Medicare Enrolled
Dr. Jose Cuellar Silva, M.D.
Internal Medicine · Webster, TX
Practice pattern: Electrophysiology & Device
— Practice focused on heart rhythm disorders and cardiac device management
Speaking/Promotional
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. Cuellar 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. Cuellar Silva
Dr. Jose Cuellar Silva is an internal medicine specialist in Webster, TX, with 18 years of NPI registration. Based on federal Medicare data, Dr. Cuellar Silva performed 2,660 Medicare services across 1,791 unique beneficiaries.
Between the years covered by Open Payments, Dr. Cuellar Silva received a total of $383,538 from 27 pharmaceutical and/or device companies across 1507 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in internal medicine. The majority of payments are for speaking programs and promotional activities, reflecting participation in industry-sponsored events. Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Dr. Cuellar 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.
✓ 18 years in practice
▲ Top 13% volume in TX
$383,538 industry payments
Medicare Practice Summary
Medicare Utilization ↗2,660
Medicare services
Top 13% in TX for internal medicine
1,791
Unique beneficiaries
$108
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~148 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 |
|---|---|---|---|
| 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. |
417 | $11 | $69 |
| 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. |
335 | $98 | $279 |
| 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. |
262 | $63 | $172 |
| 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. |
167 | $130 | $409 |
| 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. |
164 | $29 | $386 |
| Pacemaker programming, dual lead system Adjustment and configuration of a dual-lead pacemaker device to ensure proper operation and settings. |
154 | $63 | $175 |
| Sedation by physician, initial 15 minutes Administration of a drug to induce depression of consciousness by the physician performing a procedure. This code covers the initial 15 minutes of sedation for patients aged 5 years or older. |
135 | $10 | $131 |
| 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. |
129 | $20 | $57 |
| 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. |
123 | $96 | $246 |
| 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. |
115 | $61 | $213 |
| 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. |
76 | $410 | $1,273 |
| Cardiac rhythm monitor programming Adjustment and configuration of an implanted cardiac rhythm monitoring device to ensure proper operation and data collection. |
65 | $48 | $136 |
| Initial hospital admission, high complexity Initial hospital inpatient or observation care for a new patient involving high-level medical decision making, with at least 75 minutes total time on the date of the encounter. |
65 | $140 | $476 |
| 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. |
60 | $772 | $2,270 |
| Programming of multiple lead implantable defibrillator system Adjustment and testing of the settings for an implanted heart device with multiple leads to ensure proper function. |
50 | $81 | $245 |
| Remote monitoring of implantable heart device, up to 30 days Remote evaluation of an implanted heart or blood vessel monitoring system over a period of up to 30 days. |
48 | $20 | $56 |
| Repair of left upper heart chamber with implant A surgical procedure to repair the left upper chamber of the heart using an implanted device, with review by a radiologist. |
45 | $530 | $1,689 |
| Remote pacemaker/defibrillator monitoring, 90 days Remote evaluation of a pacemaker or implantable defibrillator system within 90 days of the last check. |
39 | $16 | $54 |
| Heart chamber tissue destruction via catheter A procedure that destroys tissue in the upper heart chamber using a tube to treat abnormal heart rhythm. |
32 | $250 | $821 |
| Insertion of left lower heart electrode for pacemaker or defibrillator A procedure to place an electrode in the lower part of the left side of the heart. This electrode is used to connect a pacemaker or defibrillator to help regulate the heart's rhythm. |
28 | $377 | $1,061 |
| 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. |
26 | $737 | $2,044 |
| Programming of dual lead implantable defibrillator system Adjustment and testing of the settings for an implanted heart device with two leads to ensure proper function. |
21 | $79 | $224 |
| Heart rhythm stimulator programming after drug infusion Adjustment of a heart rhythm stimulation device following a drug infusion. This procedure involves reprogramming the device settings to ensure proper function after the medication has been administered. |
19 | $67 | $210 |
| Catheter ablation for abnormal heart rhythm A procedure where catheters are inserted to destroy tissue causing irregular heartbeats. |
19 | $250 | $824 |
| Continuous ECG monitoring, up to 30 days Continuous heart rhythm monitoring for up to 30 days, including professional review and reporting of the results. |
17 | $20 | $55 |
| Temporary pacemaker lead insertion, single heart chamber A temporary pacemaker lead is inserted into one chamber of the heart to provide electrical stimulation. This procedure is used to support heart rhythm on a short-term basis. |
14 | $130 | $354 |
| Removal and replacement of dual lead permanent pacemaker This procedure involves removing an existing permanent pacemaker with two leads and replacing it with a new device. It is performed to update or repair the heart rhythm management system. |
12 | $288 | $790 |
| Removal of single right heart electrode This procedure involves the extraction of a single electrode lead from the right side of the heart. |
12 | $229 | $1,190 |
| Removal of subcutaneous heart rhythm monitor This procedure involves the removal of a heart rhythm monitor that has been implanted under the skin. It is a minor surgical intervention to extract the device. |
11 | $35 | $316 |
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.
20.7% high complexity
0.0% medium
79.3% routine
Industry Payment Transparency
Open Payments through 2024 ↗$383,538
Total received (2018-2024)
Avg $54,791/year across 7 years
Top 0% in TX for internal medicine
27
Companies
1,507
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.
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$258,478 (67.4%)
Consulting
Expert advisory fees, typically reflecting recognized clinical expertise
$118,914 (31.0%)
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$6,146 (1.6%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$120,054
2023
$75,643
2022
$45,207
2021
$34,888
2020
$37,251
2019
$44,730
2018
$25,765
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Boston Scientific Corporation
$344,992
BOSTON SCIENTIFIC CORPORATION
$32,517
Biosense Webster, Inc.
$1,247
Abbott Laboratories
$1,174
Medtronic Vascular, Inc.
$650
CARDIVA MEDICAL, INC.
$519
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)
$444
Medtronic, Inc.
$338
Aziyo Biologics, Inc.
$240
Janssen Pharmaceuticals, Inc
$233
ATRICURE, INC.
$189
Edwards Lifesciences Corporation
$183
BIOTRONIK INC.
$146
SANOFI-AVENTIS U.S. LLC
$104
Impulse Dynamics (USA) Inc.
$100
Baxter Healthcare
$95
AtriCure, Inc.
$95
Elutia, Inc.
$70
E.R. Squibb & Sons, L.L.C.
$33
PFIZER INC.
$27
Amgen Inc.
$26
Catheter Precision Inc.
$23
Novartis Pharmaceuticals Corporation
$22
iRhythm Technologies, Inc.
$20
MEDICOMP INC
$18
Siemens Medical Solutions USA, Inc.
$17
ConvaTec Inc.
$16
Top 3 companies account for 98.8% of total payments
Associated products mentioned in payments ›
ACCOLADE · ACCOLADE SR · ACUITY · ACUITY Steerable · ACUSON SC2000 Diagnostic Ultrasound System · ADVANTIO · ALTRUA · ALTRUA 20 · AQUACEL AG+ EXTRA · ATRICLIP LAA EXCLUSION SYSTEM · AVEIR · Advisa · Advisor Catheter · Angio-Seal Vascular Closure Dev · Arctic Front · Azure · Blazer Dx Catheter · Blazer II · BodyGuardian · CAPTIVATOR II · CARDIVA VASCADE 6/7F VCS · CARDIVA VASCADE MVP VVCS 6-12F · CARTO 3 · COREVALVE EVOLUT R · Cable · Cardiac Monitor · CareLink · Carto 3 · Carto 3 System · ClosureFast · Confirm Rx · CoreValve Evolut · Corlanor · Dragonfly OCT · ECM Patch · ELIQUIS · EMBLEM · EMBLEM MRI S-ICD · EMBLEM S ICD ELECTRODE DELIVERY SYSTEM · EMBLEM S-ICD ELECTRODE DELIVERY SYSTEM · EMBLEM SICD ELECTRODE DELIVERY SYSTEM · ENDOTAK RELIANCE · ENDOTAK RELIANCE S · ENERGEN · ENTRESTO · EPI-SENSE GUIDED COAGULATION SYS · ESSENTIO · ESSENTIO SR · EnSite Precision Cardiac Mapping System · Ensite Cardiac Mapping System · FINELINE II Sterox · GENERAL BRADY · GENERAL EP · GENERAL TACHY · GENERAL THERAPIES · GENERAL BRADY · GENERAL TACHY · GENERAL THERAPIES · GENERAL - BRADY · GENERAL - EP · GENERAL - TACHY · GENERAL - THERAPIES · GENERAL BRADY · GENERAL TACHY · GENERAL THERAPIES · General - Brady · General - EP · General - Structural Heart · General - Tachy · General - Therapies · General - Vascular Access · HemoSphere · Hillrom - Carnation Ambulatory Monitor · INGEVITY · INGEVITY MRI · INGEVITY+ · INTELLAMAP · INTELLAMAP ORION · INTELLANAV · IntellaMap Orion · IntellaNav Ablation Catheter · IntellaNav MiFi XP · LABSYSTEM · LABSYSTEM PRO · LATITUDE · LATITUDE CLARITY · LATITUDE Communicator Power Supply · LUX DX · LUX-DX · LUX-Dx Insertable Cardiac Monitor · LUXDX · LifeVest · MULTAQ · Maestro 4000 · NA · Optimizer · Optimizer Smart System · PERCIVA · PERCIVA ICD VR · PROPONENT · Polaris X · Pouch · Quadra Allure MP RF CRT Pacemkr · Quadra Assura CRT Defibrillator · RELIANCE 4 FRONT · RELIANCE 4-FRONT · RESONATE · RESONATE EL ICD VR · RHYTHMIA · Rhythmia · Rhythmia Mapping System · S ICD · S-ICD System Magnet · SAVVYWIRE · SQRX PULSE GENERATOR · THERAPIES · TactiCath Quartz CFA Catheter · Umbilical Cable · VIGILANT · VIGILANT X4 CRT-D · VYNDAQEL · VenaSeal · VersaCross Access Solution · WATCHMAN · WATCHMAN Access System · WATCHMAN FLX · XARELTO · ZIO XT Patch · myLUX Patient Kit with mobile device
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 (67%) are for speaking programs and promotional activities, which reflect participation in industry-sponsored educational or marketing events. This is common in internal medicine and does not inherently indicate bias, but patients may wish to be aware. Total industry engagement is in the top 0% for internal medicine in TX.
Equivalent to $14,419 per 100 Medicare services performed
Geographic Context
Internal medicine physicians within 10 mi
1,900
Per 100K population
39.9
County median income
$73,104
Nearest hospital
HCA HOUSTON HEALTHCARE CLEAR LAKE
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 measures how much public data is available about a provider — not how good they are. How we calculate this →
Summary
Dr. Cuellar Silva is an electrophysiology & device specialist, with above-average Medicare volume (top 13% in TX), with speaking/promotional industry engagement in the top 0% of TX peers, with 18 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. Cuellar Silva experienced with electrocardiogram (ekg), 12-lead?
Based on Medicare claims data, Dr. Cuellar Silva performed 417 electrocardiogram (ekg), 12-lead 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. Cuellar Silva receive payments from pharmaceutical companies?
Yes. Dr. Cuellar Silva received a total of $383,538 from 27 companies across 1,507 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. Cuellar Silva's costs compare to other internal medicine physicians in Webster?
Dr. Cuellar Silva's average Medicare payment per service is $108. 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. Cuellar 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 →
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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.
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