Payment overview · 2025
General Payments
$1,724.60
71 reported records · 21 companies
Healthcare provider profile · identity verified
Silas David Espino, DPM
Podiatric Medicine & Surgery Service Providers|Podiatrist|Foot & Ankle Surgery · SAN ANTONIO, TX · NPI 1508488388
Verified facts
What the public records show
CMS Open Payments records show Silas David Espino, DPM received $1,724.60 in general payments during 2025 across 71 reported records.
Stryker Corporation accounted for 19.9% of that reported general-payment amount.
The Open Payments records used for this analysis explicitly named 36 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 |
|---|---|---|---|---|---|
| Stryker Corporation | Unresolved — no canonical attribution shown | $343.62 | 19.9% | 8 | 2025 |
| TREACE MEDICAL CONCEPTS, INC. | Unresolved — no canonical attribution shown | $305.95 | 17.7% | 13 | 2025 |
| Orthofix Medical, Inc. | Unresolved — no canonical attribution shown | $164.29 | 9.5% | 12 | 2025 |
| Amgen Inc. | Unresolved — no canonical attribution shown | $136.66 | 7.9% | 6 | 2025 |
| Smith+Nephew, Inc. | Unresolved — no canonical attribution shown | $104.05 | 6.0% | 3 | 2025 |
| Paratek Pharmaceuticals, Inc. | Unresolved — no canonical attribution shown | $103.95 | 6.0% | 5 | 2025 |
| Medical Device Business Services, Inc. | Unresolved — no canonical attribution shown | $100.00 | 5.8% | 3 | 2025 |
| VERTEX PHARMACEUTICALS INCORPORATED | Unresolved — no canonical attribution shown | $58.56 | 3.4% | 2 | 2025 |
| ABBVIE INC. | Unresolved — no canonical attribution shown | $51.95 | 3.0% | 2 | 2025 |
| MIMEDX Group, Inc. | Unresolved — no canonical attribution shown | $48.00 | 2.8% | 1 | 2025 |
| Bard Peripheral Vascular, Inc. | Unresolved — no canonical attribution shown | $46.61 | 2.7% | 1 | 2025 |
| Averitas Pharma Inc. | Unresolved — no canonical attribution shown | $39.43 | 2.3% | 2 | 2025 |
| ANI Pharmaceuticals, Inc. | Unresolved — no canonical attribution shown | $39.15 | 2.3% | 2 | 2025 |
| Kerecis Limited | Unresolved — no canonical attribution shown | $37.38 | 2.2% | 4 | 2025 |
| Integra LifeSciences Corporation | Unresolved — no canonical attribution shown | $35.01 | 2.0% | 1 | 2025 |
| Arthrosurface Incorporated | Unresolved — no canonical attribution shown | $29.54 | 1.7% | 1 | 2025 |
| IBSA Pharma Inc. | Unresolved — no canonical attribution shown | $18.06 | 1.1% | 1 | 2025 |
| Solventum Corporation | Unresolved — no canonical attribution shown | $18.04 | 1.1% | 1 | 2025 |
| Pacira Pharmaceuticals Incorporated | Unresolved — no canonical attribution shown | $16.40 | 0.9% | 1 | 2025 |
| Heron Therapeutics, Inc. | Unresolved — no canonical attribution shown | $14.01 | 0.8% | 1 | 2025 |
| Organogenesis Inc. | Unresolved — no canonical attribution shown | $13.94 | 0.8% | 1 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Food and Beverage | $1,724.60 | 71 |
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 |
|---|---|---|---|---|---|
| Physio-Stim Normalized: physio stim |
Device | Orthofix Medical, Inc. | $164.29 | 12 | 2025 |
Source payment records
|
|||||
| LAPIPLASTY SYSTEM 1 Normalized: lapiplasty system 1 |
Device | TREACE MEDICAL CONCEPTS, INC. | $138.43 | 8 | 2025 |
Source payment records
|
|||||
| AUGMENT INJECTABLE Normalized: augment injectable |
Device | Stryker Corporation | $138.10 | 3 | 2025 |
Source payment records
|
|||||
| KRYSTEXXA Normalized: krystexxa |
Biological | Amgen Inc. | $136.66 | 6 | 2025 |
Source payment records
|
|||||
| N/A Normalized: n a |
Device | Stryker Corporation | $132.97 | 3 | 2025 |
Source payment records
|
|||||
| NUZYRA Normalized: nuzyra |
Drug | Paratek Pharmaceuticals, Inc. | $103.95 | 5 | 2025 |
Source payment records
|
|||||
| MOTOBAND Normalized: motoband |
Device | Medical Device Business Services, Inc. | $100.00 | 3 | 2025 |
Source payment records
|
|||||
| TMC SPEEDMTP Normalized: tmc speedmtp |
Device | TREACE MEDICAL CONCEPTS, INC. | $92.49 | 2 | 2025 |
Source payment records
|
|||||
| JOURNAVX Normalized: journavx |
Drug | VERTEX PHARMACEUTICALS INCORPORATED | $58.56 | 2 | 2025 |
Source payment records
|
|||||
| TMC PSI CUT GUIDE SYSTEM Normalized: tmc psi cut guide system |
Device | TREACE MEDICAL CONCEPTS, INC. | $52.91 | 2 | 2025 |
Source payment records
|
|||||
| DALVANCE Normalized: dalvance |
Drug | ABBVIE INC. | $51.95 | 2 | 2025 |
Source payment records
|
|||||
| Fluency Endovascular Stent Graft Normalized: fluency endovascular stent graft |
Device | Bard Peripheral Vascular, Inc. | $46.61 | 1 | 2025 |
Source payment records
|
|||||
| Bone Anchors with Arthroscopic Delivery System Normalized: bone anchors with arthroscopic delivery system |
Device | Smith+Nephew, Inc. | $43.06 | 1 | 2025 |
Source payment records
|
|||||
| ANCHORAGE Normalized: anchorage |
Device | Stryker Corporation | $40.98 | 1 | 2025 |
Source payment records
|
|||||
| QUTENZA Normalized: qutenza |
Drug | Averitas Pharma Inc. | $39.43 | 2 | 2025 |
Source payment records
|
|||||
| PURIFIED CORTROPHIN GEL Normalized: purified cortrophin gel |
Drug | ANI Pharmaceuticals, Inc. | $39.15 | 2 | 2025 |
Source payment records
|
|||||
| Kerecis GraftGuide Normalized: kerecis graftguide |
Device | Kerecis Limited | $37.38 | 4 | 2025 |
Source payment records
|
|||||
| Kerecis SurgiClose Normalized: kerecis surgiclose |
Device | Kerecis Limited | $37.38 | 4 | 2025 |
Source payment records
|
|||||
| STRAVIX Normalized: stravix |
Biological | Smith+Nephew, Inc. | $35.05 | 1 | 2025 |
Source payment records
|
|||||
| Integra Normalized: integra |
Device | Integra LifeSciences Corporation | $35.01 | 1 | 2025 |
Source payment records
|
|||||
| Integra Dermal Regeneration Template Normalized: integra dermal regeneration template |
Device | Integra LifeSciences Corporation | $35.01 | 1 | 2025 |
Source payment records
|
|||||
| PRIMATRIX Normalized: primatrix |
Device | Integra LifeSciences Corporation | $35.01 | 1 | 2025 |
Source payment records
|
|||||
| CITREFIX Normalized: citrefix |
Device | Stryker Corporation | $31.57 | 1 | 2025 |
Source payment records
|
|||||
| TOE MOTIONTM Normalized: toe motiontm |
Device | Arthrosurface Incorporated | $29.54 | 1 | 2025 |
Source payment records
|
|||||
| TEFLARO Normalized: teflaro |
Drug | ABBVIE INC. | $26.65 | 1 | 2025 |
Source payment records
|
|||||
| GRAFIX PL Normalized: grafix pl |
Biological | Smith+Nephew, Inc. | $25.94 | 1 | 2025 |
Source payment records
|
|||||
| TMC NANOPLASTY SYSTEM Normalized: tmc nanoplasty system |
Device | TREACE MEDICAL CONCEPTS, INC. | $22.12 | 1 | 2025 |
Source payment records
|
|||||
| Flector Normalized: flector |
Drug | IBSA Pharma Inc. | $18.06 | 1 | 2025 |
Source payment records
|
|||||
| Licart Normalized: licart |
Drug | IBSA Pharma Inc. | $18.06 | 1 | 2025 |
Source payment records
|
|||||
| Tirosint Normalized: tirosint |
Drug | IBSA Pharma Inc. | $18.06 | 1 | 2025 |
Source payment records
|
|||||
| ACTIV.A.C. Normalized: activ a c |
Device | Solventum Corporation | $18.04 | 1 | 2025 |
Source payment records
|
|||||
| PROMOGRAN PRISMA Normalized: promogran prisma |
Device | Solventum Corporation | $18.04 | 1 | 2025 |
Source payment records
|
|||||
| V.A.C. GRANUFOAM Normalized: v a c granufoam |
Device | Solventum Corporation | $18.04 | 1 | 2025 |
Source payment records
|
|||||
| Exparel Normalized: exparel |
Drug | Pacira Pharmaceuticals Incorporated | $16.40 | 1 | 2025 |
Source payment records
|
|||||
| ZYNRELEF Normalized: zynrelef |
Drug | Heron Therapeutics, Inc. | $14.01 | 1 | 2025 |
Source payment records
|
|||||
| VIA MATRIX Normalized: via matrix |
Medical Supply | Organogenesis Inc. | $13.94 | 1 | 2025 |
Source payment records
|
|||||
* 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 |
|---|---|---|---|
| Ketoconazole | Ketoconazole | 22 | 18 |
| Ciclopirox | Ciclopirox | 14 | 11 |
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 | $1,724.60 · 71 records | Stryker Corporation | ACTIV.A.C., ANCHORAGE, AUGMENT INJECTABLE, Bone Anchors with Arthroscopic Delivery System, CITREFIX, DALVANCE, Exparel, Flector, Fluency Endovascular Stent Graft, GRAFIX PL, Integra, Integra Dermal Regeneration Template, JOURNAVX, KRYSTEXXA, Kerecis GraftGuide, Kerecis SurgiClose, LAPIPLASTY SYSTEM 1, Licart, MOTOBAND, N/A, NUZYRA, PRIMATRIX, PROMOGRAN PRISMA, PURIFIED CORTROPHIN GEL, Physio-Stim, QUTENZA, STRAVIX, TEFLARO, TMC NANOPLASTY SYSTEM, TMC PSI CUT GUIDE SYSTEM, TMC SPEEDMTP, TOE MOTIONTM, Tirosint, V.A.C. GRANUFOAM, VIA MATRIX, ZYNRELEF | — | — |
| 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