Medicare Enrolled
Dr. Joshua Silverstein, M.D.
Internal Medicine · Pittsburgh, PA
Practice pattern: Electrophysiology & Remote
— Practice combining electrophysiology and remote services
Consulting-driven
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. Silverstein 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 →
Are you Dr. Silverstein?
Request a correction or review of any data shown here. Provider portal →
What this data tells you about Dr. Silverstein
Dr. Joshua Silverstein is an internal medicine specialist in Pittsburgh, PA, with 18 years of NPI registration. Based on federal Medicare data, Dr. Silverstein performed 2,588 Medicare services across 2,102 unique beneficiaries.
Between the years covered by Open Payments, Dr. Silverstein received a total of $443,443 from 20 pharmaceutical and/or device companies across 720 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in internal medicine. The majority of payments are for consulting, which typically reflects recognized clinical expertise sought by manufacturers. Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Dr. Silverstein 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 in practice
▲ Top 7% volume in PA
$443,443 industry payments
Medicare Practice Summary
Medicare Utilization ↗2,588
Medicare services
Top 7% in PA for internal medicine
2,102
Unique beneficiaries
$34
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~144 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 |
|---|---|---|---|
| EKG interpretation and report A standard electrocardiogram test that records the heart's electrical activity using at least 12 leads. The service includes a professional interpretation of the results and a written report. |
826 | $6 | $24 |
| Remote pacemaker/defibrillator monitoring, 90 days Remote evaluation of a pacemaker or implantable defibrillator system within 90 days of the last check. |
453 | $15 | $67 |
| Electrocardiogram (EKG), 12-lead A standard heart rhythm test using at least 12 leads to record electrical activity. A healthcare provider interprets the results and provides a written report. |
254 | $10 | $43 |
| Remote pacemaker monitoring, 90 days Remote assessment of a pacemaker system, including single, dual, multiple lead, or leadless devices, performed up to 90 days apart. |
226 | $20 | $87 |
| Remote evaluation of implantable defibrillator system Remote assessment of a single, dual, or multiple lead implantable defibrillator system within 90 days of the previous evaluation. |
224 | $26 | $108 |
| 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. |
90 | $51 | $264 |
| Remote monitoring of implantable heart rhythm device Evaluation of data transmitted remotely from an implantable cardiovascular monitor, such as a loop recorder or subcutaneous cardiac rhythm monitor, over a period up to 30 days. |
83 | $27 | $106 |
| Remote cardiac rhythm monitor evaluation, up to 30 days Review and analysis of data from a remote cardiac rhythm monitoring system over a period of up to 30 days. |
79 | $20 | $76 |
| Hospital follow-up visit, moderate complexity Follow-up hospital visit for an existing patient involving moderate medical decision making. The visit requires at least 35 minutes of time spent on the date of service. |
59 | $59 | $223 |
| External EKG monitoring, 8-15 days Continuous external electrocardiogram recording and review over a period of 8 to 15 days to monitor heart rhythm. |
44 | $20 | $76 |
| External shock to heart to regulate heart beat A procedure that delivers an electric shock to the heart from outside the body to restore a normal heart rhythm. |
31 | $74 | $317 |
| Catheter ablation for abnormal heart rhythm A procedure where catheters are inserted to destroy tissue causing irregular heartbeats. |
24 | $239 | $905 |
| Atrial fibrillation ablation with pulmonary vein isolation A procedure to treat atrial fibrillation by mapping the heart's electrical activity and destroying tissue causing irregular contractions. This is done by isolating the pulmonary veins using catheter-based destruction. |
24 | $717 | $2,978 |
| Initial hospital admission, moderate complexity Initial hospital inpatient or observation care for a new patient involving moderate-level medical decision making, with at least 55 minutes total time on the date of the encounter. |
22 | $102 | $386 |
| 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. |
20 | $77 | $372 |
| Pacemaker programming, dual lead system Adjustment and configuration of a dual-lead pacemaker device to ensure proper operation and settings. |
19 | $28 | $110 |
| 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. |
19 | $109 | $486 |
| Pacemaker system programming Adjustment and configuration of a pacemaker device to ensure proper operation. This service involves setting device parameters before or after surgical implantation. |
18 | $10 | $44 |
| New patient office visit, complex (60-74 min) | 17 | $154 | $648 |
| Continuous EKG monitoring review, 48-7 days Review and interpretation of continuous external EKG recordings lasting more than 48 hours up to 7 days. |
16 | $17 | $70 |
| Pacemaker insertion with heart chamber electrodes A surgical procedure to implant a pacemaker device and place electrodes into the upper and lower chambers of the heart to regulate heart rhythm. |
14 | $362 | $1,523 |
| Hospital follow-up visit, high complexity Subsequent hospital inpatient or observation care for an existing patient involving high-level medical decision making, with at least 50 minutes total time on the date of the encounter. |
14 | $93 | $327 |
| Insertion of implantable defibrillator system A surgical procedure to place an implantable cardioverter-defibrillator (ICD) device into the body. The device is connected to the heart to monitor heart rhythm and deliver shocks if dangerous arrhythmias occur. |
12 | $709 | $2,692 |
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.
39.2% high complexity
0.0% medium
60.8% routine
Industry Payment Transparency
Open Payments through 2024 ↗$443,443
Total received (2018-2024)
Avg $63,349/year across 7 years
Top 0% in PA for internal medicine
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
20
Companies
720
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.
Consulting
Expert advisory fees, typically reflecting recognized clinical expertise
$359,334 (81.0%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$78,887 (17.8%)
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$5,222 (1.2%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$115,192
2023
$86,403
2022
$55,435
2021
$56,407
2020
$61,202
2019
$48,264
2018
$20,542
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Medical Device Business Services, Inc.
$50,971
Medtronic, Inc.
$31,905
Biosense Webster, Inc.
$30,306
Abbott Laboratories
$1,595
Impulse Dynamics (USA) Inc.
$184
Boston Scientific Corporation
$169
Ethicon US, LLC
$31
Philips North America LLC
$21
AltaThera Pharmaceuticals LLC
$10
Top 3 companies account for 98.3% of 2024 payments
All-time payments by company (2018-2024) ›
Medical Device Business Services, Inc.
$240,994
Biosense Webster, Inc.
$95,221
Medtronic, Inc.
$70,658
Medtronic Vascular, Inc.
$21,137
Impulse Dynamics (USA) Inc.
$6,268
Abbott Laboratories
$4,037
AtriCure, Inc.
$2,351
Volta Medical Inc
$1,964
Boston Scientific Corporation
$416
Philips Electronics North America Corporation
$119
E.R. Squibb & Sons, L.L.C.
$52
PFIZER INC.
$50
Novartis Pharmaceuticals Corporation
$46
AngioDynamics, Inc.
$36
Ethicon US, LLC
$31
Philips North America LLC
$21
Lundbeck LLC
$14
ABIOMED
$11
AltaThera Pharmaceuticals LLC
$10
Aziyo Biologics, Inc.
$7
Top 3 companies account for 91.8% of all-time payments
Associated products mentioned in payments ›
(AM5) Lead management · ALPHAVAC · ARCTIC FRONT ADVANCE · AURORA EV-ICD MRI SURESCAN · AVEIR · Adapta · Advisa · Amplia MRI · Arctic Front · Azure · CARTO 3 · COBALT DR MRI SURESCAN · Carto 3 · Carto 3 System · Carto Smarttouch · Claria MRI · Cobalt · Confirm Rx · ECM · ELIQUIS · EMBLEM · ENSITE PRECISION · EPI-SENSE GUIDED COAGULATION SYSTEM WITH VISITRAX · EVERA MRI XT DR SURESCAN · Evera · GALLANT · GENERAL PAIN MANAGEMENT · HeartWare HVAD · IGT Device Undivided · Impella · JOT DX · LABSYSTEM PRO · LEQVIO · LINQ II · Lasers · MICRA · Micra · NA · NORTHERA · OCTARAY MAPPING CATHETER · OPTIMIZER · Optimizer · QDOT MICRO Catheter · QUADRA ASSURA · Rhythmia Mapping System · STRATAFIX · SelectSecure · Smartablate · Sotalol Hydrochloride · Soundstar · TENDRIL · THERMOCOOL SMARTTOUCH · VX1
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 (81%) are consulting fees, which typically reflect recognized clinical expertise sought by manufacturers. Total industry engagement is in the top 0% for internal medicine in PA.
Geographic Context
Internal medicine physicians within 10 mi
1,175
Per 100K population
94.7
County median income
$76,393
Nearest hospital
ALLEGHENY GENERAL HOSPITAL
0.0 mi
0.0 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 reflects how much public data is available about a provider. How we calculate this →
Summary
Dr. Silverstein is an electrophysiology & remote specialist, with above-average Medicare volume (top 7% in PA), with consulting-driven industry engagement in the top 0% of PA peers, 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. Silverstein experienced with ekg interpretation and report?
Based on Medicare claims data, Dr. Silverstein performed 826 ekg interpretation and report 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. Silverstein receive payments from pharmaceutical companies?
Yes. Dr. Silverstein received a total of $443,443 from 20 companies across 720 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. Silverstein's costs compare to other internal medicine physicians in Pittsburgh?
Dr. Silverstein's average Medicare payment per service is $34. 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. Silverstein) 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 →
Explore related providers
Same specialty & city
Internal Medicine Physicians in Pittsburgh
Browse internal medicine physicians in Pittsburgh ranked by procedure volume and transparency data.
Highest volume
Top Internal Medicine Physicians in PA
Internal medicine physicians ranked by total Medicare services performed statewide.
Industry payments
Pharma Payments to Internal Medicine Physicians in PA
Which PA internal medicine physicians receive the most from drug and device companies.
By company
Medical Device Business Services, Inc. Payments to Doctors
See all physicians who received payments from Medical Device Business Services, Inc.
By company
Biosense Webster, Inc. Payments to Doctors
See all physicians who received payments from Biosense Webster, Inc.
By company
Medtronic, Inc. Payments to Doctors
See all physicians who received payments from Medtronic, Inc.
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. 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.
Provider corrections: Provider portal · Privacy questions: Privacy Policy · Terms: Terms of Use · Methodology: Methodology