Silvia Silva-Duluc, MD
Psychiatry · Miami, FLNPI 1548291834
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $8,347 of the $9,645 with a category attached, or 86.5%. It is spread thinly across 24 manufacturers, the largest accounting for just 13.8% — the pattern of someone who eats at a lot of different presentations. Reporting peaked in 2022 at $2,863 and has fallen 65.2% since, to $998 in 2025. Among psychiatry clinicians in FL 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 388 payments — averaging $24.86 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Otsuka America Pharmaceutical, Inc.$1K
- Biohaven Pharmaceutical Holding Company Ltd.$1K
- Alkermes, Inc.$1K
- Neurocrine Biosciences, Inc.$964
- Teva Pharmaceuticals USA, Inc.$913
- AbbVie$721
- plus $3K from 18 others
Across 1,645 payments — averaging $7117.28 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.
- ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.)$2.9M
- Sumitomo Pharma America, Inc.$2.5M
- Teva Pharmaceuticals USA, Inc.$2.4M
- E.r. Squibb & Sons, L.L.C.$1.9M
- AbbVie$779K
- Corium, LLC$300K
- plus $899K from 7 others
What the payments were for
- Travel & lodging$1,29413%
- Food & beverage$8,34787%
- Education$40%
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 |
|---|---|---|
| Otsuka America Pharmaceutical, Inc. | 54 | $1,332 |
| Biohaven Pharmaceutical Holding Company Ltd. | 8 | $1,299 |
| Alkermes, Inc. | 45 | $1,099 |
| Neurocrine Biosciences, Inc. | 47 | $964 |
| Teva Pharmaceuticals USA, Inc. | 56 | $913 |
| AbbVie(2 entities) | 37 | $721 |
| Axsome Therapeutics, Inc. | 21 | $592 |
| Takeda Pharmaceuticals U.S.A., Inc. | 22 | $498 |
| ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.) | 17 | $392 |
| Vanda Pharmaceuticals Inc. | 16 | $303 |
| Eisai Inc. | 4 | $261 |
| Lundbeck LLC | 11 | $261 |
| Johnson & Johnson | 12 | $251 |
| Almatica Pharma LLC | 9 | $164 |
| Sunovion Pharmaceuticals Inc. | 7 | $142 |
| Tris Pharma Inc | 5 | $105 |
| Merck | 5 | $101 |
| E.r. Squibb & Sons, L.L.C. | 3 | $80 |
| Idorsia Pharmaceuticals US Inc | 4 | $69 |
| Corium, LLC | 1 | $27 |
| Luye Pharma (USA) Ltd. | 1 | $22 |
| Neuronetics, Inc. | 1 | $17 |
| Bausch Health US, LLC | 1 | $17 |
| Noven Therapeutics, LLC | 1 | $14 |
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.
- LYBALVI$496
- ARISTADA$456
- Dayvigo$225
- AUSTEDO$126
- INGREZZA$126
- ABILIFY MAINTENA$120
- ARISTADA INITIO$114
- CAPLYTA$110
- REXULTI$104
How this compares
$9,645 in reported general payments places this provider in the 90th percentile of 2,059 psychiatry 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 |
|---|---|---|
| Abilify MaintenaAripiprazole | 126 | $347,471 |
| IngrezzaValbenazine Tosylate | 37 | $290,614 |
| Austedo XrDeutetrabenazine | 24 | $164,926 |
| RexultiBrexpiprazole | 79 | $123,275 |
| NuplazidPimavanserin Tartrate | 14 | $58,408 |
| Aripiprazole | 276 | $51,142 |
| Quetiapine Fumarate | 2,742 | $37,473 |
| Divalproex Sodium | 810 | $35,904 |
| TrintellixVortioxetine Hydrobromide | 62 | $29,748 |
| Fluphenazine Hcl | 139 | $28,905 |
| Olanzapine | 517 | $28,148 |
| Memantine Hcl | 704 | $21,521 |
| FanaptIloperidone | 12 | $21,119 |
| Trazodone Hcl | 2,530 | $18,850 |
| BelsomraSuvorexant | 44 | $17,099 |
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 |
|---|---|---|
| Otsuka America Pharmaceutical, Inc.Abilify Maintena, Rexulti | $1,332 | $470,746205 claims |
| Neurocrine Biosciences, Inc.Ingrezza | $964 | $290,61437 claims |
| Teva Pharmaceuticals USA, Inc.Austedo Xr | $913 | $164,92624 claims |
| Takeda Pharmaceuticals U.S.A., Inc.Trintellix | $498 | $29,74862 claims |
| Vanda Pharmaceuticals Inc.Fanapt | $303 | $21,11912 claims |
| MerckBelsomra | $101 | $17,09944 claims |
| Axsome Therapeutics, Inc.Auvelity | $592 | $10,49715 claims |
| AbbVieNamzaric | $721 | $7,46916 claims |
| Eisai Inc.Dayvigo | $261 | $6,93120 claims |
| Almatica Pharma LLCSertraline Hcl | $164 | $4,428694 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 2,059 psychiatry providers in Florida.
Other psychiatry in Miami
- Kenny PerezMiami$453K
- Erik CabreraMiami$357K
- Miguel FloresMiami$176K
- Pedro RodriguezMiami$96K
- John NewcomerMiami$96K
- Patricia JunqueraMiami$80K
- Marc AgroninMiami$66K
- Andrew CutlerLakewood Ranch$5.7M
- Richard JacksonBoca Raton$3.6M
- Ilan MelnickCoral Gables$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.