Medical Doctor Program year 2025 Reported 2019–2025 Source: CMS Open Payments, 2026 publication

Nilda Garcia Silva

Psychiatry Manati, PR Medical Doctor

NPI 1285795765 CMS profile 457652

Calle Elliot Velez J-21, Urb Atenas, Manati, PR 00674

Open in the dashboard

General payments

$292

7 records reported · program years 2019–2025

Research payments

$0

Paid to them · None reported · program years 2019–2025

Ownership & investment interest

$0

None reported

Through program year 2025, Nilda Garcia Silva of Manati, PR is reported in the CMS Open Payments database as having received $292 across 7 general payments and $0 in research payments paid to them.

No combined total General, research and ownership are kept apart. Each is reported under its own rules, and ownership is not money that moved at all but the value of a stake held. A meal, a clinical trial grant and a shareholding do not add up to anything meaningful, so this site does not add them.

General payments for this record sit in the 51st percentile of Psychiatry profiles with reported payments. Percentile describes the distribution, not the conduct.

By program year

5 rows
Year Kind Relative to this record's peak year Amount Records
2025 General $99 1
2022 General $20 1
2021 General $40 2
2020 General $120 2
2019 General $12 1

Beside peers

Year by year, beside peers General payments · among profiles paid that year
  • Nilda Garcia Silva
  • Psychiatry median
  • Middle half of Psychiatry
  • National median

In program year 2025, general payments to Nilda Garcia Silva were reported at $99. Among 14,155 Psychiatry profiles paid that year, the median was $180 and the middle half received between $58 and $685.

Show as a table
Year Nilda Garcia Silva Psychiatry median Middle half National median
2019 $12 $184 $59–$605 $163
2020 $120 $119 $36–$372 $114
2021 $40 $143 $43–$576 $132
2022 $20 $153 $50–$590 $149
2023 $0 $170 $56–$651 $160
2024 $0 $179 $57–$673 $164
2025 $99 $180 $58–$685 $169

Breakdown

Who paid General payments · program years 2019–2025
  1. Janssen Pharmaceuticals, Inc $100 1 payment
  2. E.R. Squibb & Sons, L.L.C. $99 1 payment
  3. Takeda Pharmaceuticals U.S.A., Inc. $92 5 payments

Every payment, record by record

What the payments were for General payments · program years 2019–2025
  1. Food and Beverage $292 7 payments
Products named General payments · program years 2019–2025
  1. INVEGA SUSTENNA $100 1 payment
  2. INVEGA TRINZA $100 1 payment
  3. COBENFY $99 1 payment
  4. TRINTELLIX Neuroscience $80 4 payments
  5. Trintellix Central Nervous System (CNS) $12 1 payment

A payment can name more than one product, so these amounts overlap and do not add up to the general-payment figure.

Prescribing to Medicare patients

Part D · data year 2024 · 35 drugs

Part D claims

10,271

Median for Psychiatry: 574

Drug cost

$387,069

Median for Psychiatry: $27,624

Branded share of claims

27.2%

Median for Psychiatry: 17%

Drugs this doctor was counted under in Medicare Part D 2024, by drug cost
Drug Type Relative to their largest Claims Drug cost
Trintellix Vortioxetine Hydrobromide Brand 687 $285,893
Buspirone Hcl Generic 1,820 $13,412
Duloxetine Hcl Generic 754 $10,303
Viibryd Vilazodone Hcl Brand 26 $7,865
Desvenlafaxine Succinate Er Desvenlafaxine Succinate Brand 180 $7,181
Venlafaxine Hcl Er Venlafaxine Hcl Brand 738 $6,546
Lamotrigine Generic 1,145 $6,468
Bupropion Xl Bupropion Hcl Brand 414 $6,384
Clonazepam Generic 526 $4,947
Mirtazapine Generic 447 $4,907

The 10 drugs with the highest cost, of 35 counted.

Drug cost is what was paid for the drugs at the pharmacy — by Medicare, the patient and others — and is not money to the prescriber. Medicare Part D only: drugs dispensed to Medicare beneficiaries. A drug with fewer than 11 claims for this prescriber is not published, so a missing drug does not mean zero. The medians are for the 20,488 Part D prescribers listed as Psychiatry; they describe a distribution and say nothing about conduct.

Records

7 reported

Every payment, record by record

Date, company, amount, what it was for and the product named — filter by year, kind and company, or download as CSV.

Other Psychiatry in Puerto Rico

Related records

What this means

U.S. law requires drug and medical device manufacturers to report payments and transfers of value they make to physicians and teaching hospitals. The Centers for Medicare & Medicaid Services publishes that record each year. This page shows what was reported about this person, and nothing else.

An ownership interest is different from the other two. It is not a payment: it is a stake — shares, options, a partnership holding — that a physician or an immediate family member held in a manufacturer during that year. The figure shown is what the stake was reported to be worth.

Research payments frequently pass through a clinician to the institution running a trial, and rarely represent personal income. They should be read differently from general payments.

Provenance

Source: CMS Open Payments · through program year 2025

Data current to program year 2025, from CMS's 2026 publication.

We reproduce what manufacturers reported. We do not verify, edit or correct the underlying records.

A payment record is not evidence of wrongdoing. Financial relationships between industry and medicine are legal, common and often necessary for research. Who Paid My Doc reports what was disclosed; it does not judge it.

Who Paid My Doc is independent and is not affiliated with, endorsed by or sponsored by CMS or any U.S. government agency. It is not a consumer reporting agency and this is not a consumer report; do not use it for decisions covered by the Fair Credit Reporting Act.

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