Medicare Enrolled

Dr. Alanna Silverstein, M.D.

Internal Medicine · Richardson, TX
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
Low-engagement
820 W ARAPAHO RD, Richardson, TX 75080
9724984500
In practice since 2005 (20 years)
NPI: 1538164181 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. 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. Alanna Silverstein is an internal medicine specialist in Richardson, TX, with 20 years of NPI registration. Based on federal Medicare data, Dr. Silverstein performed 891 Medicare services across 518 unique beneficiaries.

Between the years covered by Open Payments, Dr. Silverstein received a total of $19,752 from 54 pharmaceutical and/or device companies across 460 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in internal medicine. Most payments are for meals and travel — low-value interactions common across virtually all practicing physicians. 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. This is not a quality rating. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.

✓ 20 years in practice ▲ Top 39% volume in TX $19,752 industry payments

Medicare Practice Summary

Medicare Utilization ↗
891
Medicare services
Top 39% in TX for internal medicine
518
Unique beneficiaries
$77
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~45 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
Office visit, established patient (30-39 min) 533 $84 $330
Office visit, established patient (20-29 min) 88 $59 $233
Flu vaccine administration 56 $31 $34
Flu vaccine, high-dose 54 $72 $140
Urinalysis, manual 37 $3 $4
Annual wellness visit, follow-up 36 $128 $337
Electrocardiogram (EKG), 12-lead 22 $10 $36
Pneumonia vaccine administration 21 $31 $40
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 18 $283 $748
New patient office visit (45-59 min) 15 $102 $426
Advance care planning consultation, first 30 min 11 $71 $216
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.

Industry Payment Transparency

Open Payments through 2024 ↗
$19,752
Total received (2018-2024)
Avg $2,822/year across 7 years
Top 5% in TX for internal medicine
54
Companies
460
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.

Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$19,752 (100.0%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$2,625
2023
$2,149
2022
$2,000
2021
$3,147
2020
$1,316
2019
$3,943
2018
$4,572

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Amgen Inc.
$3,734
AstraZeneca Pharmaceuticals LP
$3,102
Janssen Pharmaceuticals, Inc
$1,753
Novo Nordisk Inc
$1,405
Lilly USA, LLC
$1,216
Amarin Pharma Inc.
$632
PFIZER INC.
$619
GlaxoSmithKline, LLC.
$543
Merck Sharp & Dohme Corporation
$536
Allergan Inc.
$424
Radius Health, Inc.
$371
IDORSIA PHARMACEUTICALS US INC
$348
SANOFI-AVENTIS U.S. LLC
$335
Boehringer Ingelheim Pharmaceuticals, Inc.
$322
Abbott Laboratories
$304
DEXCOM, INC.
$272
Novartis Pharmaceuticals Corporation
$266
AbbVie, Inc.
$254
SANOFI PASTEUR INC.
$249
AbbVie Inc.
$248
Dexcom, Inc.
$237
Bayer Healthcare Pharmaceuticals Inc.
$199
ABBVIE INC.
$189
Allergan, Inc.
$160
Eisai Inc.
$154
Horizon Pharma plc
$144
Synergy Pharmaceuticals Inc
$131
Exact Sciences Corporation
$125
Horizon Therapeutics plc
$121
AIMMUNE THERAPEUTICS, INC.
$121
Takeda Pharmaceuticals U.S.A., Inc.
$116
Regeneron Healthcare Solutions, Inc.
$113
Optinose US, Inc.
$97
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)
$84
Stryker Corporation
$82
Dynavax Technologies Corporation
$82
Medtronic, Inc.
$78
Astellas Pharma US Inc
$77
Biogen, Inc.
$75
Corcept Therapeutics
$53
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$46
Bardy Diagnostics, Inc.
$45
GE HEALTHCARE
$43
Sunovion Pharmaceuticals Inc.
$43
ARBOR PHARMACEUTICALS, INC.
$42
Alfasigma USA, Inc.
$38
Inari Medical, Inc.
$28
ADAPT PHARMA INC.
$16
Nestle HealthCare Nutrition Inc.
$15
E.R. Squibb & Sons, L.L.C.
$14
SCILEX PHARMACEUTICALS INC.
$14
Scilex Pharmaceuticals Inc.
$14
KCI USA, Inc
$13
Sanofi Pasteur Inc.
$12
Top 3 companies account for 43.5% of total payments
Associated products mentioned in payments ›
ADUHELM · AIRSUPRA · ANORO · APTIOM · AREXVY · Aimovig · BELSOMRA · BREZTRI · BYDUREON · BYSTOLIC · CHANTIX · COLOGUARD DNA CAPTURE REAGENTS · CREON · Carnation Ambulatory Monitor · Cologuard Collection Kit · DEXCOM G6 TRANSMITTER · DEXCOM G7 GSS (161) · Dayvigo · Dexcom G6 Transmitter · ELIQUIS · EMGALITY · ENTRESTO · EUCRISA · EVENITY · FARXIGA · FLOWTRIEVER CATHETER · FLUBLOK QUADRIVALENT · FLUZONE HIGH-DOSE · FLUZONE QUADRIVALENT NORTHERN HEMISPHERE · FREESTYLE LIBRE 3 · FreeStyle Libre 2 · GARDASIL · GATTEX · GEMTESA · Heplisav-B · Horizant · Humira · INTELLIS ADAPTIVESTIM · INVOKANA · JANUVIA · JARDIANCE · KRYSTEXXA · Kerendia · Korlym · LIGASURE · LINZESS · LOKELMA · LYRICA · LifeVest · MAKO · MOUNJARO · MYRBETRIQ · Myrbetriq · NO_PRODUCT · Naloxone · Otezla · Ozempic · PNEUMOVAX 23 · PRALUENT ALIROCUMAB INJECTION · PREMARIN · PREVNAR 13 · PREVNAR 20 · Proclaim Family of SCS IPGs · Prolia · QULIPTA · QUVIVIQ · RYBELSUS · Repatha · Rybelsus · S · SHINGRIX · SOLIQUA · SOLIQUA 100/33 · STEGLATRO · STIOLTO RESPIMAT · SYMBICORT · Synthroid · TOUJEO · TRADJENTA · TRELEGY ELLIPTA · TRULICITY · Tresiba · Trulance · Tymlos · UBRELVY · VIBERZI · VRAYLAR · Vascepa · Victoza · Wegovy · XARELTO · XIFAXAN · Xhance · ZENPEP · ZOSTAVAX · ZTLido · ZTLido 30 POUCH in 1 CARTON 1 PATCH in 1 POUCH
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 →

Most payments (100%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians. Total industry engagement is in the top 5% for internal medicine in TX.

Equivalent to $2,217 per 100 Medicare services performed
Looking for an internal medicine specialist in Richardson?
Compare internal medicine physicians in the Richardson area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Internal medicine physicians within 10 mi
2,089
Per 100K population
80.2
County median income
$74,149
Nearest hospital
MEDICAL CITY PLANO
3.1 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. Silverstein is a clinical cardiology specialist, with moderate Medicare volume, with low-engagement industry engagement in the top 5% of TX peers, with 20 years of NPI registration.

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. Silverstein experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Silverstein performed 533 office visit, established patient (30-39 min) 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 $19,752 from 54 companies across 460 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 Richardson?
Dr. Silverstein's average Medicare payment per service is $77. 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 →
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 →