Ralph Dsilva, MD
Internal Medicine · Chandler, AZNPI 1871594259
Payments from drug & device makers
Across 3 payments — averaging $17.08 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- ZOLL Services LLC (a/k/a ZOLL Lifecor Corp)$27
- Boston Scientific$12
- Johnson & Johnson$12
What the payments were for
- Food & beverage$51100%
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 |
|---|---|---|
| ZOLL Services LLC (a/k/a ZOLL Lifecor Corp) | 1 | $27 |
| Boston Scientific | 1 | $12 |
| Johnson & Johnson | 1 | $12 |
How this compares
$51 in reported general payments places this provider in the 30th percentile of 2,212 internal medicine providers in Arizona.
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 |
|---|---|---|
| EliquisApixaban | 38 | $23,263 |
| SymbicortBudesonide/Formoterol Fumarate | 17 | $3,927 |
| Sucralfate | 22 | $1,121 |
| Albuterol Sulfate HfaAlbuterol Sulfate | 32 | $1,058 |
| Methylprednisolone | 74 | $571 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 43 | $472 |
| Cephalexin | 29 | $441 |
| Cefdinir | 18 | $308 |
| Ciprofloxacin Hcl | 40 | $298 |
| Pantoprazole Sodium | 30 | $290 |
| Doxycycline Hyclate | 41 | $274 |
| ClopidogrelClopidogrel Bisulfate | 35 | $261 |
| Metronidazole | 30 | $247 |
| Potassium Chloride | 28 | $234 |
| Bumetanide | 11 | $216 |
Paid to pharmacies, not to this prescriber.
Other internal medicine in Chandler
- Janelle WeyerChandler$5.5M
- Randall SeveranceChandler$3.1M
- Punal PatelChandler$604K
- Yessica SachdevaMesa$13.7M
- Louise TaberPhoenix$8.5M
- Robert MutterperlTucson$5.3M
- Jalal AbbasSun City West$4.8M
- Nebojsa SkrepnikTucson$4.7M
- Philip MathewTempe$4.1M
- Justin MoserScottsdale$3.9M
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.