Covered recipient · General Payments record
MIGUEL A SILVA
Allopathic & Osteopathic Physicians Pediatrics
General Payments · PY2018–2023
$1,050.88
- Reported across 44 records
- CMS publication 2026-01-23
Financial relationships do not necessarily indicate an improper relationship; the data is open to interpretation.
How these totals are calculated
- The total is the sum of the General Payments records CMS published for the labeled program year(s), exactly as published. Nothing is estimated, weighted, or combined across categories.
- General Payments only. Research and Ownership/Investment are separate datasets and are never summed with these figures; amounts are kept separate per program year.
- Featured-page threshold (a presentation gate, not a judgment): records>=3 OR total>=100 (all years).
- Methodology & Data — sourcing, labeling, and limitations.
By nature of payment
PY2023 · sorted by reported total
| Nature of payment | Amount | Records |
|---|---|---|
| Food and Beverage | $245.64 | 18 |
By paying entity
PY2023 · sorted by reported total
| Paying entity | Amount | Records |
|---|---|---|
| PFIZER INC. | $154.92 | 13 |
| NESTLE HEALTHCARE NUTRITION INC. | $24.91 | 1 |
| Phadia US Inc. | $19.52 | 1 |
| SANOFI PASTEUR INC. | $16.76 | 1 |
| Cranial Technologies, Inc | $15.81 | 1 |
| Merck Sharp & Dohme Corporation | $13.72 | 1 |
By program year
All program years on this page · sorted by year
Payment records · PY2023 (18)
Sorted by paying entity, then date · as published by CMS
| Paying entity | Amount | Date | Nature of payment | Dispute status | Published | Record ID | Source |
|---|---|---|---|---|---|---|---|
| Cranial Technologies, Inc | $15.81 | 09/05/2023 | Food and Beverage | Undisputed | 01/23/2026 | 1035752849 | CMS |
| Merck Sharp & Dohme LLC | $13.72 | 09/13/2023 | Food and Beverage | Undisputed | 01/23/2026 | 1048538967 | CMS |
| NESTLE HEALTHCARE NUTRITION INC. | $24.91 | 03/22/2023 | Food and Beverage | Undisputed | 01/23/2026 | 1012451995 | CMS |
| PFIZER INC. | $1.73 | 01/17/2023 | Food and Beverage | Undisputed | 01/23/2026 | 1050705023 | CMS |
| PFIZER INC. | $2.28 | 02/02/2023 | Food and Beverage | Undisputed | 01/23/2026 | 1049509207 | CMS |
| PFIZER INC. | $20.77 | 02/16/2023 | Food and Beverage | Undisputed | 01/23/2026 | 1050534075 | CMS |
| PFIZER INC. | $14.54 | 03/28/2023 | Food and Beverage | Undisputed | 01/23/2026 | 1049559447 | CMS |
| PFIZER INC. | $21.47 | 03/30/2023 | Food and Beverage | Undisputed | 01/23/2026 | 1050548561 | CMS |
| PFIZER INC. | $2.55 | 04/11/2023 | Food and Beverage | Undisputed | 01/23/2026 | 1050515859 | CMS |
| PFIZER INC. | $2.85 | 05/01/2023 | Food and Beverage | Undisputed | 01/23/2026 | 1049444047 | CMS |
| PFIZER INC. | $19.14 | 05/25/2023 | Food and Beverage | Undisputed | 01/23/2026 | 1050677297 | CMS |
| PFIZER INC. | $2.74 | 06/05/2023 | Food and Beverage | Undisputed | 01/23/2026 | 1049240741 | CMS |
| PFIZER INC. | $20.92 | 06/24/2023 | Food and Beverage | Undisputed | 01/23/2026 | 1050693139 | CMS |
| PFIZER INC. | $1.60 | 08/08/2023 | Food and Beverage | Undisputed | 01/23/2026 | 1049140989 | CMS |
| PFIZER INC. | $23.73 | 08/15/2023 | Food and Beverage | Undisputed | 01/23/2026 | 1049492425 | CMS |
| PFIZER INC. | $20.60 | 10/26/2023 | Food and Beverage | Undisputed | 01/23/2026 | 1049325599 | CMS |
| Phadia US Inc. | $19.52 | 01/12/2023 | Food and Beverage | Undisputed | 01/23/2026 | 971748047 | CMS |
| SANOFI PASTEUR INC. | $16.76 | 06/07/2023 | Food and Beverage | Undisputed | 01/23/2026 | 1043933035 | CMS |
Source & provenance
- Dataset
- CMS Open Payments — General Payments
- Publisher of source data
- Centers for Medicare & Medicaid Services
- CMS publication date
- 2026-01-23
- Program years on this page
- 2018, 2019, 2020, 2021, 2022, 2023
- Generated from
- OP_DTL_GNRL_PGYR2023_P01232026_01102026.csv
One page per canonical provider; split Profile_IDs are merged via Associated_Covered_Recipient_Profile_ID_1/_2 from the Covered Recipient Profile Supplement.
Corrections to the substance of a record route to CMS through its review-and-dispute process; errors in how this site mirrors or displays a record route to us. Both paths are described in Methodology & Data.