Payment overview · 2025
General Payments
$195.54
10 reported records · 2 companies
Healthcare provider profile · identity verified
Dhiekson Silva, MD
Allopathic & Osteopathic Physicians|Family Medicine · HOUSTON, TX · NPI 1760748388
Verified facts
What the public records show
CMS Open Payments records show Dhiekson Silva, MD received $195.54 in general payments during 2025 across 10 reported records.
Novo Nordisk Inc accounted for 92.7% of that reported general-payment amount.
The Open Payments records used for this analysis explicitly named 4 associated products.
A separate comparison found the same explicitly named product in public Medicare Part D data: Ozempic.
Novo Nordisk Inc reported payments to this doctor in 2025. Across the 2025 Open Payments General Payment records loaded for this analysis, that same reporting entity reported Ozempic as an associated drug or biological on 261625 records involving 77793 distinct recipient NPIs. Public Medicare Part D data also shows 87 claims for Ozempic by this doctor in 2024.
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 |
|---|---|---|---|---|---|
| Novo Nordisk Inc | Unresolved — no canonical attribution shown | $181.33 | 92.7% | 9 | 2025 |
| Currax Pharmaceuticals LLC | Unresolved — no canonical attribution shown | $14.21 | 7.3% | 1 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Food and Beverage | $195.54 | 10 |
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 |
|---|---|---|---|---|---|
| Ozempic Normalized: ozempic |
Drug | Novo Nordisk Inc | $127.60 | 6 | 2025 |
Source payment records
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| Rybelsus Normalized: rybelsus |
Drug | Novo Nordisk Inc | $127.60 | 6 | 2025 |
Source payment records
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| Wegovy Normalized: wegovy |
Drug | Novo Nordisk Inc | $32.34 | 2 | 2025 |
Source payment records
|
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| CONTRAVE Normalized: contrave |
Drug | Currax Pharmaceuticals LLC | $14.21 | 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
| Open Payments product | Payment year | Part D brand | Part D year | Claims | Match method | Source |
|---|---|---|---|---|---|---|
| Ozempic ozempic |
2025 | Ozempic | 2024 | 87 | exact normalized | Medicare Part D |
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.
| Paying company | Payment year | Drug reported by same entity | Open Payments evidence | Part D | Claims | Beneficiaries |
|---|---|---|---|---|---|---|
| Novo Nordisk Inc Exact reporting entity; no affiliate inference |
2025 | Ozempic open payments reported associated product |
CMS Open Payments — General Payments 261625 supporting records · 77793 recipient NPIs · example record 1188130076 |
Ozempic · 2024 Exact normalized brand match · 1 Part D row |
87 | 20 |
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 |
|---|---|---|---|
| Atorvastatin Calcium | Atorvastatin Calcium | 423 | 151 |
| Metformin Hcl | Metformin Hcl | 264 | 99 |
| Amlodipine Besylate | Amlodipine Besylate | 239 | 85 |
| Levothyroxine Sodium | Levothyroxine Sodium | 216 | 76 |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 180 | 71 |
| Losartan Potassium | Losartan Potassium | 168 | 57 |
| Jardiance | Empagliflozin | 133 | 48 |
| Alendronate Sodium | Alendronate Sodium | 131 | 49 |
| Meloxicam | Meloxicam | 123 | 55 |
| Metoprolol Succinate | Metoprolol Succinate | 119 | 45 |
| Lisinopril | Lisinopril | 115 | 40 |
| Omeprazole | Omeprazole | 103 | 40 |
| Tamsulosin Hcl | Tamsulosin Hcl | 100 | 37 |
| Glimepiride | Glimepiride | 91 | 33 |
| Ozempic | Semaglutide | 87 | 20 |
| Losartan-Hydrochlorothiazide | Losartan/Hydrochlorothiazide | 79 | 28 |
| Simvastatin | Simvastatin | 78 | 29 |
| Fluticasone Propionate | Fluticasone Propionate | 69 | 34 |
| Pantoprazole Sodium | Pantoprazole Sodium | 67 | 27 |
| Gabapentin | Gabapentin | 62 | 28 |
| Trazodone Hcl | Trazodone Hcl | 59 | 32 |
| Furosemide | Furosemide | 58 | 21 |
| Metformin Hcl Er | Metformin Hcl | 58 | 16 |
| Vascepa | Icosapent Ethyl | 58 | 21 |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 57 | 26 |
| Nitrofurantoin Mono-Macro | Nitrofurantoin Monohyd/M-Cryst | 52 | 38 |
| Olmesartan Medoxomil | Olmesartan Medoxomil | 52 | 22 |
| Doxazosin Mesylate | Doxazosin Mesylate | 50 | 16 |
| Carvedilol | Carvedilol | 49 | 17 |
| Trulicity | Dulaglutide | 49 | 11 |
| Diclofenac Sodium | Diclofenac Sodium | 48 | 21 |
| Hydrochlorothiazide | Hydrochlorothiazide | 48 | 20 |
| Triamcinolone Acetonide | Triamcinolone Acetonide | 47 | 23 |
| Pioglitazone Hcl | Pioglitazone Hcl | 45 | 19 |
| Lisinopril-Hydrochlorothiazide | Lisinopril/Hydrochlorothiazide | 44 | 18 |
| Baclofen | Baclofen | 42 | 18 |
| Olmesartan-Hydrochlorothiazide | Olmesartan/Hydrochlorothiazide | 42 | 15 |
| Valsartan | Valsartan | 41 | 13 |
| Fenofibrate | Fenofibrate Nanocrystallized | 39 | 19 |
| Januvia | Sitagliptin Phosphate | 38 | 12 |
| Naproxen | Naproxen | 38 | 19 |
| Nifedipine Er | Nifedipine | 38 | 11 |
| Famotidine | Famotidine | 37 | 18 |
| Pravastatin Sodium | Pravastatin Sodium | 34 | 12 |
| Sertraline Hcl | Sertraline Hcl | 34 | 11 |
| Eliquis | Apixaban | 33 | suppressed |
| Esomeprazole Magnesium | Esomeprazole Magnesium | 33 | 12 |
| Chlorthalidone | Chlorthalidone | 32 | 13 |
| Clopidogrel | Clopidogrel Bisulfate | 32 | 11 |
| Metoprolol Tartrate | Metoprolol Tartrate | 32 | suppressed |
| Montelukast Sodium | Montelukast Sodium | 30 | 15 |
| Pregabalin | Pregabalin | 30 | suppressed |
| Glipizide | Glipizide | 29 | 12 |
| Linzess | Linaclotide | 29 | suppressed |
| Zolpidem Tartrate | Zolpidem Tartrate | 29 | suppressed |
| Allopurinol | Allopurinol | 27 | suppressed |
| Ibuprofen | Ibuprofen | 27 | 15 |
| Farxiga | Dapagliflozin Propanediol | 25 | suppressed |
| Myrbetriq | Mirabegron | 25 | suppressed |
| Valsartan-Hydrochlorothiazide | Valsartan/Hydrochlorothiazide | 25 | suppressed |
| Ciprofloxacin Hcl | Ciprofloxacin Hcl | 24 | 24 |
| Irbesartan-Hydrochlorothiazide | Irbesartan/Hydrochlorothiazide | 24 | suppressed |
| Hydralazine Hcl | Hydralazine Hcl | 23 | suppressed |
| Azithromycin | Azithromycin | 22 | 22 |
| Clonidine Hcl | Clonidine Hcl | 22 | 12 |
| Diclofenac Potassium | Diclofenac Potassium | 22 | suppressed |
| Bisoprolol Fumarate | Bisoprolol Fumarate | 21 | suppressed |
| Clonazepam | Clonazepam | 21 | suppressed |
| Icosapent Ethyl | Icosapent Ethyl | 21 | suppressed |
| Nano 2nd Gen Pen Needle | Pen Needle, Diabetic | 20 | suppressed |
| Tresiba Flextouch U-200 | Insulin Degludec | 20 | suppressed |
| Dexlansoprazole Dr | Dexlansoprazole | 19 | suppressed |
| Entresto | Sacubitril/Valsartan | 18 | suppressed |
| Synthroid | Levothyroxine Sodium | 18 | suppressed |
| Tresiba Flextouch U-100 | Insulin Degludec | 18 | suppressed |
| Duloxetine Hcl | Duloxetine Hcl | 17 | suppressed |
| Fenofibrate | Fenofibrate | 17 | suppressed |
| Clotrimazole-Betamethasone | Clotrimazole/Betamethasone Dip | 16 | 12 |
| Prednisone | Prednisone | 16 | 11 |
| Tramadol Hcl | Tramadol Hcl | 16 | suppressed |
| Tradjenta | Linagliptin | 15 | suppressed |
| Atenolol | Atenolol | 14 | suppressed |
| Bisoprolol-Hydrochlorothiazide | Bisoprolol/Hydrochlorothiazide | 14 | suppressed |
| Escitalopram Oxalate | Escitalopram Oxalate | 14 | suppressed |
| Janumet | Sitagliptin Phos/Metformin Hcl | 14 | suppressed |
| Lovastatin | Lovastatin | 14 | suppressed |
| Clobetasol Propionate | Clobetasol Propionate | 13 | suppressed |
| Ezetimibe | Ezetimibe | 13 | suppressed |
| Janumet Xr | Sitagliptin Phos/Metformin Hcl | 13 | suppressed |
| Paroxetine Hcl | Paroxetine Hcl | 13 | suppressed |
| Amlodipine-Valsartan | Amlodipine Besylate/Valsartan | 12 | suppressed |
| Ammonium Lactate | Ammonium Lactate | 12 | suppressed |
| Ibandronate Sodium | Ibandronate Sodium | 12 | suppressed |
| Synjardy Xr | Empagliflozin/Metformin Hcl | 12 | suppressed |
| Xarelto | Rivaroxaban | 12 | suppressed |
| Amitriptyline Hcl | Amitriptyline Hcl | 11 | suppressed |
| Finasteride | Finasteride | 11 | suppressed |
| Glipizide Er | Glipizide | 11 | suppressed |
| Levetiracetam | Levetiracetam | 11 | suppressed |
| Potassium Chloride | Potassium Chloride | 11 | suppressed |
| Sevelamer Carbonate | Sevelamer Carbonate | 11 | suppressed |
| Symbicort | Budesonide/Formoterol Fumarate | 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 | $195.54 · 10 records | Novo Nordisk Inc | CONTRAVE, Ozempic, Rybelsus, Wegovy | 1 | — |
| 2024 | — | — | — | — | Complete |
Questions to ask
Questions you could discuss with your doctor
- What role, if any, does Ozempic play in your treatment recommendations for me?
- How do you evaluate evidence when you have a financial relationship with Novo Nordisk Inc?
- 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