Payment overview · 2025
General Payments
$1,148.73
23 reported records · 9 companies
Healthcare provider profile · identity verified
Silvana Toscano, PA
Physician Assistants & Advanced Practice Nursing Providers|Physician Assistant · NAPLES, FL · NPI 1255882593
Verified facts
What the public records show
CMS Open Payments records show Silvana Toscano, PA received $1,148.73 in general payments during 2025 across 23 reported records.
Medtronic, Inc. accounted for 34.1% of that reported general-payment amount.
The Open Payments records used for this analysis explicitly named 6 associated products.
These records do not establish that a payment influenced prescribing or medical care.
Separate record types
Research & Ownership
Research Payments (direct recipient): not present in the loaded data
Associated Research Funding (for example, named PI): not present in the loaded data
Ownership / Investment: not present in the loaded data
These categories are never added into the General Payments headline. Associated research funding must not be described as money the doctor personally received unless the source record supports that conclusion.
Who paid this doctor?
Companies in 2025 General Payments
| Reported company | Canonical company | Amount | Share | Records | Year |
|---|---|---|---|---|---|
| Medtronic, Inc. |
Medtronic, Inc. exact · evidence 2025-07-22 |
$391.67 | 34.1% | 3 | 2025 |
| Regeneron Healthcare Solutions, Inc. | Unresolved — no canonical attribution shown | $250.46 | 21.8% | 7 | 2025 |
| Optinose US, Inc. | Unresolved — no canonical attribution shown | $205.63 | 17.9% | 5 | 2025 |
| GENZYME CORPORATION | Unresolved — no canonical attribution shown | $111.02 | 9.7% | 3 | 2025 |
| GlaxoSmithKline, LLC. | Unresolved — no canonical attribution shown | $60.09 | 5.2% | 1 | 2025 |
| SANOFI-AVENTIS U.S. LLC | Unresolved — no canonical attribution shown | $56.99 | 5.0% | 1 | 2025 |
| Genentech USA, Inc. | Unresolved — no canonical attribution shown | $33.95 | 3.0% | 1 | 2025 |
| Indivior Inc. | Unresolved — no canonical attribution shown | $23.60 | 2.0% | 1 | 2025 |
| Paratek Pharmaceuticals, Inc. | Unresolved — no canonical attribution shown | $15.32 | 1.3% | 1 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Food and Beverage | $1,035.73 | 21 |
| Education | $113.00 | 2 |
A meal, consulting fee, royalty, and travel payment describe different kinds of reported relationships and should not be interpreted as equivalent.
Analysis 1 · Payment-linked products
Products named in Open Payments records
| Reported product | Type | Reported company | Related amount* | Records | Year |
|---|---|---|---|---|---|
| DUPIXENT Normalized: dupixent |
Biological | GENZYME CORPORATION, Regeneron Healthcare Solutions, Inc., SANOFI-AVENTIS U.S. LLC | $418.47 | 11 | 2025 |
Source payment records
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| NUVENT Normalized: nuvent |
Device | Medtronic, Inc. | $391.67 | 3 | 2025 |
Source payment records
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| XHANCE Normalized: xhance |
Drug | Optinose US, Inc., Paratek Pharmaceuticals, Inc. | $220.95 | 6 | 2025 |
Source payment records
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| NUCALA Normalized: nucala |
Biological | GlaxoSmithKline, LLC. | $60.09 | 1 | 2025 |
Source payment records
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| Xolair Normalized: xolair |
Biological | Genentech USA, Inc. | $33.95 | 1 | 2025 |
Source payment records
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| SUBLOCADE Normalized: sublocade |
Drug | Indivior Inc. | $23.60 | 1 | 2025 |
Source payment records
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* Product-associated amounts are non-additive because one payment record may name more than one product.
These products were named on specific Open Payments records. A named product does not show that the payment influenced treatment or prescribing.
Public prescribing for products named in payments
No exact normalized or approved-alias overlap was found in the loaded Part D year. This does not mean the doctor never prescribed the product.
The presence of the same drug in both datasets does not show that a payment caused or influenced a prescription.
Analysis 2 · Same-company prescribing overlap
Drugs reported in other payments from the same company that also appear in Medicare Part D
This analysis is independent from products named on this doctor’s individual payment records. A row appears only when the exact Open Payments reporting entity paid this doctor, that same reporting entity reported the drug or biological on at least 10 loaded General Payment records involving at least 2 distinct recipient NPIs, and this doctor has the same non-generic brand in public Part D data. This does not mean the company owns or manufactures the drug.
No publishable same-company prescribing overlap was found in the loaded Part D year. This does not mean the doctor never prescribed a drug reported elsewhere by a paying company.
These facts do not show that a payment was for the drug, that the company owns or manufactures the drug, or that a payment caused or influenced prescribing.
Public Medicare Part D data
Provider-and-drug rows loaded for 2024
| Brand | Generic | Claims | Beneficiaries |
|---|---|---|---|
| Amlodipine Besylate | Amlodipine Besylate | 120 | 20 |
| Pantoprazole Sodium | Pantoprazole Sodium | 117 | 17 |
| Furosemide | Furosemide | 112 | 15 |
| Levothyroxine Sodium | Levothyroxine Sodium | 100 | 19 |
| Gabapentin | Gabapentin | 92 | 21 |
| Metoprolol Succinate | Metoprolol Succinate | 90 | 12 |
| Donepezil Hcl | Donepezil Hcl | 88 | 11 |
| Eliquis | Apixaban | 81 | 15 |
| Losartan Potassium | Losartan Potassium | 76 | 13 |
| Lisinopril | Lisinopril | 73 | 15 |
| Atorvastatin Calcium | Atorvastatin Calcium | 55 | 14 |
| Pravastatin Sodium | Pravastatin Sodium | 53 | suppressed |
| Memantine Hcl | Memantine Hcl | 49 | suppressed |
| Trazodone Hcl | Trazodone Hcl | 49 | suppressed |
| Warfarin Sodium | Warfarin Sodium | 49 | suppressed |
| Sertraline Hcl | Sertraline Hcl | 45 | suppressed |
| Mirtazapine | Mirtazapine | 43 | suppressed |
| Omeprazole | Omeprazole | 42 | 12 |
| Buspirone Hcl | Buspirone Hcl | 35 | suppressed |
| Carvedilol | Carvedilol | 34 | suppressed |
| Paroxetine Hcl | Paroxetine Hcl | 34 | suppressed |
| Escitalopram Oxalate | Escitalopram Oxalate | 33 | suppressed |
| Nystatin | Nystatin | 32 | suppressed |
| Duloxetine Hcl | Duloxetine Hcl | 30 | suppressed |
| Ezetimibe | Ezetimibe | 28 | suppressed |
| Xarelto | Rivaroxaban | 27 | suppressed |
| Cephalexin | Cephalexin | 26 | 17 |
| Diltiazem 24hr Er (Cd) | Diltiazem Hcl | 26 | suppressed |
| Famotidine | Famotidine | 25 | suppressed |
| Potassium Chloride | Potassium Chloride | 24 | suppressed |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 23 | suppressed |
| Clopidogrel | Clopidogrel Bisulfate | 23 | suppressed |
| Myrbetriq | Mirabegron | 22 | suppressed |
| Oxybutynin Chloride | Oxybutynin Chloride | 21 | suppressed |
| Simvastatin | Simvastatin | 21 | suppressed |
| Metoprolol Tartrate | Metoprolol Tartrate | 20 | suppressed |
| Breo Ellipta | Fluticasone/Vilanterol | 19 | suppressed |
| Nitrofurantoin Mono-Macro | Nitrofurantoin Monohyd/M-Cryst | 19 | 17 |
| Fluoxetine Hcl | Fluoxetine Hcl | 18 | suppressed |
| Hydralazine Hcl | Hydralazine Hcl | 18 | suppressed |
| Hydrochlorothiazide | Hydrochlorothiazide | 18 | suppressed |
| Alprazolam | Alprazolam | 17 | suppressed |
| Bumetanide | Bumetanide | 17 | suppressed |
| Divalproex Sodium | Divalproex Sodium | 17 | suppressed |
| Metformin Hcl | Metformin Hcl | 17 | suppressed |
| Quetiapine Fumarate | Quetiapine Fumarate | 17 | suppressed |
| Timolol Maleate | Timolol Maleate | 17 | suppressed |
| Clonazepam | Clonazepam | 16 | suppressed |
| Lorazepam | Lorazepam | 16 | suppressed |
| Methenamine Hippurate | Methenamine Hippurate | 15 | suppressed |
| Midodrine Hcl | Midodrine Hcl | 15 | suppressed |
| Valsartan | Valsartan | 15 | suppressed |
| Venlafaxine Hcl Er | Venlafaxine Hcl | 15 | suppressed |
| Chlorthalidone | Chlorthalidone | 14 | suppressed |
| Metolazone | Metolazone | 14 | suppressed |
| Montelukast Sodium | Montelukast Sodium | 14 | suppressed |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 14 | suppressed |
| Tamsulosin Hcl | Tamsulosin Hcl | 14 | suppressed |
| Atenolol | Atenolol | 13 | suppressed |
| Ciprofloxacin Hcl | Ciprofloxacin Hcl | 13 | 11 |
| Citalopram Hbr | Citalopram Hydrobromide | 13 | suppressed |
| Dorzolamide-Timolol | Dorzolamide/Timolol/Pf | 13 | suppressed |
| Doxazosin Mesylate | Doxazosin Mesylate | 13 | suppressed |
| Doxycycline Hyclate | Doxycycline Hyclate | 13 | 13 |
| Fluticasone Propionate | Fluticasone Propionate | 13 | suppressed |
| Folic Acid | Folic Acid | 13 | suppressed |
| Sucralfate | Sucralfate | 13 | suppressed |
| Bupropion Hcl | Bupropion Hcl | 12 | suppressed |
| Isosorbide Dinitrate | Isosorbide Dinitrate | 12 | suppressed |
| Mupirocin | Mupirocin | 12 | 12 |
| Nitrofurantoin | Nitrofurantoin Macrocrystal | 12 | suppressed |
| Sulfamethoxazole-Trimethoprim | Sulfamethoxazole/Trimethoprim | 12 | suppressed |
| Zolpidem Tartrate | Zolpidem Tartrate | 12 | suppressed |
| Carbidopa-Levodopa | Carbidopa/Levodopa | 11 | suppressed |
| Ibuprofen | Ibuprofen | 11 | suppressed |
| Spironolactone | Spironolactone | 11 | suppressed |
| Valsartan-Hydrochlorothiazide | Valsartan/Hydrochlorothiazide | 11 | suppressed |
Timeline
Payment and prescribing data by year
Open Payments and Medicare Part D may refer to different years. They are shown separately rather than aligned as if they describe the same period.
| Year | General Payments | Main payer | Explicit products | Company overlaps | Part D coverage |
|---|---|---|---|---|---|
| 2025 | $1,148.73 · 23 records | Medtronic, Inc. | DUPIXENT, NUCALA, NUVENT, SUBLOCADE, XHANCE, Xolair | — | — |
| 2024 | — | — | — | — | Complete |
Questions to ask
Questions you could discuss with your doctor
- Are there reasonable alternatives I should understand when we discuss treatment options?
- How should I interpret the industry-payment records shown here in the context of my care?
These are general questions generated from reviewed templates. They are not personalized medical advice.
Sources and limitations
How to read this page
- Payment and Medicare prescribing data can cover different years; every comparison shows both years explicitly.
- Part D does not represent a doctor’s entire practice; it excludes many patients and is subject to CMS public-release thresholds.
- Company–drug relationships must have an auditable source, a precise relationship type, and a valid evidence period. Unresolved mappings are not published.
- Generic drug claims are not attributed to a specific manufacturer without manufacturer-level evidence.
- When a source extract is incomplete, missing rows are never treated as proof of no payments or no prescriptions.
Loaded source releases
| Dataset | Year | Publication | Source |
|---|---|---|---|
| CMS Open Payments — General Payments | 2025 | 2026-06-30 | Original source |
| Medicare Part D Prescribers by Provider and Drug | 2024 | 2026-05-06 | Original source |
| NPPES Data Dissemination V2 | current / reference data | 2026-08-10 | Original source |
Full methodology · Questions & answers · Report a possible error