Dollars for Docs
How Industry Dollars Reach Your Doctors
This database was last updated in October 2019 and should only be used as a historical snapshot. Newer data is available at the Centers for Medicare and Medicaid Services Open Payments site.
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WALT SARGEANT
Listed Specialty: Internal Medicine
464 W 145TH ST, NEW YORK, NY, 10031-4701
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WALT SARGEANT,
Yearly Payment Breakdown:
2018 Payments At a Glance
152
payments
$3,836
payment total
19
companies paid this doctor
Payment Calendar in 2018
This doctor received a payment on days in 2018.
Each box below represents a single day during the disclosure period. A gray box indicates no payments. The darker the color, the more payments a doctor received that day.
2018
Types of Payments in 2018
| Category | Payments | Payment Value |
|---|---|---|
Food and Beverage |
152 | $3,836 |
Drugs & Devices in 2018
Totals listed below account for all payments from that mention this product. Beginning in 2016, the government began classifying products as drugs, devices, biologics or medical supplies. Below, you will see drugs (drugs and biologics) and devices (devices and medical supplies). If a payment record mentions more than one product, the entire value will be included in each of those products. When no products are listed, they are not included in the list below.
| Product Name | Product Type | Payments† |
|---|---|---|
FARXIGA |
drug |
$506 |
JARDIANCE |
drug |
$386 |
Payments with no listed product |
N/A |
$380 |
SYMBICORT |
drug |
$345 |
BYDUREON |
drug |
$267 |
TRADJENTA |
drug |
$263 |
TRUVADA |
drug |
$246 |
SYNJARDY |
drug |
$238 |
XARELTO |
drug |
$203 |
BASAGLAR |
drug |
$199 |
TRULICITY |
drug |
$199 |
SYNJARDY XR |
drug |
$178 |
VASCEPA |
drug |
$176 |
SPIRIVA RESPIMAT |
drug |
$174 |
BIKTARVY |
drug |
$125 |
TRESIBA |
drug |
$124 |
GLYXAMBI |
drug |
$117 |
BEVESPI AEROSPHERE |
drug |
$116 |
JANUVIA |
drug |
$115 |
JENTADUETO |
drug |
$109 |
INVOKANA |
drug |
$103 |
SPIRIVA |
drug |
$101 |
JANUMET |
drug |
$98 |
MYRBETRIQ |
drug |
$92 |
STIOLTO RESPIMAT |
drug |
$80 |
JANUMET XR |
drug |
$79 |
STEGLATRO |
drug |
$69 |
TOUJEO |
drug |
$65 |
JENTADUETO XR |
drug |
$59 |
SOLIQUA |
drug |
$58 |
VICTOZA |
drug |
$53 |
ASMANEX |
drug |
$51 |
FERRALET |
drug |
$47 |
EDARBI |
drug |
$45 |
AFREZZA |
drug |
$44 |
LINZESS |
drug |
$32 |
CHANTIX |
drug |
$32 |
ELIQUIS |
drug |
$32 |
ADVAIR |
drug |
$22 |
FLOVENT |
drug |
$22 |
STEGLUJAN |
drug |
$19 |
PENNSAID |
drug |
$18 |
IPRO2 |
device |
$16 |
OZEMPIC |
drug |
$15 |
TUDORZA PRESSAIR |
drug |
$15 |
BELSOMRA |
drug |
$13 |
| † May not add up to dollar total at top of page, since a payment record may not be associated with any product or can be associated with several products. | ||
Payment Details in 2018
| When | How Much | Related To | What For | From | Third Party Payee |
|---|---|---|---|---|---|
| May 31, 2018 | $125 | TRUVADA | Food and Beverage | GILEAD SCIENCES INC | |
| Oct 11, 2018 | $125 | BIKTARVY | Food and Beverage | GILEAD SCIENCES INC | |
| Jan 31, 2018 | $125 | BYDUREON | Food and Beverage | ASTRAZENECA PHARMACEUTICALS LP | |
| Oct 2, 2018 | $125 | VASCEPA | Food and Beverage | AMARIN PHARMA INC. | |
| May 3, 2018 | $121 | TRUVADA | Food and Beverage | GILEAD SCIENCES INC | |
| Mar 1, 2018 | $116 | BEVESPI AEROSPHERE | Food and Beverage | ASTRAZENECA PHARMACEUTICALS LP | |
| Jun 20, 2018 | $113 | FARXIGA | Food and Beverage | ASTRAZENECA PHARMACEUTICALS LP | |
| Jan 11, 2018 | $104 | SYMBICORT FARXIGA BYDUREON | Food and Beverage | ASTRAZENECA PHARMACEUTICALS LP | |
| Nov 8, 2018 | $100 | FARXIGA | Food and Beverage | ASTRAZENECA PHARMACEUTICALS LP | |
| Oct 24, 2018 | $50 | XARELTO | Food and Beverage | JANSSEN PHARMACEUTICALS, INC | |
| Oct 26, 2018 | $50 | XARELTO | Food and Beverage | JANSSEN PHARMACEUTICALS, INC | |
| Oct 31, 2018 | $36 | SPIRIVA | Food and Beverage | BOEHRINGER INGELHEIM PHARMACEUTICALS, INC. | |
| Mar 28, 2018 | $34 | SPIRIVA | Food and Beverage | BOEHRINGER INGELHEIM PHARMACEUTICALS, INC. | |
| Jul 17, 2018 | $33 | TRADJENTA JENTADUETO JARDIANCE SYNJARDY SYNJARDY XR | Food and Beverage | BOEHRINGER INGELHEIM PHARMACEUTICALS, INC. | |
| Dec 5, 2018 | $32 | TRADJENTA JARDIANCE GLYXAMBI SYNJARDY SYNJARDY XR | Food and Beverage | BOEHRINGER INGELHEIM PHARMACEUTICALS, INC. | |
| Feb 15, 2018 | $31 | SPIRIVA | Food and Beverage | BOEHRINGER INGELHEIM PHARMACEUTICALS, INC. | |
| Nov 6, 2018 | $31 | TRADJENTA JARDIANCE SYNJARDY JENTADUETO XR SYNJARDY XR | Food and Beverage | BOEHRINGER INGELHEIM PHARMACEUTICALS, INC. | |
| Jun 5, 2018 | $31 | TRADJENTA JARDIANCE SYNJARDY | Food and Beverage | BOEHRINGER INGELHEIM PHARMACEUTICALS, INC. | |
| Aug 30, 2018 | $30 | VASCEPA | Food and Beverage | AMARIN PHARMA INC. | |
| May 18, 2018 | $30 | No Listed Product | Food and Beverage | GILEAD SCIENCES INC | |
| Mar 8, 2018 | $30 | No Listed Product | Food and Beverage | GILEAD SCIENCES INC | |
| Apr 26, 2018 | $29 | JARDIANCE | Food and Beverage | BOEHRINGER INGELHEIM PHARMACEUTICALS, INC. | |
| Dec 18, 2018 | $28 | No Listed Product | Food and Beverage | GILEAD SCIENCES INC | |
| Mar 6, 2018 | $28 | TRADJENTA JARDIANCE GLYXAMBI SYNJARDY JENTADUETO XR | Food and Beverage | BOEHRINGER INGELHEIM PHARMACEUTICALS, INC. | |
| Jul 10, 2018 | $28 | STIOLTO RESPIMAT | Food and Beverage | BOEHRINGER INGELHEIM PHARMACEUTICALS, INC. | |
| Jun 14, 2018 | $27 | STIOLTO RESPIMAT | Food and Beverage | BOEHRINGER INGELHEIM PHARMACEUTICALS, INC. | |
| Feb 8, 2018 | $27 | No Listed Product | Food and Beverage | GILEAD SCIENCES INC | |
| Nov 30, 2018 | $27 | No Listed Product | Food and Beverage | GILEAD SCIENCES INC | |
| Aug 2, 2018 | $26 | No Listed Product | Food and Beverage | GILEAD SCIENCES INC | |
| Jul 3, 2018 | $26 | No Listed Product | Food and Beverage | GILEAD SCIENCES INC | |
| Jan 9, 2018 | $26 | TRADJENTA JENTADUETO JARDIANCE SYNJARDY | Food and Beverage | BOEHRINGER INGELHEIM PHARMACEUTICALS, INC. | |
| Mar 15, 2018 | $25 | SPIRIVA RESPIMAT | Food and Beverage | BOEHRINGER INGELHEIM PHARMACEUTICALS, INC. | |
| Oct 3, 2018 | $25 | TRADJENTA JENTADUETO JARDIANCE GLYXAMBI SYNJARDY XR | Food and Beverage | BOEHRINGER INGELHEIM PHARMACEUTICALS, INC. | |
| Sep 4, 2018 | $25 | TRULICITY BASAGLAR | Food and Beverage | LILLY USA, LLC | |
| Oct 9, 2018 | $25 | TRULICITY BASAGLAR | Food and Beverage | LILLY USA, LLC | |
| Sep 5, 2018 | $25 | TRADJENTA JARDIANCE GLYXAMBI SYNJARDY SYNJARDY XR | Food and Beverage | BOEHRINGER INGELHEIM PHARMACEUTICALS, INC. | |
| Jun 12, 2018 | $25 | TRULICITY BASAGLAR | Food and Beverage | LILLY USA, LLC | |
| Jul 20, 2018 | $25 | FARXIGA | Food and Beverage | ASTRAZENECA PHARMACEUTICALS LP | |
| Nov 7, 2018 | $25 | XARELTO INVOKANA | Food and Beverage | JANSSEN PHARMACEUTICALS, INC | |
| May 8, 2018 | $25 | TRADJENTA JENTADUETO JARDIANCE SYNJARDY SYNJARDY XR | Food and Beverage | BOEHRINGER INGELHEIM PHARMACEUTICALS, INC. | |
| Sep 29, 2018 | $25 | FARXIGA | Food and Beverage | ASTRAZENECA PHARMACEUTICALS LP | |
| Oct 11, 2018 | $25 | TOUJEO | Food and Beverage | SANOFI-AVENTIS U.S. LLC | |
| Jun 6, 2018 | $25 | BYDUREON | Food and Beverage | ASTRAZENECA PHARMACEUTICALS LP | |
| May 17, 2018 | $25 | EDARBI | Food and Beverage | ARBOR PHARMACEUTICALS, INC. | |
| Apr 6, 2018 | $24 | FARXIGA | Food and Beverage | ASTRAZENECA PHARMACEUTICALS LP | |
| Jun 6, 2018 | $24 | AFREZZA | Food and Beverage | MANNKIND CORPORATION | |
| Sep 25, 2018 | $24 | SYMBICORT | Food and Beverage | ASTRAZENECA PHARMACEUTICALS LP | |
| Dec 5, 2018 | $24 | MYRBETRIQ | Food and Beverage | ASTELLAS PHARMA US INC | |
| Aug 7, 2018 | $24 | SYMBICORT | Food and Beverage | ASTRAZENECA PHARMACEUTICALS LP | |
| Oct 19, 2018 | $24 | MYRBETRIQ | Food and Beverage | ASTELLAS PHARMA US INC | |
| Oct 10, 2018 | $23 | MYRBETRIQ | Food and Beverage | ASTELLAS PHARMA US INC | |
| Jun 15, 2018 | $23 | No Listed Product | Food and Beverage | GILEAD SCIENCES INC | |
| Oct 12, 2018 | $23 | No Listed Product | Food and Beverage | GILEAD SCIENCES INC | |
| Aug 3, 2018 | $23 | SOLIQUA | Food and Beverage | SANOFI-AVENTIS U.S. LLC | |
| Sep 20, 2018 | $23 | JARDIANCE | Food and Beverage | LILLY USA, LLC | |
| Jan 23, 2018 | $23 | TRULICITY BASAGLAR | Food and Beverage | LILLY USA, LLC | |
| Nov 9, 2018 | $23 | TOUJEO | Food and Beverage | SANOFI-AVENTIS U.S. LLC | |
| Oct 23, 2018 | $23 | SYMBICORT | Food and Beverage | ASTRAZENECA PHARMACEUTICALS LP | |
| Jun 14, 2018 | $22 | ADVAIR FLOVENT | Food and Beverage | GLAXOSMITHKLINE, LLC. | |
| Apr 6, 2018 | $22 | SYMBICORT | Food and Beverage | ASTRAZENECA PHARMACEUTICALS LP | |
| Jul 24, 2018 | $22 | SPIRIVA RESPIMAT | Food and Beverage | BOEHRINGER INGELHEIM PHARMACEUTICALS, INC. | |
| Sep 18, 2018 | $22 | SPIRIVA RESPIMAT | Food and Beverage | BOEHRINGER INGELHEIM PHARMACEUTICALS, INC. | |
| May 15, 2018 | $22 | SYMBICORT | Food and Beverage | ASTRAZENECA PHARMACEUTICALS LP | |
| Dec 20, 2018 | $22 | XARELTO INVOKANA | Food and Beverage | JANSSEN PHARMACEUTICALS, INC | |
| Oct 25, 2018 | $22 | TRESIBA | Food and Beverage | NOVO NORDISK INC | |
| Mar 14, 2018 | $22 | TRESIBA | Food and Beverage | NOVO NORDISK INC | |
| Nov 27, 2018 | $22 | SYMBICORT | Food and Beverage | ASTRAZENECA PHARMACEUTICALS LP | |
| Feb 16, 2018 | $22 | STIOLTO RESPIMAT | Food and Beverage | BOEHRINGER INGELHEIM PHARMACEUTICALS, INC. | |
| Jan 30, 2018 | $21 | FARXIGA | Food and Beverage | ASTRAZENECA PHARMACEUTICALS LP | |
| May 2, 2018 | $21 | TRULICITY BASAGLAR | Food and Beverage | LILLY USA, LLC | |
| Feb 22, 2018 | $21 | MYRBETRIQ | Food and Beverage | ASTELLAS PHARMA US INC | |
| Jul 26, 2018 | $21 | SYMBICORT | Food and Beverage | ASTRAZENECA PHARMACEUTICALS LP | |
| Feb 6, 2018 | $21 | JARDIANCE | Food and Beverage | LILLY USA, LLC | |
| Mar 29, 2018 | $21 | EDARBI | Food and Beverage | ARBOR PHARMACEUTICALS, INC. | |
| Sep 26, 2018 | $21 | VASCEPA | Food and Beverage | AMARIN PHARMA INC. | |
| May 4, 2018 | $20 | No Listed Product | Food and Beverage | GILEAD SCIENCES INC | |
| Dec 4, 2018 | $20 | JARDIANCE | Food and Beverage | LILLY USA, LLC | |
| Jan 25, 2018 | $20 | AFREZZA | Food and Beverage | MANNKIND CORPORATION | |
| May 3, 2018 | $20 | LINZESS | Food and Beverage | ALLERGAN INC. | |
| Aug 16, 2018 | $20 | VICTOZA TRESIBA | Food and Beverage | NOVO NORDISK INC | |
| Mar 22, 2018 | $20 | XARELTO INVOKANA | Food and Beverage | JANSSEN PHARMACEUTICALS, INC | |
| Aug 28, 2018 | $20 | SPIRIVA RESPIMAT | Food and Beverage | BOEHRINGER INGELHEIM PHARMACEUTICALS, INC. | |
| Jun 21, 2018 | $20 | SPIRIVA RESPIMAT | Food and Beverage | BOEHRINGER INGELHEIM PHARMACEUTICALS, INC. | |
| Jun 15, 2018 | $20 | VICTOZA TRESIBA | Food and Beverage | NOVO NORDISK INC | |
| Jan 5, 2018 | $19 | SYMBICORT | Food and Beverage | ASTRAZENECA PHARMACEUTICALS LP | |
| Oct 16, 2018 | $19 | SPIRIVA RESPIMAT | Food and Beverage | BOEHRINGER INGELHEIM PHARMACEUTICALS, INC. | |
| Nov 13, 2018 | $19 | SPIRIVA RESPIMAT | Food and Beverage | BOEHRINGER INGELHEIM PHARMACEUTICALS, INC. | |
| Sep 19, 2018 | $19 | JANUVIA JANUMET ASMANEX STEGLATRO STEGLUJAN | Food and Beverage | MERCK SHARP & DOHME CORPORATION | |
| Feb 13, 2018 | $19 | TRULICITY BASAGLAR | Food and Beverage | LILLY USA, LLC | |
| Nov 1, 2018 | $19 | SYMBICORT | Food and Beverage | ASTRAZENECA PHARMACEUTICALS LP | |
| Sep 14, 2018 | $18 | PENNSAID | Food and Beverage | HORIZON PHARMA PLC | |
| Jan 18, 2018 | $18 | SYMBICORT | Food and Beverage | ASTRAZENECA PHARMACEUTICALS LP | |
| Aug 8, 2018 | $18 | FARXIGA | Food and Beverage | ASTRAZENECA PHARMACEUTICALS LP | |
| Oct 24, 2018 | $18 | XARELTO INVOKANA | Food and Beverage | JANSSEN PHARMACEUTICALS, INC | |
| Apr 12, 2018 | $18 | XARELTO INVOKANA | Food and Beverage | JANSSEN PHARMACEUTICALS, INC | |
| Sep 21, 2018 | $18 | SOLIQUA | Food and Beverage | SANOFI-AVENTIS U.S. LLC | |
| Apr 26, 2018 | $18 | FERRALET | Food and Beverage | MISSION PHARMACAL COMPANY | |
| Jun 20, 2018 | $18 | TOUJEO | Food and Beverage | SANOFI-AVENTIS U.S. LLC | |
| Apr 11, 2018 | $18 | No Listed Product | Food and Beverage | GILEAD SCIENCES INC | |
| Dec 19, 2018 | $18 | JANUVIA JANUMET ASMANEX JANUMET XR STEGLATRO | Food and Beverage | MERCK SHARP & DOHME CORPORATION | |
| May 14, 2018 | $18 | SPIRIVA RESPIMAT | Food and Beverage | BOEHRINGER INGELHEIM PHARMACEUTICALS, INC. | |
| Jul 25, 2018 | $17 | SOLIQUA | Food and Beverage | SANOFI-AVENTIS U.S. LLC | |
| May 1, 2018 | $17 | TRESIBA | Food and Beverage | NOVO NORDISK INC | |
| Jun 13, 2018 | $17 | JANUVIA JANUMET JANUMET XR | Food and Beverage | MERCK SHARP & DOHME CORPORATION | |
| Aug 1, 2018 | $17 | JANUVIA STEGLATRO | Food and Beverage | MERCK SHARP & DOHME CORPORATION | |
| Apr 10, 2018 | $17 | JARDIANCE | Food and Beverage | LILLY USA, LLC | |
| Jun 18, 2018 | $17 | FERRALET | Food and Beverage | MISSION PHARMACAL COMPANY | |
| Feb 14, 2018 | $16 | JANUVIA JANUMET JANUMET XR | Food and Beverage | MERCK SHARP & DOHME CORPORATION | |
| Aug 29, 2018 | $16 | CHANTIX ELIQUIS | Food and Beverage | PFIZER INC. | |
| Mar 13, 2018 | $16 | FARXIGA | Food and Beverage | ASTRAZENECA PHARMACEUTICALS LP | |
| Jul 31, 2018 | $16 | CHANTIX ELIQUIS | Food and Beverage | PFIZER INC. | |
| Sep 13, 2018 | $16 | IPRO2 | Food and Beverage | MEDTRONIC MINIMED, INC. | |
| May 30, 2018 | $15 | OZEMPIC | Food and Beverage | NOVO NORDISK INC | |
| Mar 9, 2018 | $15 | SYMBICORT | Food and Beverage | ASTRAZENECA PHARMACEUTICALS LP | |
| May 16, 2018 | $15 | JANUVIA JANUMET JANUMET XR STEGLATRO | Food and Beverage | MERCK SHARP & DOHME CORPORATION | |
| Sep 27, 2018 | $15 | TUDORZA PRESSAIR | Food and Beverage | CIRCASSIA PHARMACEUTICALS INC | |
| Aug 10, 2018 | $14 | No Listed Product | Food and Beverage | GILEAD SCIENCES INC | |
| Nov 21, 2018 | $14 | FARXIGA | Food and Beverage | ASTRAZENECA PHARMACEUTICALS LP | |
| Jan 17, 2018 | $13 | JANUVIA JANUMET ASMANEX BELSOMRA JANUMET XR | Food and Beverage | MERCK SHARP & DOHME CORPORATION | |
| Jan 11, 2018 | $13 | BYDUREON | Food and Beverage | ASTRAZENECA PHARMACEUTICALS LP | |
| Oct 25, 2018 | $13 | FERRALET | Food and Beverage | MISSION PHARMACAL COMPANY | |
| Apr 4, 2018 | $13 | VICTOZA TRESIBA | Food and Beverage | NOVO NORDISK INC | |
| Nov 2, 2018 | $13 | No Listed Product | Food and Beverage | GILEAD SCIENCES INC | |
| May 3, 2018 | $13 | TRULICITY BASAGLAR | Food and Beverage | LILLY USA, LLC | |
| Feb 7, 2018 | $12 | No Listed Product | Food and Beverage | GILEAD SCIENCES INC | |
| May 11, 2018 | $12 | FARXIGA | Food and Beverage | ASTRAZENECA PHARMACEUTICALS LP | |
| Mar 2, 2018 | $12 | No Listed Product | Food and Beverage | GILEAD SCIENCES INC | |
| Dec 12, 2018 | $12 | LINZESS | Food and Beverage | ALLERGAN INC. | |
| Nov 30, 2018 | $12 | SYMBICORT | Food and Beverage | ASTRAZENECA PHARMACEUTICALS LP | |
| Dec 5, 2018 | $11 | FARXIGA | Food and Beverage | ASTRAZENECA PHARMACEUTICALS LP | |
| Oct 17, 2018 | $11 | FARXIGA | Food and Beverage | ASTRAZENECA PHARMACEUTICALS LP | |
| Aug 23, 2018 | $11 | TRULICITY BASAGLAR | Food and Beverage | LILLY USA, LLC | |
| Nov 9, 2018 | $11 | FARXIGA | Food and Beverage | ASTRAZENECA PHARMACEUTICALS LP | |
| Apr 11, 2018 | $11 | No Listed Product | Food and Beverage | GILEAD SCIENCES INC | |
| Mar 7, 2018 | $10 | TRESIBA | Food and Beverage | NOVO NORDISK INC | |
| Feb 16, 2018 | $10 | No Listed Product | Food and Beverage | GILEAD SCIENCES INC | |
| Oct 17, 2018 | $9 | No Listed Product | Food and Beverage | GILEAD SCIENCES INC | |
| Jan 17, 2018 | $9 | No Listed Product | Food and Beverage | GILEAD SCIENCES INC | |
| Feb 1, 2018 | $8 | No Listed Product | Food and Beverage | GILEAD SCIENCES INC | |
| Feb 6, 2018 | $7 | JARDIANCE | Food and Beverage | LILLY USA, LLC | |
| Jan 17, 2018 | $7 | TRULICITY BASAGLAR | Food and Beverage | LILLY USA, LLC | |
| Jul 25, 2018 | $7 | TRULICITY BASAGLAR | Food and Beverage | LILLY USA, LLC | |
| Jan 31, 2018 | $7 | TRULICITY BASAGLAR | Food and Beverage | LILLY USA, LLC | |
| Oct 24, 2018 | $7 | TRADJENTA JARDIANCE GLYXAMBI SYNJARDY SYNJARDY XR | Food and Beverage | BOEHRINGER INGELHEIM PHARMACEUTICALS, INC. | |
| Jan 17, 2018 | $6 | TRULICITY BASAGLAR | Food and Beverage | LILLY USA, LLC | |
| Jul 3, 2018 | $6 | JARDIANCE | Food and Beverage | LILLY USA, LLC | |
| Sep 21, 2018 | $5 | TRULICITY BASAGLAR | Food and Beverage | LILLY USA, LLC | |
| Dec 13, 2018 | $5 | TRULICITY BASAGLAR | Food and Beverage | LILLY USA, LLC | |
| Mar 20, 2018 | $5 | SPIRIVA RESPIMAT | Food and Beverage | BOEHRINGER INGELHEIM PHARMACEUTICALS, INC. | |
| Feb 20, 2018 | $4 | SPIRIVA RESPIMAT | Food and Beverage | BOEHRINGER INGELHEIM PHARMACEUTICALS, INC. | |
| Jun 13, 2018 | $3 | STIOLTO RESPIMAT | Food and Beverage | BOEHRINGER INGELHEIM PHARMACEUTICALS, INC. | |
| Aug 3, 2018 | $3 | No Listed Product | Food and Beverage | GILEAD SCIENCES INC |
See this doctor’s Open Payments page →
Note: We have made some effort to normalize the data and eliminate duplicates, but the data is primarily as it has been reported by the companies to the Centers for Medicare and Medicaid Services. To purchase the normalized data, please visit the ProPublica Data Store. If you spot an error, please let us know at [email protected].
This site includes data published by the Centers for Medicare and Medicaid Services on June 28, 2019.