Susan Silva
Procedural Dermatology · Sacramento, CANPI 1780796367
Payments from drug & device makers
What this record shows
This record is dominated by speaking fees: $99,370 of the $115,945 with a category attached, or 85.7%. Galderma Laboratories, L.p. accounts for 94.1% of it on its own, with 11 other manufacturers making up the rest. Reporting peaked in 2021 at $31,180 and has fallen 94.0% since, to $1,882 in 2025. Among procedural dermatology clinicians in CA 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 265 payments — averaging $437.53 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Galderma Laboratories, L.p.$109K
- AbbVie$4K
- Lumenis BE Inc$2K
- Merz North America, Inc.$257
- Revance Therapeutics, Inc.$231
- Ortho Dermatologics, A Division Of Bausch Health US, LLC$79
- plus $177 from 6 others
What the payments were for
- Consulting fees$2,0702%
- Speaking & faculty fees$99,37086%
- Travel & lodging$7,1796%
- Food & beverage$7,1956%
- Education$1310%
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 |
|---|---|---|
| Galderma Laboratories, L.p. | 152 | $109,153 |
| AbbVie(2 entities) | 92 | $4,381 |
| Lumenis BE Inc | 1 | $1,669 |
| Merz North America, Inc. | 5 | $257 |
| Revance Therapeutics, Inc. | 8 | $231 |
| Ortho Dermatologics, A Division Of Bausch Health US, LLC | 1 | $79 |
| Solta Medical, A Division Of Bausch Health US, LLC | 1 | $78 |
| Sun Pharmaceutical Industries Inc. | 1 | $39 |
| Botanix SB Inc | 1 | $19 |
| Prugen, Inc. Pharmaceuticals | 1 | $15 |
| Mission Pharmacal Company | 1 | $14 |
| Almirall LLC | 1 | $13 |
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.
- BOTOX COSMETIC$2,708
- M22$1,669
- BOTOX$141
- XEOMIN$115
How this compares
$115,945 in reported general payments places this provider in the 90th percentile of 108 procedural dermatology providers in California.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| ValacyclovirValacyclovir Hcl | 22 | $245 |
| Minoxidil | 15 | $109 |
Paid to pharmacies, not to this prescriber.
Other procedural dermatology in Sacramento
- Suzanne KilmerSacramento$220K
- Vera ChotzenSacramento$3K
- Margaret ParsonsSacramento$3K
- Sam Khalifianla Mesa$3.5M
- Sabrina FabiSan Diego$3.1M
- Natasha MesinkovskaMission Viejo$499K
- Jeanette BlackLos Angeles$492K
- Mitchel GoldmanSan Diego$425K
- Rebecca FitzgeraldLos Angeles$230K
- Zakia RahmanStanford$181K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.