
- Scilex Pharmaceuticals Inc.$392
- Medtronic$372
- Balt USA, LLC$300
- Boston Scientific$259
- AbbVie$226
- plus $2K from 30 others
What the payments were for
- Food & beverage$3,702100%
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
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 |
|---|---|---|
| Collegium Pharmaceutical, Inc. | 37 | $631 |
| Scilex Pharmaceuticals Inc. | 21 | $392 |
| Medtronic | 8 | $372 |
| Balt USA, LLC | 2 | $300 |
| Boston Scientific | 5 | $259 |
| AbbVie(2 entities) | 14 | $226 |
| Painteq LLC | 1 | $168 |
| Nevro Corp. | 6 | $157 |
| Abbott | 6 | $155 |
| Saluda Medical Americas, Inc. | 1 | $145 |
| VGI Medical, LLC | 1 | $102 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 4 | $80 |
| GRT US Holding, Inc. | 3 | $78 |
| Stryker | 1 | $77 |
| Forte Bio-pharma LLC | 4 | $73 |
| Azurity Pharmaceuticals, Inc. | 3 | $69 |
| Almatica Pharma LLC | 2 | $46 |
| Novartis | 3 | $41 |
| Kowa Pharmaceuticals America, Inc. | 2 | $33 |
| Averitas Pharma Inc. | 1 | $32 |
| Vertos Medical, Inc. | 1 | $26 |
| Idorsia Pharmaceuticals US Inc | 1 | $24 |
| Protega Pharmaceutials Inc | 1 | $22 |
| SPR Therapeutics, Inc | 1 | $19 |
| Arbor Pharmaceuticals, Inc. | 1 | $19 |
| Pfizer | 1 | $17 |
| Radius Health, Inc. | 1 | $16 |
| IBSA Pharma Inc. | 1 | $15 |
| Biofrontera Inc. | 1 | $15 |
| Sonex Health, Inc. | 1 | $15 |
| Curonix LLC | 1 | $14 |
| Electronic Waveform Lab, Inc. | 1 | $14 |
| Redhill Biopharma Inc. | 1 | $13 |
| Biodelivery Sciences International, Inc. | 1 | $12 |
| Hikma Pharmaceuticals USA | 1 | $12 |
| Fidia Pharma USA Inc. | 1 | $12 |
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.
- PAINTEQ$168
- Ballast 088 Long Sheath$153
- Optima Coil System$148
- Evoke$145
- INTELLIS ADAPTIVESTIM$143
- Superion Indirect Decompression System$137
- Pipeline$122
- SiJoin$102
How this compares
$3,702 in reported general payments places this provider in the 55th percentile of 596 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 |
|---|---|---|
| Pregabalin | 114 | $2,978 |
| Oxycodone Hcl | 133 | $2,681 |
| Tramadol Hcl | 227 | $1,666 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 86 | $1,513 |
| Fentanyl | 12 | $773 |
| Acetaminophen-CodeineAcetaminophen With Codeine | 37 | $504 |
| Gabapentin | 13 | $146 |
| Methocarbamol | 12 | $88 |
| Ibuprofen | 12 | $67 |
Paid to pharmacies, not to this prescriber.
Other pain medicine in North Miami
- Anand PatelOrmond Beach$20.4M
- Julio PaezClermont$2.3M
- Joseph PergolizziNaples$2.1M
- Abel MurilloMiami$1.6M
- George MonluxPalm Coast$1.3M
- Ferdinand FormosoJacksonville$1M
- Cesar LassalleOrlando$1M
- Robert GuirguisTampa$895K
- Ashraf HannaClearwater$608K
- Peter MichaelCoral Gables$496K
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.