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Dr. Richard A. Silva, MD

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Specializes in: Vascular Surgery

SUNY, University at Buffalo School of Medicine & Biomedical Sciences (1992)

Professional interests include: thoracic outlet syndrome, fibromuscular dysplasia, thoracic aortic disease, and more.

1003-a W Seventh Street
Frederick, MD 21701

(240) 529-1414

Dr. Richard A. Silva, MD is a vascular surgeon in Frederick, MD specializing in vascular surgery. He graduated from SUNY, University at Buffalo School of Medicine & Biomedical Sciences in 1992 and has 34 years of experience. Dr. Richard A. Silva, MD is affiliated with MedStar Montgomery Medical Center, Holy Cross Health, Frederick Health, MedStar Health and HORIZON SURGICAL GROUP PA.

Office Locations

Holy Cross Health

1003-a W Seventh Street
Frederick, MD 21701

(240) 529-1414

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Holy Cross Health

18111 Prince Philip Drive Suite 226
Olney, MD 20832

(301) 762-0277

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20410 Observation Drive Suite 100
Germantown, MD 20876

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9715 Medical Center Drive Suite 105
Rockville, MD 20850

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Some issues Dr. Richard A. Silva, MD can help you with:

Angioplasty

Angioplasty is a common, minimally invasive procedure performed to restore blood flow in arteries and veins that have become narrowed or blocked. Age or illness can cause plaque to build up at certain spots within the veins and arteries, and if enough collects, it can restrict the flow of blood. Angioplasty uses a tiny balloon at the end of a small, flexible tube to inflate within the narrowed section and open it up again.

Angioplasty may be performed in several different areas of the body and for a variety of reasons, most often:

Peripheral arterial disease, which reduces blood flow in the arms or legs
Atherosclerosis, or general hardening of the arteries
Carotid artery stenosis, or narrowing of the arteries in the neck that supply the brain
Coronary artery disease, or narrowing of the arteries near the heart
Renal vascular hypertension, or narrowing of the arteries in the kidney, leading to increased blood pressure

During angioplasty, a patient is given a sedative while lying on a table under an x-ray machine. A catheter (a thin, flexible, and hollow tube) is inserted into the patient's skin in the arm or groin and guided into the blocked artery. Dye is injected via the catheter, and x-rays are used to position the tip of the catheter exactly at the blockage. The tiny balloon is guided through the catheter and inflated with saline. It pushes the plaque out of the way, squishing it against the walls of the artery. The balloon may be inflated and deflated several times to let blood pass by. A stent, a tiny tube of metal mesh like a spring, may be inserted to help keep the artery open. Then the x-ray is used again to check that blood is flowing properly, the catheter is removed, and the tiny incision is bandaged.

There are no nerves within veins and arteries, so an angioplasty is generally not painful. However, there may be some discomfort at the site of the incision and when the balloon is inflated. Overall, angioplasty is a very effective and low-risk procedure, useful for helping patients avoid more difficult bypass surgery.

Dialysis

Dialysis is a procedure that replicates renal (kidney) function by filtering patients' blood. When kidneys do not work properly, waste can accumulate in the blood and unbalanced chemicals can impair the body's critical functions. In order to stay healthy, a person without proper kidney function must receive dialysis. There are two forms of dialysis treatment: hemodialysis and peritoneal dialysis. Both forms of dialysis are recurring treatments that in many cases last throughout the lifetime of the affected patient. Patients who briefly lose renal function may slowly reduce the frequency of dialysis sessions until their kidneys recover. However, most patients who start on dialysis remain on dialysis for the rest of their lives or until they receive a kidney transplant.

A number of conditions can worsen renal function and lead to end-stage or acute kidney failure. When kidneys fail (i.e. nearly 90 percent of their function is lost), dialysis is typically prescribed. Conditions that cause chronic kidney failure (eventually requiring dialysis) include:

Type 1 and 2 Diabetes
Pyelonephritis, recurring kidney infection
Glomerulonephritis, inflammation of the kidney's filtering parts
Polycystic kidney disease
Interstitial nephritis, inflammation of the kidney's tubules
High blood pressure
Vesicoureteral reflux, improper bladder emptying

For hemodialysis (the more common form of dialysis), a patient will visit a hospital or clinic and be connected to a dialysis machine by a needle attached to a tube that draws blood from the arm. The drawn blood is transferred to the dialysis machine, where it is filtered and separated until clean. Waste products from the blood pass into a fluid called dialysate, which is pumped out of the machine into a waste receptacle. The machine also measures and helps ensure the blood has the appropriate level of fluid, electrolytes, and pH. A tube delivers the cleaned blood back into the patient's body. A dialysis session like this will typically last for three to four hours, with a patient undergoing dialysis around three times per week.

A second method of dialysis is known as peritoneal dialysis. Unlike hemodialysis, peritoneal dialysis can be performed at home by oneself after an initial surgery. To start, a physician (generally a surgeon) will make a small incision in the lower abdomen and insert and surgically attach a catheter (thin tube). At home, the patient connects a pump to the abdomen catheter, delivering dialysate (dialysis fluid) from a bag hanging on a wheeled stand. This fluid enters the peritoneal cavity (greater abdomen area containing the stomach, liver, and intestines) and collects waste through osmosis, where waste in the blood moves across a membrane and into the dialysate. This process continues for several hours until the fluid concentration is equal between the blood and dialysate, at which point the fluid can be drained. The fluid can then be passed through a machine called a cycler, which removes waste and allows for the dialysate to be reused. This process is repeated about four times per day. Dialysis patients must limit the amount of fluid they consume prior to receiving dialysis and should also avoid eating salty foods. The cycler cannot filter more than a certain amount of waste products from the blood.

Kidneys are important organs, and dialysis treatments are vital for those with renal dysfunction. For many, dialysis is not so much a medical procedure but a part of their normal life.

Noteworthy Medicare Patient Procedures Performed by Dr. Richard A. Silva, MD in 2023

Click on any procedure below to see further details on volume and pricing among Medicare patients.

Top 5%

By Volume:

catheterization

By Affordability:

compression therapy

immobilization

immobilization treatment

peritoneal catheter placement

strapping

Unna boot application

In 2023, among providers in related specialties within Maryland, Dr. Richard A. Silva, MD performed more catheterization procedures for Medicare patients than 95% of them and he also had a list price for compression therapy, immobilization, immobilization treatment, peritoneal catheter placement, strapping, and Unna boot application that was lower than the list prices billed to Medicare by 95% of them. Actual amounts paid by patients can vary widely depending on a number of factors, including insurance coverage. A lower list price, however, might mean lower fees when paying without insurance.

Top 10%

By Volume:

hemodialysis access duplex ultrasound

In 2023, Dr. Richard A. Silva, MD performed more hemodialysis access duplex ultrasound procedures for Medicare patients than 90% of providers in related specialties within Maryland.

Top 25%

By Volume:

abdominal aortogram

arteriogram

extremity arteriogram

vascular procedures

vascular ultrasound

By Affordability:

central line placement

tunneled peritoneal catheter insertion

In 2012, among providers in related specialties within Maryland, Dr. Richard A. Silva, MD performed more abdominal aortogram, arteriogram, extremity arteriogram, vascular procedures, and vascular ultrasound procedures for Medicare patients than 75% of them and he also had a list price for central line placement, and tunneled peritoneal catheter insertion that was lower than the list prices billed to Medicare by 75% of them. Actual amounts paid by patients can vary widely depending on a number of factors, including insurance coverage. A lower list price, however, might mean lower fees when paying without insurance.

Medicare Procedure and Patient Information

2012 Medicare Procedure Volume

The top procedures that Dr. Richard A. Silva, MD treated as a vascular surgeon in Frederick, MD during 2012 were vascular procedures, ultrasound (sonogram), minimally invasive procedures and dialysis access procedures.

Volume of procedures performed by Dr. Richard A. Silva, MD for Medicare patients.

abdominal imaging	107
ablation	80
angioplasty	117
catheterization	23
device removal	11
dialysis access procedures	127
doctor visit	998
endarterectomy	17
hospital care	126
injections	22
inpatient care	126
minimally invasive procedures	213
neck surgery	17
pelvic imaging	107
stent placement (stenting)	12
thrombectomy (blood clot removal)	27
ultrasound (sonogram)	1129
vascular procedures	1538
X-rays	41

Medicare Procedure and Patient Information

2013 Medicare Procedure Volume

The top procedures that Dr. Richard A. Silva, MD treated as a vascular surgeon in Frederick, MD during 2013 were vascular procedures, ultrasound (sonogram), minimally invasive procedures and ablation.

Volume of procedures performed by Dr. Richard A. Silva, MD for Medicare patients.

abdominal imaging	88
ablation	181
anastomosis	13
angioplasty	64
catheterization	28
compression therapy	34
dialysis access procedures	160
doctor visit	1231
endarterectomy	22
hospital care	74
immobilization	34
injections	35
inpatient care	74
minimally invasive procedures	253
neck surgery	22
pelvic imaging	88
stent placement (stenting)	11
ultrasound (sonogram)	1226
vascular procedures	1652
X-rays	53

2013 Medicare Patient Data

Information about Medicare patients treated by Dr. Richard A. Silva, MD.

**Gender**
Male	392
Female	524

**Ethnicity**
Non-Hispanic White	686
Black	138
Hispanic	32
Asian	39
Other	21
Native American	0

**Age**
From 65 to 74	295
From 75 to 84	328
85 and over	205
Less than 65	88

Conditions of Medicare patients treated by Dr. Richard A. Silva, MD in 2013

Hypertension	75
High Cholesterol	69
Stroke	10
Ischemic Heart Disease	50
Depression	20
Chronic Kidney Disease	39
Asthma	8
Osteoperosis	11
Atrial Fibrilation	16
Heart Failure	29
Chronic Obstructive Pulmonary Disease	20
Diabetes	43
Dementia	16
Cancer	11

Medicare Procedure and Patient Information

2014 Medicare Procedure Volume

The top procedures that Dr. Richard A. Silva, MD treated as a vascular surgeon in Frederick, MD during 2014 were vascular procedures, ultrasound (sonogram), minimally invasive procedures and dialysis access procedures.

Volume of procedures performed by Dr. Richard A. Silva, MD for Medicare patients.

abdominal imaging	77
ablation	184
angioplasty	61
compression therapy	37
dialysis access procedures	192
doctor visit	1239
endarterectomy	17
hospital care	60
immobilization	37
injections	54
inpatient care	60
minimally invasive procedures	256
neck surgery	17
pelvic imaging	77
thrombectomy (blood clot removal)	13
ultrasound (sonogram)	1317
vascular procedures	1707
X-rays	62

2014 Medicare Patient Data

Information about Medicare patients treated by Dr. Richard A. Silva, MD.

**Gender**
Male	336
Female	488

**Ethnicity**
Non-Hispanic White	606
Black	125
Hispanic	37
Asian	41
Other	0
Native American	0

**Age**
From 65 to 74	283
From 75 to 84	289
85 and over	184
Less than 65	68

Conditions of Medicare patients treated by Dr. Richard A. Silva, MD in 2014

Hypertension	75
High Cholesterol	70
Stroke	11
Ischemic Heart Disease	49
Depression	17
Chronic Kidney Disease	36
Asthma	8
Osteoperosis	10
Atrial Fibrilation	15
Heart Failure	26
Chronic Obstructive Pulmonary Disease	16
Diabetes	42
Dementia	14
Cancer	12

Medicare Procedure and Patient Information

2015 Medicare Procedure Volume

The top procedures that Dr. Richard A. Silva, MD treated as a vascular surgeon in Frederick, MD during 2015 were vascular procedures, ultrasound (sonogram), minimally invasive procedures and dialysis access procedures.

Volume of procedures performed by Dr. Richard A. Silva, MD for Medicare patients.

abdominal imaging	94
ablation	110
angioplasty	108
catheterization	13
compression therapy	51
dialysis access procedures	206
doctor visit	1334
hospital care	33
immobilization	51
injections	28
inpatient care	33
minimally invasive procedures	209
pelvic imaging	94
stent placement (stenting)	18
ultrasound (sonogram)	1401
vascular procedures	1820
X-rays	65

2015 Medicare Patient Data

Information about Medicare patients treated by Dr. Richard A. Silva, MD.

**Gender**
Male	844
Female	1096

**Ethnicity**
Non-Hispanic White	1396
Black	276
Hispanic	76
Asian	128
Other	0
Native American	0

**Age**
From 65 to 74	630
From 75 to 84	680
85 and over	452
Less than 65	178

Conditions of Medicare patients treated by Dr. Richard A. Silva, MD in 2015

Hypertension	75
High Cholesterol	70
Stroke	11
Ischemic Heart Disease	48
Depression	21
Chronic Kidney Disease	41
Asthma	12
Osteoperosis	9
Atrial Fibrilation	16
Heart Failure	28
Chronic Obstructive Pulmonary Disease	16
Diabetes	42
Dementia	16
Cancer	14

Medicare Procedure and Patient Information

2016 Medicare Procedure Volume

The top procedures that Dr. Richard A. Silva, MD treated as a vascular surgeon in Frederick, MD during 2016 were vascular procedures, ultrasound (sonogram), dialysis access procedures and minimally invasive procedures.

Volume of procedures performed by Dr. Richard A. Silva, MD for Medicare patients.

abdominal imaging	95
ablation	94
angioplasty	71
compression therapy	83
device removal	11
dialysis access procedures	197
doctor visit	1219
endarterectomy	11
hospital care	40
immobilization	83
injections	30
inpatient care	40
minimally invasive procedures	140
neck surgery	11
pelvic imaging	95
stent placement (stenting)	11
thrombectomy (blood clot removal)	17
ultrasound (sonogram)	1267
vascular procedures	1590
X-rays	54

2016 Medicare Patient Data

Information about Medicare patients treated by Dr. Richard A. Silva, MD.

**Gender**
Male	434
Female	528

**Ethnicity**
Non-Hispanic White	681
Black	135
Hispanic	57
Asian	62
Other	0
Native American	0

**Age**
From 65 to 74	324
From 75 to 84	368
85 and over	192
Less than 65	78

Conditions of Medicare patients treated by Dr. Richard A. Silva, MD in 2016

Hypertension	75
High Cholesterol	70
Stroke	10
Ischemic Heart Disease	51
Depression	22
Chronic Kidney Disease	43
Asthma	17
Osteoperosis	10
Atrial Fibrilation	13
Heart Failure	24
Chronic Obstructive Pulmonary Disease	15
Diabetes	43
Dementia	17
Cancer	14

Medicare Procedure and Patient Information

2017 Medicare Procedure Volume

The top procedures that Dr. Richard A. Silva, MD treated as a vascular surgeon in Frederick, MD during 2017 were vascular procedures, ultrasound (sonogram), minimally invasive procedures and pelvic imaging.

Volume of procedures performed by Dr. Richard A. Silva, MD for Medicare patients.

abdominal imaging	117
ablation	94
compression therapy	67
dialysis access procedures	101
doctor visit	1375
hospital care	11
immobilization	67
injections	32
inpatient care	11
minimally invasive procedures	156
pelvic imaging	117
ultrasound (sonogram)	1190
vascular procedures	1441

2017 Medicare Patient Data

Information about Medicare patients treated by Dr. Richard A. Silva, MD.

**Gender**
Male	484
Female	505

**Ethnicity**
Non-Hispanic White	720
Black	125
Hispanic	58
Asian	62
Other	24
Native American	0

**Age**
From 65 to 74	330
From 75 to 84	378
85 and over	186
Less than 65	95

Conditions of Medicare patients treated by Dr. Richard A. Silva, MD in 2017

Hypertension	75
High Cholesterol	65
Stroke	9
Ischemic Heart Disease	53
Depression	24
Chronic Kidney Disease	45
Asthma	9
Osteoperosis	11
Atrial Fibrilation	15
Heart Failure	26
Chronic Obstructive Pulmonary Disease	16
Diabetes	42
Dementia	15
Cancer	12

Medicare Procedure and Patient Information

2018 Medicare Procedure Volume

The top procedures that Dr. Richard A. Silva, MD treated as a vascular surgeon in Frederick, MD during 2018 were vascular procedures, ultrasound (sonogram), minimally invasive procedures and pelvic imaging.

Volume of procedures performed by Dr. Richard A. Silva, MD for Medicare patients.

abdominal imaging	120
ablation	69
angioplasty	52
catheterization	19
compression therapy	25
dialysis access procedures	105
doctor visit	1601
hospital care	30
immobilization	25
injections	15
inpatient care	30
minimally invasive procedures	198
pelvic imaging	120
stent placement (stenting)	14
ultrasound (sonogram)	1218
vascular procedures	1543

2018 Medicare Patient Data

Information about Medicare patients treated by Dr. Richard A. Silva, MD.

**Gender**
Male	478
Female	567

**Ethnicity**
Non-Hispanic White	745
Black	144
Hispanic	52
Asian	64
Other	40
Native American	0

**Age**
From 65 to 74	349
From 75 to 84	402
85 and over	212
Less than 65	82

Conditions of Medicare patients treated by Dr. Richard A. Silva, MD in 2018

Hypertension	75
High Cholesterol	73
Stroke	11
Ischemic Heart Disease	52
Depression	26
Chronic Kidney Disease	45
Asthma	8
Osteoperosis	11
Atrial Fibrilation	17
Heart Failure	26
Chronic Obstructive Pulmonary Disease	17
Diabetes	41
Dementia	19
Cancer	12

Medicare Procedure and Patient Information

2019 Medicare Procedure Volume

The top procedures that Dr. Richard A. Silva, MD treated as a vascular surgeon in Frederick, MD during 2019 were vascular procedures, ultrasound (sonogram), dialysis access procedures and minimally invasive procedures.

Volume of procedures performed by Dr. Richard A. Silva, MD for Medicare patients.

abdominal imaging	118
ablation	65
anastomosis	11
angioplasty	18
catheterization	34
compression therapy	29
device removal	12
dialysis access procedures	169
doctor visit	1575
hospital care	57
immobilization	29
injections	13
inpatient care	57
minimally invasive procedures	158
pelvic imaging	118
stent placement (stenting)	26
ultrasound (sonogram)	1193
vascular procedures	1476

2019 Medicare Patient Data

Information about Medicare patients treated by Dr. Richard A. Silva, MD.

**Gender**
Male	510
Female	570

**Ethnicity**
Non-Hispanic White	739
Black	169
Hispanic	64
Asian	73
Other	0
Native American	0

**Age**
From 65 to 74	359
From 75 to 84	399
85 and over	220
Less than 65	102

Conditions of Medicare patients treated by Dr. Richard A. Silva, MD in 2019

Hypertension	75
High Cholesterol	74
Stroke	10
Ischemic Heart Disease	53
Depression	27
Chronic Kidney Disease	48
Asthma	8
Osteoperosis	11
Atrial Fibrilation	16
Heart Failure	26
Chronic Obstructive Pulmonary Disease	15
Diabetes	44
Dementia	19
Cancer	13

Medicare Procedure and Patient Information

2020 Medicare Procedure Volume

The top procedures that Dr. Richard A. Silva, MD treated as a vascular surgeon in Frederick, MD during 2020 were vascular procedures, ultrasound (sonogram), dialysis access procedures and pelvic imaging.

Volume of procedures performed by Dr. Richard A. Silva, MD for Medicare patients.

abdominal imaging	96
anastomosis	14
angioplasty	31
catheterization	50
compression therapy	51
dialysis access procedures	183
doctor visit	1279
hospital care	14
immobilization	51
inpatient care	14
minimally invasive procedures	94
pelvic imaging	96
stent placement (stenting)	20
ultrasound (sonogram)	1091
vascular procedures	1319

2020 Medicare Patient Data

Information about Medicare patients treated by Dr. Richard A. Silva, MD.

**Gender**
Male	473
Female	492

**Ethnicity**
Non-Hispanic White	643
Black	180
Hispanic	53
Asian	57
Other	0
Native American	0

**Age**
From 65 to 74	279
From 75 to 84	383
85 and over	200
Less than 65	103

Conditions of Medicare patients treated by Dr. Richard A. Silva, MD in 2020

Hypertension	75
High Cholesterol	70
Stroke	10
Ischemic Heart Disease	52
Depression	23
Chronic Kidney Disease	51
Asthma	7
Osteoperosis	11
Atrial Fibrilation	17
Heart Failure	27
Chronic Obstructive Pulmonary Disease	14
Diabetes	46
Dementia	20
Cancer	11

Medicare Procedure and Patient Information

2021 Medicare Procedure Volume

The top procedures that Dr. Richard A. Silva, MD treated as a vascular surgeon in Frederick, MD during 2021 were vascular procedures, ultrasound (sonogram), dialysis access procedures and minimally invasive procedures.

Volume of procedures performed by Dr. Richard A. Silva, MD for Medicare patients.

abdominal imaging	109
ablation	41
anastomosis	13
angioplasty	16
catheterization	58
compression therapy	26
dialysis access procedures	135
doctor visit	1374
immobilization	26
injections	15
minimally invasive procedures	128
pelvic imaging	109
stent placement (stenting)	16
ultrasound (sonogram)	1119
vascular procedures	1403

2021 Medicare Patient Data

Information about Medicare patients treated by Dr. Richard A. Silva, MD.

**Gender**
Male	475
Female	555

**Ethnicity**
Non-Hispanic White	680
Black	179
Hispanic	62
Asian	63
Other	0
Native American	0

**Age**
From 65 to 74	324
From 75 to 84	411
85 and over	215
Less than 65	80

Conditions of Medicare patients treated by Dr. Richard A. Silva, MD in 2021

Hypertension	75
High Cholesterol	75
Stroke	11
Ischemic Heart Disease	53
Depression	26
Chronic Kidney Disease	49
Asthma	8
Osteoperosis	13
Atrial Fibrilation	17
Heart Failure	29
Chronic Obstructive Pulmonary Disease	15
Diabetes	43
Dementia	18
Cancer	10

Medicare Procedure and Patient Information

2022 Medicare Procedure Volume

The top procedures that Dr. Richard A. Silva, MD treated as a vascular surgeon in Frederick, MD during 2022 were vascular procedures, ultrasound (sonogram), dialysis access procedures and pelvic imaging.

Volume of procedures performed by Dr. Richard A. Silva, MD for Medicare patients.

abdominal imaging	113
anastomosis	14
angioplasty	15
catheterization	47
compression therapy	41
dialysis access procedures	158
doctor visit	1370
immobilization	41
minimally invasive procedures	70
pelvic imaging	113
ultrasound (sonogram)	1093
vascular procedures	1297

2022 Medicare Patient Data

Information about Medicare patients treated by Dr. Richard A. Silva, MD.

**Gender**
Male	467
Female	569

**Ethnicity**
Non-Hispanic White	690
Black	181
Hispanic	52
Asian	69
Other	0
Native American	0

**Age**
From 65 to 74	320
From 75 to 84	394
85 and over	229
Less than 65	93

Conditions of Medicare patients treated by Dr. Richard A. Silva, MD in 2022

Hypertension	75
High Cholesterol	75
Stroke	16
Ischemic Heart Disease	43
Depression	22
Chronic Kidney Disease	41
Asthma	11
Osteoperosis	17
Atrial Fibrilation	25
Heart Failure	25
Chronic Obstructive Pulmonary Disease	19
Diabetes	45
Dementia	11
Cancer	15

Medicare Procedure and Patient Information

Average Medicare Procedure Volume From 2012 - 2022

Volume of procedures performed by Dr. Richard A. Silva, MD for Medicare patients.

The highest averages for the top procedures that Dr. Richard A. Silva, MD treated as a vascular surgeon in Frederick, MD were vascular procedures, ultrasound (sonogram), minimally invasive procedures and dialysis access procedures.

abdominal imaging	103
ablation	102
anastomosis	13
angioplasty	55
catheterization	34
compression therapy	44
device removal	11
dialysis access procedures	157
doctor visit	1326
endarterectomy	16
hospital care	49
immobilization	44
injections	27
inpatient care	49
minimally invasive procedures	170
neck surgery	16
pelvic imaging	103
stent placement (stenting)	16
thrombectomy (blood clot removal)	19
ultrasound (sonogram)	1204
vascular procedures	1526
X-rays	55

Average Medicare Patient Data From 2012 - 2022

Information about Medicare patients treated by Dr. Richard A. Silva, MD.

**Gender**
Male	444
Female	535

**Ethnicity**
Black / African American	150
Asian / Pacific Islander	59
Non-Hispanic White	689
Hispanic	49
Native American / Alaskan Native	0
Other	7

**Age**
75 to 84	366
85 and over	208
Less than 65	87
65 to 74	317

Average of Total of Conditions of Medicare patients treated by Dr. Richard A. Silva, MD From 2012 - 2022

The highest averages of the most common conditions of Medicare patients that Dr. Richard A. Silva, MD treated were hypertension, high cholesterol, ischemic heart disease and chronic kidney disease.

Hypertension	68
High Cholesterol	64
Stroke	9
Ischemic Heart Disease	45
Depression	20
Chronic Kidney Disease	39
Asthma	8
Osteoporosis	10
Heart Failure	24
Chronic Obstructive Pulmonary Disease	14
Diabetes	39
Atrial Fibrillation	15
Cancer	11
Dementia	15

Education & Training

Dr. Richard A. Silva, MD graduated from SUNY, University at Buffalo School of Medicine & Biomedical Sciences in 1992. He completed residency at Virginia Commonwealth University (VCU) Affiliated Hospitals. He is certified by the Vascular Surgery - American Board of Surgery Surgery - American Board of Surgery and has a state license in Maryland.

Medical School: SUNY, University at Buffalo School of Medicine & Biomedical Sciences (1992)

Residency: Virginia Commonwealth University (VCU) Affiliated Hospitals (1997)

Board Certification: Vascular Surgery - American Board of Surgery Surgery - American Board of Surgery

Licensed In: Maryland

Affiliations & Hospitals

Dr. Richard A. Silva, MD is associated with these hospitals and organizations:

MedStar Montgomery Medical Center

Holy Cross Health

Frederick Health

MedStar Health

HORIZON SURGICAL GROUP PA

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General Payments

These charts describe general payments received by Dr. Richard A. Silva, MD. Doctors may receive payments for a number of reasons, including meal compensation, travel compensation, and consulting.

**Payments by Company**
W. L. Gore & Associates, Inc.	$1,183 C3 Delivery System $501	EXCLUDER AAA Endoprosthesis $241	ACUSEAL Vascular Graft $175	GORE VIABAHN Endoprosthesis with Heparin $125	GORE EXCLUDER AAA Endoprosthesis $123	Other $18
Bard Peripheral Vascular, Inc.	$374 Vascular $319	Venclose Maven Catheter $42	$13
E.R. Squibb & Sons, L.L.C.	$289 ELIQUIS $267	CAMZYOS $22
Janssen Pharmaceuticals, Inc	$231 XARELTO $231
Medtronic, Inc.	$206 IN.PACT Admiral $81	Resolute $76	Chameleon $26	ARCTIC FRONT ADVANCE $23
Other	$1,293 ELIQUIS $114	ENTRE $104	Omnilink Elite vascular stent system $99	Peripheral Orbital Atherectomy System $94	Regranex $67	Other $814

**Types of Payments**
Food and Beverage	$3,275
Consulting Fee	$300

Research Payments

Dr. Richard A. Silva, MD has received 13 research payments totaling $17,600.

Biography

Dr. Richard Silva is a specialist in vascular surgery. These areas are among his clinical interests: thoracic outlet syndrome, renal angioplasty, and renal artery thrombosis. He graduated from SUNY, University at Buffalo School of Medicine & Biomedical Sciences and then he performed his residency at a hospital affiliated with Virginia Commonwealth University (VCU). Dr. Silva is affiliated with Frederick Health, Holy Cross Health, and MedStar Montgomery Medical Center. Dr. Silva welcomes new patients at his office inFrederick, MD as reported by Holy Cross Health.