Total Payments
$5,588
2024 Payments
$452.46
Companies
27
Transactions
163
Medicare Patients
1,235
Medicare Billing
$172,372
Payment Breakdown by Category
Food & Beverage$3,819 (68.3%)
Consulting$800.00 (14.3%)
Research$690.00 (12.3%)
Education$237.33 (4.2%)
Travel$42.25 (0.8%)
Other$0.00 (0.0%)
Payments by Nature
| Nature of Payment | Amount | Transactions | Share |
|---|---|---|---|
| Food and Beverage | $3,819 | 158 | 68.3% |
| Consulting Fee | $800.00 | 1 | 14.3% |
| Unspecified | $690.00 | 1 | 12.3% |
| Education | $237.33 | 2 | 4.2% |
| Travel and Lodging | $42.25 | 1 | 0.8% |
Payments by Type
General
$4,898
162 transactions
Research
$690.00
1 transactions
Top Paying Companies
| Company | Total | Records | Latest Year |
|---|---|---|---|
| INTUITIVE SURGICAL, INC. | $1,110 | 30 | $0 (2024) |
| CONMED Corporation | $872.93 | 5 | $0 (2018) |
| Covidien LP | $690.00 | 1 | $0 (2017) |
| Otsuka America Pharmaceutical, Inc. | $602.20 | 37 | $0 (2021) |
| Medtronic, Inc. | $577.45 | 15 | $0 (2023) |
| Relypsa, Inc. | $429.44 | 26 | $0 (2020) |
| Ethicon US, LLC | $229.82 | 3 | $0 (2024) |
| OPKO Pharmaceuticals, LLC | $194.24 | 10 | $0 (2021) |
| TELA Bio, Inc. | $159.27 | 1 | $0 (2023) |
| Medtronic USA, Inc. | $146.75 | 3 | $0 (2017) |
Payment History by Year
| Year | Amount | Transactions | Top Company |
|---|---|---|---|
| 2024 | $452.46 | 4 | Ethicon US, LLC ($229.82) |
| 2023 | $409.02 | 11 | Medtronic, Inc. ($235.36) |
| 2022 | $378.27 | 8 | Medtronic, Inc. ($319.87) |
| 2021 | $339.81 | 18 | Otsuka America Pharmaceutical, Inc. ($126.33) |
| 2020 | $246.86 | 13 | Otsuka America Pharmaceutical, Inc. ($112.54) |
| 2019 | $543.62 | 32 | Otsuka America Pharmaceutical, Inc. ($150.67) |
| 2018 | $1,315 | 27 | CONMED Corporation ($836.10) |
| 2017 | $1,903 | 50 | Intuitive Surgical, Inc. ($708.76) |
All Payment Transactions
163 individual payment records from CMS Open Payments — Page 1 of 7
| Date | Company | Product | Nature | Form | Amount | Type |
|---|---|---|---|---|---|---|
| 10/22/2024 | INTUITIVE SURGICAL, INC. | Da Vinci Surgical System (Device) | Education | In-kind items and services | $222.64 | General |
| Category: SURGERY | ||||||
| 08/26/2024 | Ethicon US, LLC | Echelon; Endopath (Device) | Food and Beverage | In-kind items and services | $40.22 | General |
| Category: Endo-Mechanical | ||||||
| 01/18/2024 | Ethicon US, LLC | Echelon Circular (Device), Echelon; Endopath | Food and Beverage | In-kind items and services | $139.60 | General |
| Category: Endo-Mechanical | ||||||
| 01/11/2024 | Ethicon US, LLC | Echelon; Endopath (Device) | Food and Beverage | In-kind items and services | $50.00 | General |
| Category: Endo-Mechanical | ||||||
| 12/14/2023 | Medtronic, Inc. | INTERSTIM (Device) | Food and Beverage | In-kind items and services | $9.80 | General |
| Category: Sacral Nerve Stimulation | ||||||
| 08/07/2023 | Medtronic, Inc. | INTERSTIM (Device) | Food and Beverage | In-kind items and services | $10.05 | General |
| Category: Sacral Nerve Stimulation | ||||||
| 06/29/2023 | Medtronic, Inc. | INTERSTIM (Device) | Food and Beverage | In-kind items and services | $10.31 | General |
| Category: Sacral Nerve Stimulation | ||||||
| 06/15/2023 | Braintree Laboratories, Inc. | SUTAB (Drug) | Food and Beverage | In-kind items and services | $14.39 | General |
| Category: GI COLON PREP | ||||||
| 05/25/2023 | Medtronic, Inc. | INTERSTIM (Device) | Food and Beverage | In-kind items and services | $10.61 | General |
| Category: Sacral Nerve Stimulation | ||||||
| 05/12/2023 | Medtronic, Inc. | INTERSTIM (Device) | Food and Beverage | In-kind items and services | $121.98 | General |
| Category: Sacral Nerve Stimulation | ||||||
| 05/12/2023 | Medtronic, Inc. | INTERSTIM (Device) | Food and Beverage | In-kind items and services | $24.03 | General |
| Category: Sacral Nerve Stimulation | ||||||
| 03/30/2023 | Medtronic, Inc. | INTERSTIM (Device) | Food and Beverage | In-kind items and services | $7.85 | General |
| Category: Sacral Nerve Stimulation | ||||||
| 03/07/2023 | TELA Bio, Inc. | OviTex Reinforced Bioscaffold With Permanent Polymer (OviTex) (Device) | Food and Beverage | In-kind items and services | $159.27 | General |
| Category: Surgical Mesh | ||||||
| 03/06/2023 | Medtronic, Inc. | INTERSTIM (Device) | Food and Beverage | In-kind items and services | $10.49 | General |
| Category: Sacral Nerve Stimulation | ||||||
| 01/25/2023 | Medtronic, Inc. | SIGNIA (Device) | Food and Beverage | In-kind items and services | $30.24 | General |
| Category: Surgical Stapling | ||||||
| 11/17/2022 | Medtronic, Inc. | INTERSTIM (Device) | Food and Beverage | In-kind items and services | $22.36 | General |
| Category: Sacral Nerve Stimulation | ||||||
| 10/21/2022 | Medtronic, Inc. | INTERSTIM (Device) | Food and Beverage | In-kind items and services | $21.04 | General |
| Category: Sacral Nerve Stimulation | ||||||
| 09/15/2022 | Medtronic, Inc. | INTERSTIM (Device) | Food and Beverage | In-kind items and services | $118.44 | General |
| Category: Sacral Nerve Stimulation | ||||||
| 06/16/2022 | Bayer HealthCare Pharmaceuticals Inc. | Kerendia (Drug) | Food and Beverage | In-kind items and services | $28.39 | General |
| Category: Cardio-renal | ||||||
| 03/30/2022 | Medtronic, Inc. | INTERSTIM (Device) | Food and Beverage | In-kind items and services | $143.33 | General |
| Category: Sacral Nerve Stimulation | ||||||
| 03/29/2022 | Medtronic, Inc. | INTERSTIM (Device) | Food and Beverage | In-kind items and services | $14.70 | General |
| Category: Sacral Nerve Stimulation | ||||||
| 03/10/2022 | Daiichi Sankyo Inc. | INJECTAFER (Drug) | Food and Beverage | In-kind items and services | $15.88 | General |
| Category: Iron Deficiency Anemia | ||||||
| 02/10/2022 | Vifor Pharma, Inc. | Veltassa (Drug) | Food and Beverage | In-kind items and services | $14.13 | General |
| Category: Hyperkalemia | ||||||
| 12/16/2021 | Vifor Pharma, Inc. | Veltassa (Drug) | Food and Beverage | In-kind items and services | $15.34 | General |
| Category: Hyperkalemia | ||||||
| 11/11/2021 | Pharmacosmos Therapeutics Inc. | Monoferric (Drug) | Food and Beverage | In-kind items and services | $18.33 | General |
| Category: Hematology | ||||||
Research Studies & Clinical Trials
| Study Name | Company | Amount | Records |
|---|---|---|---|
| Kirin Surgeon lab April 18 20 2017 | Covidien LP | $690.00 | 1 |
Medicare Billing by Year
| Year | Procedures | Beneficiaries | Services | Submitted | Medicare Paid |
|---|---|---|---|---|---|
| 2023 | 7 | 196 | 306 | $71,850 | $27,061 |
| 2022 | 11 | 332 | 469 | $120,725 | $51,066 |
| 2021 | 12 | 357 | 483 | $141,532 | $50,702 |
| 2020 | 12 | 350 | 483 | $136,914 | $43,543 |
Total Patients
1,235
Total Services
1,741
Medicare Billing
$172,372
Procedure Codes
42
All Medicare Procedures & Services
42 procedure records from CMS Medicare Utilization — Page 1 of 2
| HCPCS | Description | Setting | Year | Patients | Services | Charges | Medicare Paid | Ratio |
|---|---|---|---|---|---|---|---|---|
| 46221 | Removal of external hemorrhoids by rubber banding | Office | 2023 | 31 | 72 | $28,240 | $11,197 | 39.7% |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | Facility | 2023 | 25 | 68 | $7,548 | $4,228 | 56.0% |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | Facility | 2023 | 19 | 19 | $13,585 | $3,230 | 23.8% |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | Facility | 2023 | 22 | 24 | $6,624 | $3,209 | 48.4% |
| 46600 | Diagnostic exam of anus using an endoscope | Office | 2023 | 51 | 60 | $9,033 | $2,251 | 24.9% |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | Office | 2023 | 22 | 27 | $4,324 | $1,976 | 45.7% |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | Office | 2023 | 26 | 36 | $2,496 | $969.39 | 38.8% |
| 46221 | Removal of external hemorrhoids by rubber banding | Office | 2022 | 33 | 82 | $41,820 | $17,854 | 42.7% |
| 46600 | Diagnostic exam of anus using an endoscope | Office | 2022 | 78 | 93 | $15,810 | $8,350 | 52.8% |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | Facility | 2022 | 23 | 23 | $16,445 | $3,991 | 24.3% |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | Office | 2022 | 45 | 45 | $6,975 | $3,710 | 53.2% |
| 99232 | Follow-up hospital inpatient care per day, typically 25 minutes | Facility | 2022 | 20 | 65 | $7,215 | $3,565 | 49.4% |
| 99223 | Initial hospital inpatient care per day, typically 70 minutes | Facility | 2022 | 19 | 20 | $5,520 | $3,095 | 56.1% |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | Office | 2022 | 42 | 62 | $4,712 | $2,764 | 58.7% |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | Office | 2022 | 31 | 37 | $4,588 | $2,579 | 56.2% |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | Office | 2022 | 15 | 15 | $3,450 | $1,977 | 57.3% |
| 45380 | Biopsy of large bowel using a flexible endoscope | Facility | 2022 | 13 | 13 | $12,090 | $1,760 | 14.6% |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | Office | 2022 | 13 | 14 | $2,100 | $1,420 | 67.6% |
| 46221 | Removal of external hemorrhoids by rubber banding | Office | 2021 | 22 | 54 | $28,360 | $12,733 | 44.9% |
| 99204 | New patient outpatient visit, total time 45-59 minutes | Office | 2021 | 47 | 47 | $12,245 | $5,910 | 48.3% |
| 46600 | Diagnostic examination of the anus using an endoscope | Office | 2021 | 45 | 54 | $19,143 | $5,189 | 27.1% |
| 99214 | Established patient outpatient visit, total time 30-39 minutes | Office | 2021 | 50 | 58 | $8,875 | $5,181 | 58.4% |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | Facility | 2021 | 26 | 68 | $10,292 | $3,829 | 37.2% |
| 99213 | Established patient outpatient visit, total time 20-29 minutes | Office | 2021 | 52 | 59 | $6,256 | $3,733 | 59.7% |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | Facility | 2021 | 20 | 21 | $19,917 | $3,718 | 18.7% |
About Dr. Ralph Silverman, MD
Dr. Ralph Silverman, MD is a Colon & Rectal Surgery healthcare provider based in St. Louis, Missouri. This provider has been registered with the National Plan and Provider Enumeration System (NPPES) since 05/31/2005. The National Provider Identifier (NPI) number assigned to this provider is 1801899141.
According to the Centers for Medicare & Medicaid Services (CMS) Open Payments database, Dr. Ralph Silverman, MD has received a total of $5,588 in payments from pharmaceutical and medical device companies, with $452.46 received in 2024. These payments were reported across 163 transactions from 27 companies. The most common payment nature is "Food and Beverage" ($3,819).
As a Medicare-enrolled provider, Silverman has provided services to 1,235 Medicare beneficiaries, totaling 1,741 services with total Medicare billing of $172,372. Data is available for 4 years (2020–2023), covering 42 distinct procedure/service records.
Ad
Practice Information
- Specialty Colon & Rectal Surgery
- Other Specialties Colon & Rectal Surgery
- Location St. Louis, MO
- Active Since 05/31/2005
- Last Updated 03/16/2021
- Taxonomy Code 208C00000X
- Entity Type Individual
- NPI Number 1801899141
Products in Payments
- Da Vinci Surgical System (Device) $1,110
- CONMED Handheld Instruments (Device) $800.00
- INTERSTIM (Device) $693.96
- ForceTriad (Device) $690.00
- Veltassa (Drug) $499.84
- JYNARQUE (Drug) $441.02
- SAMSCA (Drug) $179.14
- OviTex Reinforced Bioscaffold With Permanent Polymer (OviTex) (Device) $159.27
- Echelon Circular (Device) $139.60
- Rayaldee (Drug) $134.65
- Echelon; Endopath (Device) $90.22
- GATTEX (Drug) $84.29
- AirSeal (Device) $72.93
- ELIQUIS (Drug) $72.40
- RAYALDEE (Drug) $59.59
- Xerava (Drug) $54.92
- Velphoro (Drug) $54.86
- Kerendia (Drug) $42.53
- SIGNIA (Device) $30.24
- ACTHAR (Biological) $25.38
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Data Sources
Provider data from NPPES. Payment data from CMS Open Payments. Medicare data from CMS Medicare Provider Utilization. All data is public and updated periodically.