Medicare Enrolled
Dr. Jorge Fernandez-Silva, M.D.
Anesthesiology · Merritt Island, FL
Practice pattern: Clinical Cardiology
— Primarily office-based clinical cardiology
Very High
DATA COVERAGE
Data in 4 of 4 federal sources
Measures public federal data availability — not provider quality
Informational, not a quality rating.
This page presents federal public records about Dr. Fernandez-Silva from CMS (NPPES, Open Payments, Medicare Provider Utilization, PECOS). It is not medical advice, an endorsement, or a judgment of clinical quality. Always consult the provider directly and a licensed clinician for medical decisions. Read methodology →
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What this data tells you about Dr. Fernandez-Silva
Dr. Jorge Fernandez-Silva is an anesthesiology specialist in Merritt Island, FL, with 18 years of NPI registration. Based on federal Medicare data, Dr. Fernandez-Silva performed 1,732 Medicare services in 2023. These records do not provide a deduplicated patient total.
Between the years covered by Open Payments, Dr. Fernandez-Silva received a total of $9,195 from 41 pharmaceutical and/or device companies across 166 payment records. A record can group multiple payments. These transfers are publicly reported through CMS Open Payments. Disclosure alone does not establish their effect on care. A reliable breakdown by payment category is not available in this snapshot. Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Dr. Fernandez-Silva is Very High — reflecting how much public federal data is available about this provider. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.
✓ 18 years of NPI registration
▲ Top 5% volume in FL
$9,195 industry payments
Medicare Practice Summary — 2023
Medicare Utilization ↗1,732
Medicare services
Top 5% in FL for anesthesiology
Not available
Unique patients (not deduplicated)
$52
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
Top procedures by volume
Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.
| Procedure | Volume | Avg. paid | Avg. submitted |
|---|---|---|---|
| Office visit, established patient (30-39 min) A follow-up office visit for an existing patient lasting between 30 and 39 minutes. The visit involves medical evaluation and management of the patient's condition. |
428 | $94 | $171 |
| Office visit, established patient (20-29 min) An office visit for an existing patient lasting between 20 and 29 minutes. The visit involves medical evaluation and management of the patient's condition. |
223 | $62 | $118 |
| Dexamethasone injection (steroid) An injection of dexamethasone sodium phosphate, a corticosteroid medication, administered in a dose of 1 milligram. |
180 | $0 | $2 |
| Contrast dye for imaging, lower concentration | 167 | $0 | $5 |
| Injection, fentanyl citrate, 0.1 mg | 103 | $1 | $5 |
| Injection, methylprednisolone acetate, 40 mg | 96 | $6 | $25 |
| Principal care management for high-risk disease, first 30 minutes This service covers the initial 30 minutes of clinical staff time per calendar month to manage a single high-risk disease. It is directed by a healthcare professional. |
83 | $50 | $85 |
| New patient office visit (45-59 min) An initial office visit for a new patient lasting between 45 and 59 minutes. This code covers the total time spent by the physician or qualified healthcare professional on the date of the encounter. |
72 | $119 | $220 |
| Drug test with direct observation A drug screening test performed under direct observation to ensure the sample is provided correctly. This method is used to verify the integrity of the specimen collection process. |
65 | $12 | $35 |
| Injection into lower spine canal with imaging guidance A procedure where a substance is injected into the lower part of the spinal canal. The injection is performed using imaging guidance to ensure accurate placement. |
60 | $148 | $345 |
| Steroid injection (triamcinolone) A 10 mg injection of triamcinolone acetonide, a corticosteroid medication. This code specifies the drug and dosage administered. |
50 | $1 | $10 |
| Midazolam injection, per 1 mg Administration of midazolam hydrochloride, a sedative medication, measured in 1 mg increments. |
34 | $0 | $38 |
| Trigger point injection, 1-2 muscles A procedure involving the injection of medication into one or two specific muscles to treat trigger points. |
31 | $38 | $75 |
| Spine facet joint injection with imaging guidance, single level An injection is administered into a single facet joint of the lower or sacral spine while using imaging guidance to ensure accurate placement. |
30 | $132 | $233 |
| Facet joint injection, second level, with imaging guidance An injection into a lower or sacral spine facet joint using imaging guidance for the second level treated. |
26 | $72 | $122 |
| Fluoroscopic guidance for needle placement Use of real-time X-ray imaging to guide the precise placement of a needle during a medical procedure. |
20 | $84 | $190 |
| Joint injection, major joint Removal of fluid from a large joint and/or injection of medication into the joint space. |
18 | $55 | $89 |
| New patient office visit (30-44 min) An initial office visit for a new patient lasting between 30 and 44 minutes. This code is used when the total time spent on the date of the encounter falls within this range. |
17 | $84 | $151 |
| Sacral spine nerve root injection with imaging guidance An injection of anesthetic and/or steroid medication into a sacral spine nerve root. The procedure uses imaging guidance to ensure accurate placement. |
15 | $85 | $324 |
| Methylprednisolone acetate injection, 80 mg An injection of 80 mg of methylprednisolone acetate, a corticosteroid medication. |
14 | $9 | $25 |
How to read this data: This reflects Medicare patients only (typically 65+). Payment amounts are what Medicare paid the provider, not your out-of-pocket cost. These counts do not measure clinical quality or years of experience.
Industry Payment Transparency
Open Payments through 2024 ↗$9,195
Total received (2018-2024)
Avg $1,314/year across 7 years
Top 4% in FL for anesthesiology
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
41
Companies
166
Payment records
Payments are publicly reported; disclosure does not establish legality · Not evidence of wrongdoing · How to interpret →
Payment categories are unavailable while the source breakdown is being rebuilt. Company and year totals do not identify how much belongs to each category.
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$1,123
2023
$1,094
2022
$3,142
2021
$655
2020
$692
2019
$1,011
2018
$1,478
Payments by company (2024)
Spinal Simplicity, LLC
$436
Boston Scientific Corporation
$225
Abbott Laboratories
$134
Vertos Medical, Inc.
$114
Curonix LLC
$98
IBSA Pharma Inc.
$51
HydroCision, Inc.
$40
Nalu Medical, Inc.
$25
Top 3 companies account for 70.8% of 2024 payments
All-time payments by company (2018-2024) ›
Boston Scientific Corporation
$2,431
Abbott Laboratories
$1,500
Vertos Medical, Inc.
$725
Stimwave Technologies Incorporated
$684
Spinal Simplicity, LLC
$436
Medtronic USA, Inc.
$417
Nutech Spine, Inc.
$408
Medtronic, Inc.
$279
Nevro Corp.
$252
Flowonix Medical Incorporated
$249
GRT US Holding, Inc.
$233
SPR Therapeutics, Inc
$196
Nalu Medical, Inc.
$178
BOSTON SCIENTIFIC CORPORATION
$176
IBSA Pharma Inc.
$113
Curonix LLC
$98
TerSera Therapeutics LLC
$74
Daiichi Sankyo Inc.
$70
Allergan Inc.
$67
Pernix Therapeutics Holdings, Inc.
$56
AKRIMAX PHARMACEUTICALS, LLC
$52
Collegium Pharmaceutical, Inc.
$48
ABBVIE INC.
$44
HydroCision, Inc.
$40
Zavation Medical Products, LLC
$37
Nuvectra Corporation
$37
SCILEX PHARMACEUTICALS INC.
$31
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$30
Ferring Pharmaceuticals Inc.
$30
Almatica Pharma LLC
$29
Lilly USA, LLC
$24
Relievant Medsystems, Inc.
$17
Kaleo, Inc.
$17
PFIZER INC.
$16
Kowa Pharmaceuticals America, Inc.
$16
Zyla Life Sciences, Inc.
$16
Amgen Inc.
$15
Biohaven Pharmaceutical Holding Company Ltd.
$14
Assertio Therapeutics, Inc.
$14
Teva Pharmaceuticals USA, Inc.
$12
Purdue Pharma L.P.
$12
Top 3 companies account for 50.6% of all-time payments
Associated products mentioned in payments ›
AJOVY · Algovita · BOTOX · BOTOX THERAPEUTIC · CFNS StimQ Peripheral Nerve StimulatorSystem · DRG IPGs · EMGALITY · EUFLEXXA · Evzio · GRALISE · General - Pain Management · Gralise · HA MINUTEMAN G3-R · INTELLIS · INTELLIS ADAPTIVESTIM · Intracept · LICART · LYRICA · Lamitrode SCS Leads · Licart · Morphabond ER · N'VISION · NURTEC ODT · Nalu Neurostimulation System · Neuromodulation Dspsbls and Accs · Omnia · PNS FREEDOM-4A PERMANENT NEUROSTIMULATOR RECEIVER KIT CHANNEL A · PRIALT · PROCLAIM · Prialt · Proclaim Family of SCS IPGs · Proclaim IPG · Prolia · Prometra II · QULIPTA · Qutenza · RELISTOR · RELISTOR ORAL · SPECTRA WAVEWRITER · SPRINT PNS System · SPRIX · SYMPROIC · SYNCHROMED · SYNCHROMEDII · Seglentis · Senza Spinal Cord Stimulation System · Sifix · StimQ Peripheral Nerve StimulatorSystem · StimQ Receiver Stimulator Kit Channel A US w/Receiver · Superion · Superion Indirect Decompression System · TENJET · Tirosint · WaveWriter Alpha Prime 16 · XTAMPZA · ZOHYDRO ER · ZTLido · mild Device Kit
Should you be concerned? Industry payments are disclosed through CMS Open Payments. Disclosure alone does not establish their purpose, legality, or effect on care. What matters is whether a recommended drug or device appears in your doctor's payment records. If so, consider asking your doctor about it. How to interpret this data →
Geographic Context
Anesthesiologists in nearby ZIP areas
68
County median income
$75,817
Nearest hospital to ZIP centroid (approximate)
CAPE CANAVERAL HOSPITAL
2.0 mi
2.0 mi
Data Sources
| Provider Registry | ✓ NPPES | NPPES snapshot; verify current record |
| Medicare Enrollment | ✓ PECOS | PECOS snapshot |
| Practice Data | ✓ Medicare Util. | Annual (CY lag) |
| Industry Payments | ✓ Open Payments | CY 2024 |
| Disciplinary History | — Not included | N/A |
This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This reflects how much public data is available about a provider. How we calculate this →
Summary
Dr. Fernandez-Silva is a clinical cardiology specialist, with above-average Medicare volume (top 5% in FL), with 18 years of NPI registration.
This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →
Frequently Asked Questions
Is Dr. Fernandez-Silva experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Fernandez-Silva performed 428 office visit, established patient (30-39 min) services. These records cover Medicare fee-for-service activity, including eligible younger beneficiaries; they do not measure total practice volume or clinical quality.
Does Dr. Fernandez-Silva receive payments from pharmaceutical companies?
Yes. Dr. Fernandez-Silva received a total of $9,195 from 41 companies across 166 payment records. A record can group multiple payments. These transfers are publicly disclosed through CMS Open Payments. Disclosure alone does not establish their legality or effect on care. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Dr. Fernandez-Silva's costs compare to other anesthesiologists in Merritt Island?
Dr. Fernandez-Silva's average Medicare payment per service is $52. Note that these figures represent what Medicare pays, not your out-of-pocket cost, which depends on your specific insurance plan and deductible. Procedure-level data above shows both what was submitted and what Medicare paid for each service type.
What does Data Coverage mean?
Data Coverage (currently Very High for Dr. Fernandez-Silva) measures how much public federal data is available about a provider. It is not a quality rating. A "Very High" or "High" level means the provider has data across multiple federal sources (NPPES, PECOS, Medicare Utilization, Open Payments), indicating the presence of registry, enrollment, activity or payment records, not verified experience or clinical quality. A "Low" or "Moderate" level may simply mean the provider is newer, does not see Medicare patients, or has not received any industry payments — none of which are inherently negative. Read our full methodology →
Is this data up to date?
Source publication dates and the snapshots loaded on this site can differ. Rebuilding a page does not refresh its source records. Check the Medicare reporting year and the payment interval shown above; consult the linked official sources for newer releases and current registry details. See our data freshness policy →
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About this page
This page combines public CMS records with calculated summaries and explanatory procedure labels. These transformations are not verbatim federal records. Sources: NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.
This page is not medical advice, an endorsement, a recommendation, or a quality rating. Data Coverage reflects data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.
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