Vincent Silvaggio, MD
Orthopedic Surgery · Pittsburgh, PANPI 1598730699
Payments from drug & device makers
What this record shows
This record is dominated by royalties or licence payments: $178,117 of the $178,819 with a category attached, or 99.6%. Globus Medical accounts for 99.6% of it on its own, with 3 other manufacturers making up the rest. Reporting peaked in 2019 at $63,148 and has fallen 99.8% since, to $133 in 2024. Among orthopedic surgery clinicians in PA 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 17 payments — averaging $10,519 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Globus Medical$178K
- Integrity Implants Inc.$407
- Spinal Elements, Inc.$145
- Medacta USA, Inc.$133
What the payments were for
- Royalty or licence$178,117100%
- Travel & lodging$3190%
- Food & beverage$3380%
- Gifts$440%
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 |
|---|---|---|
| Globus Medical(2 entities) | 11 | $178,134 |
| Integrity Implants Inc. | 3 | $407 |
| Spinal Elements, Inc. | 2 | $145 |
| Medacta USA, Inc. | 1 | $133 |
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.
- REVERE 5.5 Degen Ti System$123,314
- REVERE$54,803
- FlareHawk$319
- GMK Sphere Revision System$133
- Medical Device$122
How this compares
$178,819 in reported general payments places this provider in the 90th percentile of 43 orthopedic surgery providers in Pennsylvania.
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 |
|---|---|---|
| Gabapentin | 104 | $607 |
| Methylprednisolone | 113 | $506 |
| Diclofenac Sodium | 39 | $498 |
| Mupirocin | 70 | $314 |
| Meloxicam | 95 | $166 |
| Celecoxib | 11 | $144 |
| Prednisone | 40 | $103 |
| Methocarbamol | 16 | $94 |
| Oxycodone Hcl | 23 | $93 |
| Naproxen | 11 | $60 |
| Amoxicillin | 18 | $15 |
Paid to pharmacies, not to this prescriber.
Other orthopedic surgery in Pittsburgh
- James BradleyPittsburgh$5.2M
- Carl HasselmanPittsburgh$719K
- Richard McGoughPittsburgh$261K
- Patrick SmithPittsburgh$20K
- Alex KlinePittsburgh$8K
- Trenton GausePittsburgh$4K
- Mark RodoskyPittsburgh$2K
- William DonaldsonPittsburgh$1K
- Aaron TaylorPittsburgh$1K
- William AbrahamPittsburgh$1K
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.