Silas Holmes, MD
Sports Medicine · Columbia, SCNPI 1033187984
Payments from drug & device makers
What this record shows
This record is dominated by royalties or licence payments: $2,000,000 of the $2,157,709 with a category attached, or 92.7%. Arthrex accounts for 99.2% of it on its own, with 10 other manufacturers making up the rest. 2025 is the largest year on record at $2,130,264, more than ten times the $7,678 reported in 2019. Among sports medicine clinicians in SC 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.
Across 245 payments — averaging $8806.98 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Arthrex$2.1M
- Peerless Surgical Inc.$13K
- DJO, LLC$741
- Medacta USA, Inc.$707
- Parcus Medical, LLC$659
- Zimmer Biomet$550
- plus $809 from 5 others
What the payments were for
- Royalty or licence$2,000,00093%
- Consulting fees$124,6216%
- Speaking & faculty fees$1,2500%
- Travel & lodging$17,8921%
- Food & beverage$7,6310%
- Education$6,3160%
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 |
|---|---|---|
| Arthrex | 150 | $2,141,094 |
| Peerless Surgical Inc. | 61 | $13,149 |
| DJO, LLC | 6 | $741 |
| Medacta USA, Inc. | 8 | $707 |
| Parcus Medical, LLC | 1 | $659 |
| Zimmer Biomet | 8 | $550 |
| Smith+Nephew | 7 | $447 |
| Surgalign Spine Technologies, Inc. | 1 | $133 |
| Miach Orthopaedics, Inc. | 1 | $106 |
| Next Science LLC | 1 | $105 |
| ERMI LLC | 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.
- Knotless PEEK CF Push-In Suture Anchor$659
- PROCARE$373
- GMK SPHERE$258
- AIRCAST Bracing & Supports$139
- PROCARE Bracing & Supports$139
- ALLOGRAFT$133
- MYKNEE$119
- Accelero-None$118
- MECTA$116
- Xperience$105
- BlastX$105
- SurgX$105
How this compares
$2,157,709 in reported general payments places this provider in the 95th percentile of 158 sports medicine 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 |
|---|---|---|
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 47 | $463 |
| Meloxicam | 93 | $218 |
| Ondansetron Hcl | 62 | $204 |
| Diclofenac Sodium | 11 | $105 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 14 | $98 |
Paid to pharmacies, not to this prescriber.
Other sports medicine in Columbia
- Jeffrey GuyColumbia$120K
- James O LearyColumbia$39K
- Christopher MazoueColumbia$20K
- Gregory PennyColumbia$17K
- Robert BrowningColumbia$12K
- Andrew McGownColumbia$8K
- Robert DasilvaColumbia$7K
- Candler MathewsColumbia$4K
- Stephan PillGreenville$688K
- Steven MartinSeneca$356K
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.