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.

PEDRO G SOLIVAN ORTIZ
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PEDRO G SOLIVAN ORTIZ

Listed Specialty: Hematology & Oncology
2431 BLVD LUIS A FERRE STE 105, PONCE, PR, 00717-2114
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DR. PEDRO SOLIVAN ORTIZ,
Yearly Payment Breakdown:

2018 Payments At a Glance

182

payments

$24,115

payment total

20

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
Promotional Speaking/Other
 10 $15,213
Consulting
 4 $4,059
Food and Beverage
 159 $4,037
Travel and Lodging
 4 $606
Education
 5 $200

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†
OPDIVO

drug

 $8,169
IMFINZI

drug

 $4,395
GILOTRIF

drug

 $2,789
XARELTO

drug

 $2,762
ELIQUIS

drug

 $1,628
TAGRISSO

drug

 $1,588
Payments with no listed product

N/A

 $348
ABRAXANE

drug

 $259
VERZENIO

drug

 $221
CYRAMZA

drug

 $198
VENCLEXTA

drug

 $154
DARZALEX

drug

 $133
KYPROLIS

drug

 $127
PERJETA

drug

 $127
LARTRUVO

drug

 $126
VELCADE

drug

 $120
CABOMETYX

drug

 $120
IBRANCE

drug

 $118
TECENTRIQ

drug

 $113
XGEVA

drug

 $109
KEYTRUDA

drug

 $106
XTANDI

drug

 $80
SPRYCEL

drug

 $76
IMBRUVICA

drug

 $65
HALAVEN

drug

 $60
NEULASTA

drug

 $58
VECTIBIX

drug

 $58
LENVIMA

drug

 $55
AVASTIN

drug

 $53
ERLEADA

drug

 $50
CALQUENCE

drug

 $50
REVLIMID

drug

 $50
JEVTANA

drug

 $49
BAVENCIO

drug

 $48
INLYTA

drug

 $48
SUTENT

drug

 $48
XALKORI

drug

 $48
ALECENSA

drug

 $42
RUBRACA

drug

 $40
KADCYLA

drug

 $37
ELITEK

drug

 $35
BLINCYTO

drug

 $34
ZYTIGA

drug

 $32
GAZYVA

drug

 $31
RITUXAN HYCELA

drug

 $31
NERLYNX

drug

 $27
IDHIFA

drug

 $24
EMPLICITI

drug

 $24
ADCETRIS

drug

 $23
LYNPARZA

drug

 $17
LIBTAYO

drug

 $14
FASLODEX

drug

 $10
† 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
Jul 2, 2018 $2,709 OPDIVO Promotional Speaking/Other E.R. SQUIBB & SONS, L.L.C.
Oct 3, 2018 $2,604 OPDIVO Promotional Speaking/Other E.R. SQUIBB & SONS, L.L.C.
Jun 12, 2018 $2,200 GILOTRIF Promotional Speaking/Other BOEHRINGER INGELHEIM PHARMACEUTICALS, INC.
Apr 4, 2018 $2,000 XARELTO Promotional Speaking/Other JANSSEN PHARMACEUTICALS, INC Sick Blood Med Serv Csp
May 22, 2018 $1,720 OPDIVO Consulting E.R. SQUIBB & SONS, L.L.C.
Aug 12, 2018 $1,700 IMFINZI Promotional Speaking/Other ASTRAZENECA PHARMACEUTICALS LP
Oct 31, 2018 $1,700 IMFINZI Promotional Speaking/Other ASTRAZENECA PHARMACEUTICALS LP
Apr 3, 2018 $1,505 ELIQUIS Consulting E.R. SQUIBB & SONS, L.L.C.
Nov 14, 2018 $1,250 TAGRISSO Promotional Speaking/Other ASTRAZENECA PHARMACEUTICALS LP
Apr 14, 2018 $534 XARELTO Travel and Lodging JANSSEN PHARMACEUTICALS, INC Sick Blood Med Serv Csp
May 14, 2018 $500 OPDIVO Consulting E.R. SQUIBB & SONS, L.L.C.
Sep 17, 2018 $450 IMFINZI Promotional Speaking/Other ASTRAZENECA PHARMACEUTICALS LP
Mar 29, 2018 $334 GILOTRIF Consulting BOEHRINGER INGELHEIM PHARMACEUTICALS, INC.
Nov 14, 2018 $300 TAGRISSO Promotional Speaking/Other ASTRAZENECA PHARMACEUTICALS LP
Oct 9, 2018 $300 IMFINZI Promotional Speaking/Other ASTRAZENECA PHARMACEUTICALS LP
Apr 12, 2018 $140 ABRAXANE Food and Beverage CELGENE CORPORATION
May 25, 2018 $125 GILOTRIF Food and Beverage BOEHRINGER INGELHEIM PHARMACEUTICALS, INC.
Sep 20, 2018 $125 OPDIVO Food and Beverage E.R. SQUIBB & SONS, L.L.C.
Apr 13, 2018 $125 XARELTO Food and Beverage JANSSEN PHARMACEUTICALS, INC Sick Blood Med Serv Csp
Sep 28, 2018 $120 VELCADE Education TAKEDA PHARMACEUTICALS U.S.A., INC.
Oct 18, 2018 $100 No Listed Product Food and Beverage ELI LILLY EXPORT S.A. PUERTO RICO BRANCH
Jun 7, 2018 $99 IMFINZI Food and Beverage ASTRAZENECA PHARMACEUTICALS LP
Aug 31, 2018 $90 IMFINZI Food and Beverage ASTRAZENECA PHARMACEUTICALS LP
Aug 4, 2018 $84 VENCLEXTA Food and Beverage ABBVIE, INC.
Mar 24, 2018 $75 CABOMETYX Food and Beverage EXELIXIS INC.
Aug 4, 2018 $69 VENCLEXTA Food and Beverage ABBVIE, INC.
May 12, 2018 $62 OPDIVO Food and Beverage E.R. SQUIBB & SONS, L.L.C.
Oct 16, 2018 $55 CYRAMZA LARTRUVO VERZENIO Education ELI LILLY EXPORT S.A. PUERTO RICO BRANCH
Jun 30, 2018 $51 OPDIVO Food and Beverage E.R. SQUIBB & SONS, L.L.C.
Apr 14, 2018 $45 XARELTO Food and Beverage JANSSEN PHARMACEUTICALS, INC Sick Blood Med Serv Csp
Sep 29, 2018 $40 KYPROLIS Food and Beverage AMGEN INC.
May 12, 2018 $37 OPDIVO Food and Beverage E.R. SQUIBB & SONS, L.L.C.
Jun 30, 2018 $36 OPDIVO Food and Beverage E.R. SQUIBB & SONS, L.L.C.
Mar 17, 2018 $35 ELIQUIS Food and Beverage E.R. SQUIBB & SONS, L.L.C.
Apr 14, 2018 $32 XARELTO Food and Beverage JANSSEN PHARMACEUTICALS, INC Sick Blood Med Serv Csp
Jun 30, 2018 $31 OPDIVO Travel and Lodging E.R. SQUIBB & SONS, L.L.C.
May 12, 2018 $29 OPDIVO Food and Beverage E.R. SQUIBB & SONS, L.L.C.
May 12, 2018 $28 OPDIVO Travel and Lodging E.R. SQUIBB & SONS, L.L.C.
Mar 20, 2018 $28 GILOTRIF Food and Beverage BOEHRINGER INGELHEIM PHARMACEUTICALS, INC.
Jun 28, 2018 $28 GILOTRIF Food and Beverage BOEHRINGER INGELHEIM PHARMACEUTICALS, INC.
May 5, 2018 $26 GILOTRIF Food and Beverage BOEHRINGER INGELHEIM PHARMACEUTICALS, INC.
Jun 30, 2018 $26 OPDIVO Food and Beverage E.R. SQUIBB & SONS, L.L.C.
Apr 14, 2018 $26 XARELTO Food and Beverage JANSSEN PHARMACEUTICALS, INC Sick Blood Med Serv Csp
Nov 16, 2018 $25 HALAVEN Food and Beverage EISAI INC.
Sep 19, 2018 $25 REVLIMID Food and Beverage CELGENE CORPORATION
Jan 12, 2018 $25 GILOTRIF Food and Beverage BOEHRINGER INGELHEIM PHARMACEUTICALS, INC.
Jul 19, 2018 $25 REVLIMID Food and Beverage CELGENE CORPORATION
Sep 11, 2018 $25 ABRAXANE Food and Beverage CELGENE CORPORATION
Jun 5, 2018 $24 IDHIFA Food and Beverage CELGENE CORPORATION
Apr 12, 2018 $24 ABRAXANE Food and Beverage CELGENE CORPORATION
Mar 19, 2018 $24 ABRAXANE Food and Beverage CELGENE CORPORATION
Jan 29, 2018 $24 ABRAXANE Food and Beverage CELGENE CORPORATION
Nov 2, 2018 $24 No Listed Product Food and Beverage E.R. SQUIBB & SONS, L.L.C.
Aug 30, 2018 $24 GILOTRIF Food and Beverage BOEHRINGER INGELHEIM PHARMACEUTICALS, INC.
Dec 6, 2018 $24 LENVIMA Food and Beverage EISAI INC.
Mar 17, 2018 $24 ELIQUIS Food and Beverage E.R. SQUIBB & SONS, L.L.C.
Jul 3, 2018 $24 No Listed Product Food and Beverage ABBVIE, INC.
Dec 7, 2018 $24 EMPLICITI Food and Beverage E.R. SQUIBB & SONS, L.L.C.
Jul 31, 2018 $24 SPRYCEL Food and Beverage E.R. SQUIBB & SONS, L.L.C.
Mar 22, 2018 $23 KYPROLIS Food and Beverage AMGEN INC.
Nov 5, 2018 $23 ELIQUIS Food and Beverage E.R. SQUIBB & SONS, L.L.C.
Feb 1, 2018 $23 No Listed Product Food and Beverage E.R. SQUIBB & SONS, L.L.C.
Feb 9, 2018 $23 OPDIVO Food and Beverage E.R. SQUIBB & SONS, L.L.C.
Feb 8, 2018 $23 NEULASTA VECTIBIX XGEVA Food and Beverage AMGEN INC.
Oct 11, 2018 $23 No Listed Product Food and Beverage E.R. SQUIBB & SONS, L.L.C.
Nov 26, 2018 $23 OPDIVO Food and Beverage E.R. SQUIBB & SONS, L.L.C.
Oct 15, 2018 $23 OPDIVO Food and Beverage E.R. SQUIBB & SONS, L.L.C.
Feb 22, 2018 $23 ADCETRIS Food and Beverage SEATTLE GENETICS, INC.
Sep 19, 2018 $23 No Listed Product Food and Beverage ABBVIE, INC.
Mar 27, 2018 $23 OPDIVO Food and Beverage E.R. SQUIBB & SONS, L.L.C.
Sep 26, 2018 $23 VERZENIO Food and Beverage ELI LILLY EXPORT S.A. PUERTO RICO BRANCH
Nov 13, 2018 $23 CABOMETYX Food and Beverage EXELIXIS INC.
Sep 10, 2018 $23 OPDIVO Food and Beverage E.R. SQUIBB & SONS, L.L.C.
May 14, 2018 $23 OPDIVO Food and Beverage E.R. SQUIBB & SONS, L.L.C.
Dec 20, 2018 $22 No Listed Product Food and Beverage ABBVIE, INC.
Nov 6, 2018 $22 No Listed Product Food and Beverage ABBVIE, INC.
Jul 30, 2018 $22 CABOMETYX Food and Beverage EXELIXIS INC.
Apr 23, 2018 $22 OPDIVO Food and Beverage E.R. SQUIBB & SONS, L.L.C.
Feb 26, 2018 $22 No Listed Product Food and Beverage E.R. SQUIBB & SONS, L.L.C.
Nov 9, 2018 $21 ABRAXANE Food and Beverage CELGENE CORPORATION
Aug 2, 2018 $21 RUBRACA Food and Beverage CLOVIS ONCOLOGY, INC.
Jun 26, 2018 $21 ALECENSA TECENTRIQ Food and Beverage GENENTECH USA, INC.
Apr 30, 2018 $21 ALECENSA TECENTRIQ Food and Beverage GENENTECH USA, INC.
Aug 27, 2018 $21 PERJETA Food and Beverage GENENTECH USA, INC.
Mar 1, 2018 $21 ELIQUIS Food and Beverage E.R. SQUIBB & SONS, L.L.C.
Nov 7, 2018 $21 CALQUENCE Food and Beverage ASTRAZENECA PHARMACEUTICALS LP
Sep 18, 2018 $21 SPRYCEL Food and Beverage E.R. SQUIBB & SONS, L.L.C.
Jul 18, 2018 $20 IMFINZI Food and Beverage ASTRAZENECA PHARMACEUTICALS LP
Oct 22, 2018 $20 PERJETA KADCYLA Food and Beverage GENENTECH USA, INC.
Dec 19, 2018 $20 XTANDI Food and Beverage PFIZER INC.
Jun 8, 2018 $20 CYRAMZA LARTRUVO VERZENIO Food and Beverage ELI LILLY EXPORT S.A. PUERTO RICO BRANCH
Oct 4, 2018 $20 XTANDI Food and Beverage MEDIVATION FIELD SOLUTIONS LLC
Oct 29, 2018 $20 KEYTRUDA Food and Beverage MERCK SHARP & DOHME CORPORATION
May 2, 2018 $20 CYRAMZA VERZENIO Food and Beverage ELI LILLY EXPORT S.A. PUERTO RICO BRANCH
Apr 13, 2018 $20 XTANDI Food and Beverage MEDIVATION FIELD SOLUTIONS LLC
Jul 14, 2018 $20 XTANDI Food and Beverage MEDIVATION FIELD SOLUTIONS LLC
Sep 12, 2018 $20 TAGRISSO Food and Beverage ASTRAZENECA PHARMACEUTICALS LP
Mar 26, 2018 $20 KEYTRUDA Food and Beverage MERCK SHARP & DOHME CORPORATION
Dec 10, 2018 $20 KEYTRUDA Food and Beverage MERCK SHARP & DOHME CORPORATION
Aug 23, 2018 $20 KEYTRUDA Food and Beverage MERCK SHARP & DOHME CORPORATION
Nov 27, 2018 $20 CYRAMZA VERZENIO Food and Beverage ELI LILLY EXPORT S.A. PUERTO RICO BRANCH
Mar 8, 2018 $20 KEYTRUDA Food and Beverage MERCK SHARP & DOHME CORPORATION
Oct 19, 2018 $20 PERJETA Food and Beverage GENENTECH USA, INC.
May 23, 2018 $20 JEVTANA ELITEK Food and Beverage SANOFI-AVENTIS U.S. LLC
Feb 6, 2018 $20 AVASTIN Food and Beverage GENENTECH USA, INC.
May 24, 2018 $19 No Listed Product Food and Beverage MERCK SHARP & DOHME CORPORATION
Oct 16, 2018 $19 CYRAMZA LARTRUVO VERZENIO Food and Beverage ELI LILLY EXPORT S.A. PUERTO RICO BRANCH
Aug 8, 2018 $19 No Listed Product Food and Beverage ABBVIE, INC.
Jan 17, 2018 $19 LENVIMA Food and Beverage EISAI INC.
May 1, 2018 $19 CYRAMZA VERZENIO Food and Beverage ELI LILLY EXPORT S.A. PUERTO RICO BRANCH
Jul 16, 2018 $19 PERJETA Food and Beverage GENENTECH USA, INC.
Mar 15, 2018 $19 RUBRACA Food and Beverage CLOVIS ONCOLOGY, INC.
Apr 18, 2018 $18 IMFINZI Food and Beverage ASTRAZENECA PHARMACEUTICALS LP
May 16, 2018 $18 HALAVEN Food and Beverage EISAI INC.
Jan 22, 2018 $18 TAGRISSO Food and Beverage ASTRAZENECA PHARMACEUTICALS LP
Oct 24, 2018 $18 DARZALEX Food and Beverage JANSSEN PHARMACEUTICALS, INC
Apr 13, 2018 $18 IBRANCE Food and Beverage PFIZER PHARMACEUTICALS LLC
Jan 24, 2018 $18 IMFINZI Food and Beverage ASTRAZENECA PHARMACEUTICALS LP
Oct 25, 2018 $18 NEULASTA VECTIBIX XGEVA Food and Beverage AMGEN INC.
Apr 9, 2018 $18 ELIQUIS Food and Beverage E.R. SQUIBB & SONS, L.L.C.
Apr 4, 2018 $18 ERLEADA Food and Beverage JANSSEN PHARMACEUTICALS, INC
Apr 19, 2018 $18 KYPROLIS XGEVA Food and Beverage AMGEN INC.
Dec 17, 2018 $17 DARZALEX Food and Beverage JANSSEN PHARMACEUTICALS, INC
Jan 26, 2018 $17 SUTENT XALKORI INLYTA BAVENCIO Food and Beverage PFIZER PHARMACEUTICALS LLC
Jan 23, 2018 $17 IMBRUVICA DARZALEX Food and Beverage JANSSEN PHARMACEUTICALS, INC
Jun 8, 2018 $17 BLINCYTO KYPROLIS XGEVA Food and Beverage AMGEN INC.
Jun 7, 2018 $17 LYNPARZA Food and Beverage ASTRAZENECA PHARMACEUTICALS LP
Nov 8, 2018 $17 ERLEADA Food and Beverage JANSSEN PHARMACEUTICALS, INC
Oct 30, 2018 $17 OPDIVO Food and Beverage E.R. SQUIBB & SONS, L.L.C.
Sep 6, 2018 $17 BLINCYTO KYPROLIS XGEVA Food and Beverage AMGEN INC.
Jul 17, 2018 $17 IBRANCE Food and Beverage PFIZER PHARMACEUTICALS LLC
Nov 12, 2018 $17 AVASTIN Food and Beverage GENENTECH USA, INC.
Mar 28, 2018 $17 IBRANCE Food and Beverage PFIZER PHARMACEUTICALS LLC
May 17, 2018 $17 TECENTRIQ Food and Beverage GENENTECH USA, INC.
Jun 27, 2018 $17 AVASTIN Food and Beverage GENENTECH USA, INC.
Dec 4, 2018 $17 TECENTRIQ Food and Beverage GENENTECH USA, INC.
Aug 13, 2018 $17 NEULASTA VECTIBIX XGEVA Food and Beverage AMGEN INC.
Feb 14, 2018 $17 PERJETA KADCYLA Food and Beverage GENENTECH USA, INC.
Aug 15, 2018 $17 HALAVEN Food and Beverage EISAI INC.
Sep 26, 2018 $17 TECENTRIQ Food and Beverage GENENTECH USA, INC.
Aug 22, 2018 $17 CALQUENCE Food and Beverage ASTRAZENECA PHARMACEUTICALS LP
May 30, 2018 $16 IMBRUVICA DARZALEX Food and Beverage JANSSEN PHARMACEUTICALS, INC
Jul 5, 2018 $16 DARZALEX Food and Beverage JANSSEN PHARMACEUTICALS, INC
Mar 7, 2018 $16 IMBRUVICA DARZALEX Food and Beverage JANSSEN PHARMACEUTICALS, INC
Sep 5, 2018 $16 DARZALEX Food and Beverage JANSSEN PHARMACEUTICALS, INC
Feb 20, 2018 $16 CYRAMZA LARTRUVO VERZENIO Food and Beverage ELI LILLY EXPORT S.A. PUERTO RICO BRANCH
Apr 16, 2018 $16 SPRYCEL Food and Beverage E.R. SQUIBB & SONS, L.L.C.
May 22, 2018 $16 SPRYCEL Food and Beverage E.R. SQUIBB & SONS, L.L.C.
Oct 23, 2018 $16 SUTENT XALKORI INLYTA BAVENCIO Food and Beverage PFIZER PHARMACEUTICALS LLC
Apr 25, 2018 $16 GAZYVA RITUXAN HYCELA Food and Beverage GENENTECH USA, INC.
Aug 14, 2018 $16 ERLEADA ZYTIGA Food and Beverage JANSSEN PHARMACEUTICALS, INC
Apr 23, 2018 $16 PERJETA Food and Beverage GENENTECH USA, INC.
Apr 17, 2018 $15 IMBRUVICA DARZALEX Food and Beverage JANSSEN PHARMACEUTICALS, INC
Aug 24, 2018 $15 SUTENT XALKORI INLYTA BAVENCIO Food and Beverage PFIZER PHARMACEUTICALS LLC
Apr 3, 2018 $15 CYRAMZA LARTRUVO VERZENIO Food and Beverage ELI LILLY EXPORT S.A. PUERTO RICO BRANCH
Nov 28, 2018 $15 GAZYVA RITUXAN HYCELA Food and Beverage GENENTECH USA, INC.
Oct 24, 2018 $15 No Listed Product Food and Beverage MERCK SHARP & DOHME CORPORATION
Aug 7, 2018 $15 JEVTANA ELITEK Food and Beverage SANOFI-AVENTIS U.S. LLC
Feb 21, 2018 $15 ZYTIGA Food and Beverage JANSSEN PHARMACEUTICALS, INC
May 21, 2018 $14 PERJETA Food and Beverage GENENTECH USA, INC.
Oct 16, 2018 $14 NERLYNX Food and Beverage PUMA BIOTECHNOLOGY, INC.
Jan 22, 2018 $14 IBRANCE Food and Beverage PFIZER PHARMACEUTICALS LLC
Oct 26, 2018 $14 JEVTANA LIBTAYO Food and Beverage SANOFI-AVENTIS U.S. LLC
Oct 31, 2018 $14 CYRAMZA VERZENIO Food and Beverage ELI LILLY EXPORT S.A. PUERTO RICO BRANCH
Aug 13, 2018 $13 IBRANCE Food and Beverage PFIZER PHARMACEUTICALS LLC
Oct 10, 2018 $13 IBRANCE Food and Beverage PFIZER PHARMACEUTICALS LLC
Mar 12, 2018 $13 IBRANCE Food and Beverage PFIZER PHARMACEUTICALS LLC
Dec 3, 2018 $13 IBRANCE Food and Beverage PFIZER PHARMACEUTICALS LLC
Jan 25, 2018 $13 KYPROLIS Food and Beverage AMGEN INC.
Oct 30, 2018 $13 CALQUENCE Food and Beverage ASTRAZENECA PHARMACEUTICALS LP
Jul 24, 2018 $12 NERLYNX Food and Beverage PUMA BIOTECHNOLOGY, INC.
Mar 2, 2018 $12 No Listed Product Food and Beverage MERCK SHARP & DOHME CORPORATION
Feb 8, 2018 $12 LENVIMA Food and Beverage EISAI INC.
Jun 23, 2018 $12 OPDIVO Travel and Lodging E.R. SQUIBB & SONS, L.L.C.
Jun 30, 2018 $12 OPDIVO Education E.R. SQUIBB & SONS, L.L.C.
Jun 20, 2018 $11 TECENTRIQ Food and Beverage GENENTECH USA, INC.
May 12, 2018 $11 OPDIVO Education E.R. SQUIBB & SONS, L.L.C.
Apr 13, 2018 $10 FASLODEX Food and Beverage ASTRAZENECA PHARMACEUTICALS LP
Jul 12, 2018 $9 TECENTRIQ Food and Beverage GENENTECH USA, INC.
Apr 23, 2018 $6 KEYTRUDA Food and Beverage MERCK SHARP & DOHME CORPORATION
Feb 17, 2018 $3 ELIQUIS Education E.R. SQUIBB & SONS, L.L.C.
Feb 14, 2018 $2 ZYTIGA Food and Beverage JANSSEN PHARMACEUTICALS, 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.