Covered recipient · General Payments record

FERNANDO SILVA

Allopathic & Osteopathic Physicians Internal Medicine Rheumatology

NPI: 1528286960
CMS profile: 251521
Location: SAN ANTONIO, TX

General Payments · PY2018–2024

$53,579.26

Reported across 624 records
CMS publication 2026-01-23

Latest program year · PY2024

$2,415.56

78 records · 0 disputed

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

PY2024 · sorted by reported total

Nature of payment	Amount	Records
Food and Beverage	$1,605.56	77
Consulting Fee	$810.00	1

By paying entity

PY2024 · sorted by reported total

Paying entity	Amount	Records
Janssen Biotech, Inc.	$965.84	9
Amgen Inc.	$609.92	30
ABBVIE INC.	$276.89	8
Acerta Pharma LLC	$143.15	6
E.R. Squibb & Sons, L.L.C.	$132.44	12
Boehringer Ingelheim Pharmaceuticals, Inc.	$85.34	4
Fresenius Kabi USA, LLC	$56.74	2
Actelion Pharmaceuticals US, Inc.	$33.32	1
DePuy Synthes Sales Inc.	$26.29	1
SOBI, INC	$20.67	1
PFIZER INC.	$17.86	1
Lilly USA, LLC	$17.70	1
Abbott Laboratories	$15.09	1
Sandoz Inc.	$14.31	1

By program year

All program years on this page · sorted by year

Program year	Amount	Records
PY2018	$1,453.50	65
PY2019	$27,640.90	209
PY2020	$9,852.61	67
PY2021	$4,817.50	81
PY2022	$6,178.08	75
PY2023	$1,221.11	49
PY2024	$2,415.56	78

Payment records · PY2024 (78)

Sorted by paying entity, then date · as published by CMS

Program year 2024 2018 2019 2020 2021 2022 2023 Record-level detail is published for PY2024; earlier years are summarised in “By program year”.

Paying entity	Amount	Date	Nature of payment	Dispute status	Published	Record ID	Source
Abbott Laboratories	$15.09	05/01/2024	Food and Beverage	Undisputed	01/23/2026	1125110743	CMS
ABBVIE INC.	$23.73	01/04/2024	Food and Beverage	Undisputed	01/23/2026	1106102459	CMS
ABBVIE INC.	$16.59	02/28/2024	Food and Beverage	Undisputed	01/23/2026	1106102461	CMS
ABBVIE INC.	$20.94	04/04/2024	Food and Beverage	Undisputed	01/23/2026	1106102463	CMS
ABBVIE INC.	$124.99	04/18/2024	Food and Beverage	Undisputed	01/23/2026	1106102465	CMS
ABBVIE INC.	$23.51	06/12/2024	Food and Beverage	Undisputed	01/23/2026	1106102467	CMS
ABBVIE INC.	$19.71	07/26/2024	Food and Beverage	Undisputed	01/23/2026	1106102469	CMS
ABBVIE INC.	$22.65	08/30/2024	Food and Beverage	Undisputed	01/23/2026	1106102471	CMS
ABBVIE INC.	$24.77	12/19/2024	Food and Beverage	Undisputed	01/23/2026	1106102473	CMS
Actelion Pharmaceuticals US, Inc.	$33.32	04/04/2024	Food and Beverage	Undisputed	01/23/2026	1078918883	CMS
Amgen Inc.	$10.70	01/04/2024	Food and Beverage	Undisputed	01/23/2026	1111708502	CMS
Amgen Inc.	$21.43	01/18/2024	Food and Beverage	Undisputed	01/23/2026	1111708494	CMS
Amgen Inc.	$21.56	01/24/2024	Food and Beverage	Undisputed	01/23/2026	1111708486	CMS
Amgen Inc.	$11.34	01/31/2024	Food and Beverage	Undisputed	01/23/2026	1111708506	CMS
Amgen Inc.	$15.99	02/07/2024	Food and Beverage	Undisputed	01/23/2026	1111708504	CMS
Amgen Inc.	$124.99	02/08/2024	Food and Beverage	Undisputed	01/23/2026	1111708516	CMS
Amgen Inc.	$4.74	02/22/2024	Food and Beverage	Undisputed	01/23/2026	1111708508	CMS
Amgen Inc.	$14.77	02/29/2024	Food and Beverage	Undisputed	01/23/2026	1111708496	CMS
Amgen Inc.	$14.51	03/05/2024	Food and Beverage	Undisputed	01/23/2026	1117383212	CMS
Amgen Inc.	$12.68	03/07/2024	Food and Beverage	Undisputed	01/23/2026	1111708488	CMS
Amgen Inc.	$17.55	03/21/2024	Food and Beverage	Undisputed	01/23/2026	1111708510	CMS
Amgen Inc.	$5.47	04/03/2024	Food and Beverage	Undisputed	01/23/2026	1111708512	CMS
Amgen Inc.	$33.50	04/11/2024	Food and Beverage	Undisputed	01/23/2026	1117383214	CMS
Amgen Inc.	$16.77	04/17/2024	Food and Beverage	Undisputed	01/23/2026	1111708498	CMS
Amgen Inc.	$11.90	04/24/2024	Food and Beverage	Undisputed	01/23/2026	1111708514	CMS
Amgen Inc.	$18.35	05/08/2024	Food and Beverage	Undisputed	01/23/2026	1111708490	CMS
Amgen Inc.	$16.59	05/22/2024	Food and Beverage	Undisputed	01/23/2026	1111708500	CMS
Amgen Inc.	$23.79	06/06/2024	Food and Beverage	Undisputed	01/23/2026	1117383216	CMS
Amgen Inc.	$12.54	07/10/2024	Food and Beverage	Undisputed	01/23/2026	1111708518	CMS
Amgen Inc.	$23.29	07/11/2024	Food and Beverage	Undisputed	01/23/2026	1111708530	CMS
Amgen Inc.	$20.62	08/01/2024	Food and Beverage	Undisputed	01/23/2026	1117383218	CMS
Amgen Inc.	$16.81	08/06/2024	Food and Beverage	Undisputed	01/23/2026	1111708532	CMS
Amgen Inc.	$21.00	08/15/2024	Food and Beverage	Undisputed	01/23/2026	1111708520	CMS
Amgen Inc.	$2.24	09/04/2024	Food and Beverage	Undisputed	01/23/2026	1111708522	CMS
Amgen Inc.	$19.92	09/12/2024	Food and Beverage	Undisputed	01/23/2026	1117383220	CMS
Amgen Inc.	$23.58	09/18/2024	Food and Beverage	Undisputed	01/23/2026	1111708524	CMS
Amgen Inc.	$21.59	10/23/2024	Food and Beverage	Undisputed	01/23/2026	1111708526	CMS
Amgen Inc.	$15.98	10/24/2024	Food and Beverage	Undisputed	01/23/2026	1111708492	CMS
Amgen Inc.	$19.41	11/14/2024	Food and Beverage	Undisputed	01/23/2026	1117383222	CMS
Amgen Inc.	$16.31	12/04/2024	Food and Beverage	Undisputed	01/23/2026	1111708528	CMS
AstraZeneca Pharmaceuticals LP	$17.40	01/18/2024	Food and Beverage	Undisputed	01/23/2026	1104411057	CMS
AstraZeneca Pharmaceuticals LP	$28.95	02/22/2024	Food and Beverage	Undisputed	01/23/2026	1105615783	CMS
AstraZeneca Pharmaceuticals LP	$44.94	03/19/2024	Food and Beverage	Undisputed	01/23/2026	1104435919	CMS
AstraZeneca Pharmaceuticals LP	$13.96	08/13/2024	Food and Beverage	Undisputed	01/23/2026	1104687150	CMS
AstraZeneca Pharmaceuticals LP	$17.15	08/29/2024	Food and Beverage	Undisputed	01/23/2026	1104632721	CMS
AstraZeneca Pharmaceuticals LP	$20.75	11/22/2024	Food and Beverage	Undisputed	01/23/2026	1104322460	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$17.75	04/25/2024	Food and Beverage	Undisputed	01/23/2026	1118046076	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$14.54	05/29/2024	Food and Beverage	Undisputed	01/23/2026	1118046074	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$26.01	07/11/2024	Food and Beverage	Undisputed	01/23/2026	1118046078	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$27.04	09/25/2024	Food and Beverage	Undisputed	01/23/2026	1118046080	CMS
DePuy Synthes Sales Inc.	$26.29	11/05/2024	Food and Beverage	Undisputed	01/23/2026	1077897464	CMS
E.R. Squibb & Sons, L.L.C.	$1.50	05/24/2024	Food and Beverage	Undisputed	01/23/2026	1101711093	CMS
E.R. Squibb & Sons, L.L.C.	$2.16	05/24/2024	Food and Beverage	Undisputed	01/23/2026	1101711097	CMS
E.R. Squibb & Sons, L.L.C.	$17.18	05/24/2024	Food and Beverage	Undisputed	01/23/2026	1101711101	CMS
E.R. Squibb & Sons, L.L.C.	$15.18	06/19/2024	Food and Beverage	Undisputed	01/23/2026	1101711123	CMS
E.R. Squibb & Sons, L.L.C.	$1.25	06/19/2024	Food and Beverage	Undisputed	01/23/2026	1101711127	CMS
E.R. Squibb & Sons, L.L.C.	$14.54	07/16/2024	Food and Beverage	Undisputed	01/23/2026	1101711134	CMS
E.R. Squibb & Sons, L.L.C.	$18.44	08/21/2024	Food and Beverage	Undisputed	01/23/2026	1101711149	CMS
E.R. Squibb & Sons, L.L.C.	$18.54	09/06/2024	Food and Beverage	Undisputed	01/23/2026	1101711157	CMS
E.R. Squibb & Sons, L.L.C.	$5.69	10/25/2024	Food and Beverage	Undisputed	01/23/2026	1101711179	CMS
E.R. Squibb & Sons, L.L.C.	$4.90	10/25/2024	Food and Beverage	Undisputed	01/23/2026	1101711182	CMS
E.R. Squibb & Sons, L.L.C.	$10.12	10/25/2024	Food and Beverage	Undisputed	01/23/2026	1101711186	CMS
E.R. Squibb & Sons, L.L.C.	$22.94	11/21/2024	Food and Beverage	Undisputed	01/23/2026	1101711205	CMS
Fresenius Kabi USA, LLC	$29.82	08/07/2024	Food and Beverage	Undisputed	01/23/2026	1146954510	CMS
Fresenius Kabi USA, LLC	$26.92	12/11/2024	Food and Beverage	Undisputed	01/23/2026	1146954508	CMS
Janssen Biotech, Inc.	$810.00	01/09/2024	Consulting Fee	Undisputed	01/23/2026	1078755747	CMS
Janssen Biotech, Inc.	$22.52	02/01/2024	Food and Beverage	Undisputed	01/23/2026	1078763659	CMS
Janssen Biotech, Inc.	$18.34	02/09/2024	Food and Beverage	Undisputed	01/23/2026	1078759815	CMS
Janssen Biotech, Inc.	$24.44	03/14/2024	Food and Beverage	Undisputed	01/23/2026	1078757690	CMS
Janssen Biotech, Inc.	$21.40	05/16/2024	Food and Beverage	Undisputed	01/23/2026	1078761062	CMS
Janssen Biotech, Inc.	$18.37	07/17/2024	Food and Beverage	Undisputed	01/23/2026	1078761072	CMS
Janssen Biotech, Inc.	$19.15	10/03/2024	Food and Beverage	Undisputed	01/23/2026	1078755165	CMS
Janssen Biotech, Inc.	$2.89	10/03/2024	Food and Beverage	Undisputed	01/23/2026	1078767067	CMS
Janssen Biotech, Inc.	$28.73	12/18/2024	Food and Beverage	Undisputed	01/23/2026	1078758298	CMS
Lilly USA, LLC	$17.70	09/05/2024	Food and Beverage	Undisputed	01/23/2026	1134976050	CMS
PFIZER INC.	$17.86	10/03/2024	Food and Beverage	Undisputed	01/23/2026	1132106878	CMS
Sandoz Inc.	$14.31	04/18/2024	Food and Beverage	Undisputed	01/23/2026	1089368914	CMS
SOBI, INC	$20.67	11/08/2024	Food and Beverage	Undisputed	01/23/2026	1141429567	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, 2024
Source files: Dataset page · Bulk file · PY2018 , PY2019 , PY2020 , PY2021 , PY2022 , PY2023 , PY2024
Generated from: OP_DTL_GNRL_PGYR2024_P01232026_01102026.csv

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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.