SILAS DAVID ESPINO

Podiatric Medicine & Surgery Service Providers|Podiatrist|Foot & Ankle Surgery SAN ANTONIO, TX NPI 1508488388

General Payments — all program years on this page

$1,247.58

  • Category: General Payments
  • Program years: PY2023–2024
  • Record count: 47
  • As of (CMS publication): 2026-01-23

Latest program year (PY2024): $663.26 across 33 records · disputed records: 0

Financial relationships do not necessarily indicate an improper relationship; the data is open to interpretation.

How this figure is 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

Latest program year (PY2024) · sorted by reported total.

Nature of paymentAmountRecords
Food and Beverage $663.2633

By paying entity

Latest program year (PY2024) · sorted by reported total.

By program year

Program yearAmountRecords
2023 $584.3214
2024 $663.2633

Records — PY2024 (33)

Record IDPaying entityAmountDate Nature of paymentDispute statusPublishedSource
1103699174 ABBVIE INC. $14.00 04/02/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1103699176 ABBVIE INC. $14.00 04/29/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1103699178 ABBVIE INC. $14.00 07/15/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1103699180 ABBVIE INC. $21.93 07/22/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1103699182 ABBVIE INC. $27.58 10/16/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1113899349 Paratek Pharmaceuticals, Inc. $19.55 10/17/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1113899351 Paratek Pharmaceuticals, Inc. $14.08 12/05/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1115606536 Amgen Inc. $15.91 10/29/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1115606543 Amgen Inc. $19.65 12/09/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1119824083 Stryker Corporation $37.18 02/27/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1119824085 Stryker Corporation $14.93 06/28/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1119824087 Stryker Corporation $24.82 09/27/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1124437738 Nvision Biomedical Technologies, Inc. $18.48 01/08/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1124999220 Mission Medical Distribution, LLC $15.42 04/25/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1124999224 Mission Medical Distribution, LLC $23.47 08/12/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1124999228 Mission Medical Distribution, LLC $17.27 12/10/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1127608704 Orthofix Medical, Inc. $14.31 08/27/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1127608754 Orthofix Medical, Inc. $33.05 12/11/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1127608760 Orthofix Medical, Inc. $14.00 10/30/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1130728818 Nevro Corp. $13.57 05/23/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1133425521 Averitas Pharma Inc. $16.00 08/29/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1133425526 Averitas Pharma Inc. $23.19 09/17/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1140258777 MIMEDX Group, Inc. $13.34 04/15/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1140258779 MIMEDX Group, Inc. $21.27 07/03/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1140258781 MIMEDX Group, Inc. $21.96 07/10/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1140258783 MIMEDX Group, Inc. $29.91 08/08/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1142972461 IBSA Pharma Inc. $21.42 08/15/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1144663119 Reprise Biomedical, Inc. $11.47 11/08/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1149596797 Smith+Nephew, Inc. $14.92 01/16/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1149596799 Smith+Nephew, Inc. $18.47 11/20/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1149596801 Smith+Nephew, Inc. $29.02 09/24/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1151373558 ConvaTec Inc. $38.89 11/06/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1151441451 TREACE MEDICAL CONCEPTS, INC. $16.20 05/20/2024 Food and Beverage Undisputed 01/23/2026 View at CMS

Provenance & corrections

  • Dataset: CMS Open Payments — General Payments
  • Source: CMS Open Payments dataset (bulk file)
  • Publisher of source data: Centers for Medicare & Medicaid Services
  • Generated from: OP_DTL_GNRL_PGYR2024_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.