Richard Silver, MD
Rheumatology · Charleston, SCNPI 1275641219
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $66,850 of the $82,249 with a category attached, or 81.3%. Boehringer Ingelheim accounts for 75.6% of it on its own, with 10 other manufacturers making up the rest. Reporting peaked in 2020 at $27,597 and has fallen 89.2% since, to $2,986 in 2025. Among rheumatology clinicians in SC 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.
Across 82 payments — averaging $1003.03 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Boehringer Ingelheim$62K
- Merck$7K
- E.r. Squibb & Sons, L.L.C.$7K
- Boehringer Ingelheim International GmbH$4K
- CSL Behring$2K
- Bayer$400
- plus $442 from 5 others
Across 66 payments — averaging $23,377 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.
- Boehringer Ingelheim$894K
- Amgen$268K
- Sanofi US Services Inc.$175K
- Bayer$63K
- Cumberland Pharmaceuticals, Inc.$48K
- Kadmon Corporation LLC$42K
- plus $53K from 2 others
What the payments were for
- Consulting fees$66,85081%
- Speaking & faculty fees$8,20010%
- Travel & lodging$5,1716%
- Food & beverage$1,9202%
- Education$1070%
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 |
|---|---|---|
| Boehringer Ingelheim | 29 | $62,146 |
| Merck | 7 | $6,718 |
| E.r. Squibb & Sons, L.L.C. | 12 | $6,562 |
| Boehringer Ingelheim International GmbH | 3 | $3,962 |
| CSL Behring | 12 | $2,020 |
| Bayer | 2 | $400 |
| AbbVie(2 entities) | 10 | $176 |
| GSK | 3 | $126 |
| Johnson & Johnson | 2 | $75 |
| Genentech, Inc. | 1 | $50 |
| UCB, Inc. | 1 | $15 |
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
$82,249 in reported general payments places this provider in the 90th percentile of 123 rheumatology providers in South Carolina.
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 |
|---|---|---|
| Humira(Cf) PenAdalimumab | 119 | $1,064,563 |
| PrivigenImmun Glob G(Igg)/Pro/Iga 0-50 | 18 | $204,549 |
| GammakedImmune Globul G/Gly/Iga Avg 46 | 17 | $188,327 |
| ActemraTocilizumab | 31 | $184,599 |
| RinvoqUpadacitinib | 28 | $169,611 |
| Actemra ActpenTocilizumab | 28 | $153,785 |
| Orencia ClickjectAbatacept | 21 | $152,119 |
| Enbrel SureclickEtanercept | 15 | $142,999 |
| BenlystaBelimumab | 13 | $90,532 |
| OrenciaAbatacept | 13 | $88,478 |
| EnbrelEtanercept | 11 | $78,629 |
| Taltz AutoinjectorIxekizumab | 14 | $78,381 |
| RasuvoMethotrexate/Pf | 15 | $8,205 |
| RenflexisInfliximab-Abda | 11 | $7,858 |
| Mycophenolate Mofetil | 41 | $6,598 |
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.
| Company | Paid to this provider | Part D cost of their drugs |
|---|---|---|
| CSL BehringPrivigen | $2,020 | $204,54918 claims |
| Genentech, Inc.Actemra | $50 | $184,59931 claims |
| AbbVieRinvoq | $176 | $169,61128 claims |
| GSKBenlysta | $126 | $90,53213 claims |
| E.r. Squibb & Sons, L.L.C.Orencia | $6,562 | $88,47813 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 90th percentile of 123 rheumatology providers in South Carolina.
Other rheumatology in Charleston
- Deanna Baker FrostCharleston$43K
- Diane KamenCharleston$26K
- Gary GilkesonCharleston$16K
- Georgia RoaneCharleston$8K
- Erica AndersonCharleston$6K
- Colin EdgertonSummerville$3.5M
- Gregory NiemerSummerville$2.9M
- Gary FinkSummerville$2.9M
- Clarence LegertonSummerville$2.9M
- Jennifer MurphySummerville$2.8M
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.