Medicare Enrolled

Dr. Kassia Silva

Pain Medicine · St Augustine, FL
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
Research-focused
1100 PLANTATION ISLAND DR S STE 220, St Augustine, FL 32080
9042233321
In practice since 2016 (10 years)
NPI: 1003279316 verify on NPPES ↗
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. 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. Silva

Dr. Kassia Silva is a pain medicine specialist in St Augustine, FL, with 10 years of NPI registration. Based on federal Medicare data, Dr. Silva performed 3,352 Medicare services across 1,332 unique beneficiaries.

Between the years covered by Open Payments, Dr. Silva received a total of $43,563 from 28 pharmaceutical and/or device companies across 125 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in pain medicine. The majority of payments are classified as research and scientific activities (grants and research funding). Patients may wish to discuss these relationships with their provider.

The Data Coverage level for Dr. Silva is Very High — reflecting how much public federal data is available about this provider. This is not a quality rating. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.

✓ 10 years in practice ▲ Top 27% volume in FL $43,563 industry payments

Medicare Practice Summary

Medicare Utilization ↗
3,352
Medicare services
Top 27% in FL for pain medicine
1,332
Unique beneficiaries
$58
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~335 Medicare services per year of practice

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
Dexamethasone injection (steroid) 1,162 $0 $1
Steroid injection (triamcinolone) 633 $1 $4
Office visit, established patient (30-39 min) 337 $91 $509
Office visit, established patient (20-29 min) 204 $62 $360
New patient office visit (45-59 min) 188 $113 $668
Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance 93 $141 $850
Drug screening test 89 $61 $249
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms 86 $242 $988
Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level 59 $198 $1,198
Injection of lower or sacral spine facet joint using imaging guidance, single level 54 $191 $1,290
Injection of lower or sacral spine facet joint using imaging guidance, second level 54 $100 $666
Injection of substance into lower spine canal using imaging guidance 43 $179 $1,018
Injection, midazolam hydrochloride, per 1 mg 41 $0 $1
Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level 40 $86 $442
Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint 32 $463 $3,150
Destruction of lower or sacral spinal facet joint nerves using imaging guidance, each additional facet joint 32 $259 $1,713
Fluoroscopic guidance for needle placement 30 $85 $455
Joint injection, major joint 25 $49 $314
Injection of upper or middle spine facet joint using imaging guidance, single level 24 $191 $1,227
Injection of upper or middle spine facet joint using imaging guidance, second level 23 $99 $621
Aspiration and/or injection of fluid large joint using ultrasound guidance 17 $86 $520
Injection of substance into middle or upper spine canal using imaging guidance 16 $202 $1,031
Destruction of upper or middle spinal facet joint nerves using imaging guidance, single facet joint 15 $442 $2,865
Destruction of upper or middle spinal facet joint nerves using imaging guidance, each additional facet joint 15 $262 $1,671
Ultrasonic guidance for needle placement 14 $45 $231
Injection, methylprednisolone acetate, 40 mg 14 $6 $26
Ringers lactate infusion, up to 1000 cc 12 $2 $10
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. A higher procedure volume generally indicates more experience with that procedure.
0.4% high complexity
71.4% medium
28.3% routine

Industry Payment Transparency

Open Payments through 2024 ↗
$43,563
Total received (2020-2024)
Avg $8,713/year across 5 years
Top 3% in FL for pain medicine
28
Companies
125
Individual payments
All payments are legal and publicly reported · Not evidence of wrongdoing · How to interpret →

Payment profile

Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.

Scientific / Research
Research funding and grants
$35,000 (80.3%)
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$8,563 (19.7%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$51
2023
$3,206
2022
$3,509
2021
$1,644
2020
$35,153

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Medtronic USA, Inc.
$20,000
BOSTON SCIENTIFIC CORPORATION
$15,339
Medtronic, Inc.
$3,043
MML US, Inc.
$2,514
Abbott Laboratories
$721
Relievant Medsystems, Inc.
$462
Boston Scientific Corporation
$422
SPR Therapeutics, Inc
$244
AbbVie Inc.
$142
PAINTEQ LLC
$142
TerSera Therapeutics LLC
$102
Amgen Inc.
$54
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$47
ABBVIE INC.
$41
Nevro Corp.
$37
Biohaven Pharmaceuticals, Inc.
$37
Lilly USA, LLC
$26
Curonix LLC
$22
Scilex Pharmaceuticals Inc.
$22
PFIZER INC.
$21
Collegium Pharmaceutical, Inc.
$20
IBSA Pharma Inc.
$20
Biogen, Inc.
$16
IDORSIA PHARMACEUTICALS US INC
$16
Vertos Medical, Inc.
$16
Biohaven Pharmaceutical Holding Company Ltd.
$13
ARBOR PHARMACEUTICALS, INC.
$12
Nalu Medical, Inc.
$10
Top 3 companies account for 88.1% of total payments
Associated products mentioned in payments ›
ADUHELM · Aimovig · BOTOX · EMGALITY · EVENITY · Horizant · INTELLIS ADAPTIVESTIM · Intracept · KYPHON Balloon Kyphoplasty · LICART · NURTEC ODT · Nalu Neurostimulation System · Omnia · PAINTEQ · PNS FREEDOM-4A PERMANENT NEUROSTIMULATOR RECEIVER KIT CHANNEL A · PROCLAIM · Prialt · Proclaim Family of SCS IPGs · QULIPTA · QUVIVIQ · RELISTOR · ReActiv8 · SPECTRA WAVEWRITER · SPRINT PNS System · SYNCHROMED · SYNCHROMEDII · Senza · Superion · Superion Indirect Decompression System · UBRELVY · VANTA ADAPTIVESTIM · VERTIFLEX SUPERION · WAVEWRITER ALPHA · WaveWriter Alpha Prime 16 · XTAMPZA · ZTLido · mild Device Kit
Should you be concerned? Payments from pharmaceutical and device companies are legal and common — 57% of U.S. physicians receive at least one. They often reflect legitimate consulting, research, or education. 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 →

The majority of payments (80%) are classified as scientific/research, suggesting involvement in clinical studies, grants, or innovation-related work. Total industry engagement is in the top 3% for pain medicine in FL.

Equivalent to $1,300 per 100 Medicare services performed
Looking for a pain medicine specialist in St Augustine?
Compare pain medicines in the St Augustine area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Pain medicines within 10 mi
10
Per 100K population
3.4
County median income
$106,169
Nearest hospital
FLAGLER HOSPITAL
5.7 mi

Data Sources

Provider Registry NPPES Weekly updates
Medicare Enrollment PECOS Monthly updates
Practice Data Medicare Util. Annual (CY lag)
Industry Payments Open Payments CY 2024
Disciplinary History — Not public N/A

This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This measures how much public data is available about a provider — not how good they are. How we calculate this →

Summary

Dr. Silva is a clinical cardiology specialist, with above-average Medicare volume (top 27% in FL), with research-focused industry engagement in the top 3% of FL peers.

This summary is auto-generated from federal data. It describes data availability and patterns — not clinical quality. Read our methodology →

Frequently Asked Questions

Is Dr. Silva experienced with dexamethasone injection (steroid)?
Based on Medicare claims data, Dr. Silva performed 1,162 dexamethasone injection (steroid) services. Research suggests that higher procedure volume is often associated with better outcomes, particularly for complex procedures. Note that Medicare data only captures patients aged 65 and older, so the total practice volume across all patients is likely higher.
Does Dr. Silva receive payments from pharmaceutical companies?
Yes. Dr. Silva received a total of $43,563 from 28 companies across 125 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common among physicians — 57% of all U.S. physicians receive at least one industry payment. 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. Silva's costs compare to other pain medicines in St Augustine?
Dr. Silva's average Medicare payment per service is $58. 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. 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 a long track record of practice, Medicare participation, and industry disclosure. 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?
Each data source has its own update cycle. Provider registry data (NPPES) is updated weekly. Medicare enrollment (PECOS) is updated monthly. Medicare practice data has a ~2 year lag — the most recent available is typically 2 years prior. Industry payment data (Open Payments) is published annually, usually in June, covering the prior calendar year. We display the data date prominently on each section so you always know how current it is. See our data freshness policy →
About this page

All data on this page is sourced verbatim from public federal records published by the U.S. Centers for Medicare & Medicaid Services (CMS): 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. The Transparency Score measures 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.

Provider corrections: Provider portal · Privacy questions: Privacy Policy · Terms: Terms of Use · Methodology: Methodology

Data Disclaimer — Data sourced from the Centers for Medicare & Medicaid Services (CMS): National Plan and Provider Enumeration System (NPPES), Open Payments program, Medicare Provider Utilization and Payment Data, and Provider Enrollment & Certification data (PECOS). Published under the Freedom of Information Act (FOIA). This website is not affiliated with, endorsed by, or authorized by CMS, HHS, or the U.S. Government. Data may contain errors as reported to CMS by providers and reporting entities. Payments from industry are legal and do not indicate wrongdoing. Medicare data reflects only patients aged 65+ or those with qualifying disabilities. For corrections, contact CMS directly. This information does not constitute medical advice and should not be used as the sole basis for choosing a healthcare provider. Procedure descriptions use plain language and do not reference CPT® codes, which are copyrighted by the American Medical Association. Full methodology → · Report a data error → · Privacy policy →