Payment overview · 2025
General Payments
$166.27
4 reported records · 2 companies
Healthcare provider profile · identity verified
Ray Silao, M.D.
Allopathic & Osteopathic Physicians|Internal Medicine · YUMA, AZ · NPI 1831217504
Verified facts
What the public records show
CMS Open Payments records show Ray Silao, M.D. received $166.27 in general payments during 2025 across 4 reported records.
Novo Nordisk Inc accounted for 74.5% of that reported general-payment amount.
The Open Payments records used for this analysis explicitly named 2 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 14 claims for Ozempic by this doctor in 2024.
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 Rybelsus as an associated drug or biological on 161257 records involving 55409 distinct recipient NPIs. Public Medicare Part D data also shows 33 claims for Rybelsus 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 | $123.90 | 74.5% | 1 | 2025 |
| Electromed, Inc. | Unresolved — no canonical attribution shown | $42.37 | 25.5% | 3 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Food and Beverage | $166.27 | 4 |
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 | $123.90 | 1 | 2025 |
Source payment records
|
|||||
| SMARTVEST Normalized: smartvest |
Device | Electromed, Inc. | $42.37 | 3 | 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
| Open Payments product | Payment year | Part D brand | Part D year | Claims | Match method | Source |
|---|---|---|---|---|---|---|
| Ozempic ozempic |
2025 | Ozempic | 2024 | 14 Beneficiary count suppressed |
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 |
14 | suppressed by CMS |
| Novo Nordisk Inc Exact reporting entity; no affiliate inference |
2025 | Rybelsus open payments reported associated product |
CMS Open Payments — General Payments 161257 supporting records · 55409 recipient NPIs · example record 1188130076 |
Rybelsus · 2024 Exact normalized brand match · 1 Part D row |
33 | suppressed by CMS |
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 | 538 | 119 |
| Levothyroxine Sodium | Levothyroxine Sodium | 471 | 85 |
| Gabapentin | Gabapentin | 446 | 80 |
| Amlodipine Besylate | Amlodipine Besylate | 328 | 85 |
| Furosemide | Furosemide | 327 | 64 |
| Eliquis | Apixaban | 280 | 38 |
| Trazodone Hcl | Trazodone Hcl | 235 | 44 |
| Losartan Potassium | Losartan Potassium | 226 | 67 |
| Sertraline Hcl | Sertraline Hcl | 220 | 39 |
| Buspirone Hcl | Buspirone Hcl | 218 | 37 |
| Potassium Chloride | Potassium Chloride | 215 | 57 |
| Metformin Hcl | Metformin Hcl | 197 | 46 |
| Tamsulosin Hcl | Tamsulosin Hcl | 196 | 48 |
| Metoprolol Tartrate | Metoprolol Tartrate | 195 | 53 |
| Clopidogrel | Clopidogrel Bisulfate | 184 | 34 |
| Omeprazole | Omeprazole | 177 | 57 |
| Pantoprazole Sodium | Pantoprazole Sodium | 159 | 45 |
| Lisinopril | Lisinopril | 151 | 47 |
| Tizanidine Hcl | Tizanidine Hcl | 142 | 37 |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 118 | 32 |
| Montelukast Sodium | Montelukast Sodium | 114 | 25 |
| Duloxetine Hcl | Duloxetine Hcl | 105 | 22 |
| Quetiapine Fumarate | Quetiapine Fumarate | 105 | 20 |
| Donepezil Hcl | Donepezil Hcl | 103 | 26 |
| Metoprolol Succinate | Metoprolol Succinate | 102 | 31 |
| Divalproex Sodium | Divalproex Sodium | 98 | 12 |
| Prednisone | Prednisone | 95 | 37 |
| Tramadol Hcl | Tramadol Hcl | 94 | 30 |
| Levetiracetam | Levetiracetam | 92 | 15 |
| Hydralazine Hcl | Hydralazine Hcl | 88 | 25 |
| Glipizide | Glipizide | 85 | 22 |
| Mirtazapine | Mirtazapine | 79 | 17 |
| Finasteride | Finasteride | 78 | 21 |
| Memantine Hcl | Memantine Hcl | 78 | 24 |
| Carvedilol | Carvedilol | 75 | 26 |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 71 | 29 |
| Simvastatin | Simvastatin | 69 | 22 |
| Pravastatin Sodium | Pravastatin Sodium | 67 | 15 |
| Lantus Solostar | Insulin Glargine,hum.Rec.Anlog | 60 | 16 |
| Meloxicam | Meloxicam | 55 | suppressed |
| Januvia | Sitagliptin Phosphate | 54 | suppressed |
| Hydroxyzine Hcl | Hydroxyzine Hcl | 53 | 25 |
| Lactulose | Lactulose | 51 | 17 |
| Hydrochlorothiazide | Hydrochlorothiazide | 49 | 19 |
| Famotidine | Famotidine | 48 | 18 |
| Risperidone | Risperidone | 44 | suppressed |
| Escitalopram Oxalate | Escitalopram Oxalate | 43 | 13 |
| Amiodarone Hcl | Amiodarone Hcl | 40 | suppressed |
| Azithromycin | Azithromycin | 39 | 26 |
| Lamotrigine | Lamotrigine | 37 | suppressed |
| Oxcarbazepine | Oxcarbazepine | 37 | suppressed |
| Fluoxetine Hcl | Fluoxetine Hcl | 35 | suppressed |
| Ondansetron Hcl | Ondansetron Hcl | 35 | 18 |
| Atenolol | Atenolol | 34 | suppressed |
| Methylprednisolone | Methylprednisolone | 34 | 31 |
| Primidone | Primidone | 34 | suppressed |
| Triamcinolone Acetonide | Triamcinolone Acetonide | 34 | 18 |
| Rybelsus | Semaglutide | 33 | suppressed |
| Oxybutynin Chloride | Oxybutynin Chloride | 32 | suppressed |
| Ropinirole Hcl | Ropinirole Hcl | 32 | suppressed |
| Digoxin | Digoxin | 31 | suppressed |
| Fluticasone Propionate | Fluticasone Propionate | 31 | 14 |
| Humalog Kwikpen U-100 | Insulin Lispro | 30 | suppressed |
| Pramipexole Dihydrochloride | Pramipexole Di-Hcl | 29 | suppressed |
| Carbidopa-Levodopa | Carbidopa/Levodopa | 27 | suppressed |
| Cephalexin | Cephalexin | 27 | 13 |
| Doxycycline Hyclate | Doxycycline Hyclate | 27 | 15 |
| Myrbetriq | Mirabegron | 27 | suppressed |
| Baclofen | Baclofen | 26 | suppressed |
| Cyclobenzaprine Hcl | Cyclobenzaprine Hcl | 26 | suppressed |
| Albuterol Sulfate | Albuterol Sulfate | 25 | 13 |
| Methimazole | Methimazole | 25 | suppressed |
| Allopurinol | Allopurinol | 24 | suppressed |
| Isosorbide Mononitrate Er | Isosorbide Mononitrate | 23 | suppressed |
| Latanoprost | Latanoprost | 22 | suppressed |
| Alendronate Sodium | Alendronate Sodium | 21 | suppressed |
| Insulin Lispro Kwikpen U-100 | Insulin Lispro | 21 | suppressed |
| Sps | Sodium Polystyrene Sulfon/Sorb | 21 | 14 |
| Ezetimibe | Ezetimibe | 20 | suppressed |
| Ipratropium Bromide | Ipratropium Bromide | 20 | suppressed |
| Levocetirizine Dihydrochloride | Levocetirizine Dihydrochloride | 20 | suppressed |
| Propranolol Hcl | Propranolol Hcl | 20 | suppressed |
| Tradjenta | Linagliptin | 20 | suppressed |
| Amoxicillin-Clavulanate Potass | Amoxicillin/Potassium Clav | 19 | 19 |
| Lisinopril-Hydrochlorothiazide | Lisinopril/Hydrochlorothiazide | 19 | suppressed |
| Nitrofurantoin Mono-Macro | Nitrofurantoin Monohyd/M-Cryst | 19 | 12 |
| Bumetanide | Bumetanide | 18 | suppressed |
| Citalopram Hbr | Citalopram Hydrobromide | 18 | suppressed |
| Doxazosin Mesylate | Doxazosin Mesylate | 18 | suppressed |
| Novolog Flexpen | Insulin Aspart | 18 | suppressed |
| Santyl | Collagenase Clostridium Hist. | 18 | suppressed |
| Cefdinir | Cefdinir | 17 | 13 |
| Fluticasone-Salmeterol | Fluticasone Propion/Salmeterol | 17 | suppressed |
| Solifenacin Succinate | Solifenacin Succinate | 17 | suppressed |
| Topiramate | Topiramate | 17 | suppressed |
| Atrovent Hfa | Ipratropium Bromide | 16 | suppressed |
| Midodrine Hcl | Midodrine Hcl | 16 | suppressed |
| Paroxetine Hcl | Paroxetine Hcl | 16 | suppressed |
| Calcitriol | Calcitriol | 15 | suppressed |
| Glimepiride | Glimepiride | 15 | suppressed |
| Insulin Aspart Flexpen | Insulin Aspart | 15 | suppressed |
| Ketoconazole | Ketoconazole | 14 | suppressed |
| Olmesartan Medoxomil | Olmesartan Medoxomil | 14 | suppressed |
| Oxybutynin Chloride Er | Oxybutynin Chloride | 14 | suppressed |
| Ozempic | Semaglutide | 14 | suppressed |
| Amitriptyline Hcl | Amitriptyline Hcl | 13 | suppressed |
| Ciprofloxacin Hcl | Ciprofloxacin Hcl | 13 | suppressed |
| Diltiazem Hcl | Diltiazem Hcl | 13 | suppressed |
| Entresto | Sacubitril/Valsartan | 13 | suppressed |
| Liothyronine Sodium | Liothyronine Sodium | 13 | suppressed |
| Nifedipine Er | Nifedipine | 13 | suppressed |
| Verapamil Hcl | Verapamil Hcl | 13 | suppressed |
| Amantadine | Amantadine Hcl | 12 | suppressed |
| Benztropine Mesylate | Benztropine Mesylate | 12 | suppressed |
| Fluvoxamine Maleate | Fluvoxamine Maleate | 12 | suppressed |
| Hydroxyurea | Hydroxyurea | 12 | suppressed |
| Levemir Flexpen | Insulin Detemir | 12 | suppressed |
| Triamterene-Hydrochlorothiazid | Triamterene/Hydrochlorothiazid | 12 | suppressed |
| Dexlansoprazole Dr | Dexlansoprazole | 11 | suppressed |
| Farxiga | Dapagliflozin Propanediol | 11 | suppressed |
| Lovastatin | Lovastatin | 11 | suppressed |
| Nystop | Nystatin | 11 | suppressed |
| Oxycodone Hcl | Oxycodone Hcl | 11 | suppressed |
| Permethrin | Permethrin | 11 | suppressed |
| Ramipril | Ramipril | 11 | suppressed |
| Teriflunomide | Teriflunomide | 11 | suppressed |
| Testosterone Cypionate | Testosterone Cypionate | 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 | $166.27 · 4 records | Novo Nordisk Inc | Ozempic, SMARTVEST | 2 | — |
| 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