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.

RAMON A SANDOVAL
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RAMON A SANDOVAL

Listed Specialty: Internal Medicine
416 PARK AVE, PATERSON, NJ, 07504-1930
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DR. RAMON SANDOVAL,
Yearly Payment Breakdown:

2018 Payments At a Glance

177

payments

$6,221

payment total

23

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
 1 $2,620
Food and Beverage
 171 $2,352
Travel and Lodging
 3 $1,238
Education
 2 $11

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†
TRULANCE

drug

 $4,016
JARDIANCE

drug

 $247
PRADAXA

drug

 $180
FARXIGA

drug

 $159
REPATHA

drug

 $158
ELIQUIS

drug

 $148
INVOKANA

drug

 $146
XARELTO

drug

 $141
TRESIBA

drug

 $134
TYMLOS

drug

 $116
TRINTELLIX

drug

 $110
VICTOZA

drug

 $106
FORTEO

drug

 $96
STEGLATRO

drug

 $96
JANUVIA

drug

 $93
SPIRIVA RESPIMAT

drug

 $85
BELSOMRA

drug

 $81
SOLIQUA

drug

 $80
LINZESS

drug

 $80
VIBERZI

drug

 $80
XULTOPHY 100/3.6

drug

 $77
STIOLTO RESPIMAT

drug

 $72
TOUJEO

drug

 $69
XIFAXAN

drug

 $67
CHANTIX

drug

 $59
ANORO

drug

 $58
TRADJENTA

drug

 $56
INVOKAMET

drug

 $44
SYMBICORT

drug

 $43
BASAGLAR

drug

 $38
TRULICITY

drug

 $38
Payments with no listed product

N/A

 $34
AFREZZA

drug

 $29
DUEXIS

drug

 $29
AMITIZA

drug

 $28
DUZALLO

drug

 $27
DEXILANT

drug

 $20
PROLIA

drug

 $20
GLYXAMBI

drug

 $14
BD ULTRA-FINE

device

 $13
MYRBETRIQ

drug

 $13
JANUMET

drug

 $12
JANUMET XR

drug

 $12
SYMPROIC

drug

 $12
AIMOVIG

drug

 $11
ENTRESTO

drug

 $11
DUETACT

drug

 $8
SIVEXTRO

drug

 $7
† 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
Apr 13, 2018 $2,620 TRULANCE Promotional Speaking/Other SYNERGY PHARMACEUTICALS INC
Apr 13, 2018 $664 TRULANCE Travel and Lodging SYNERGY PHARMACEUTICALS INC
Apr 13, 2018 $305 TRULANCE Travel and Lodging SYNERGY PHARMACEUTICALS INC
Apr 13, 2018 $270 TRULANCE Travel and Lodging SYNERGY PHARMACEUTICALS INC
Apr 13, 2018 $50 TRULANCE Food and Beverage SYNERGY PHARMACEUTICALS INC
Jun 20, 2018 $46 FARXIGA Food and Beverage ASTRAZENECA PHARMACEUTICALS LP
Apr 13, 2018 $45 TRULANCE Food and Beverage SYNERGY PHARMACEUTICALS INC
Apr 13, 2018 $35 TRULANCE Food and Beverage SYNERGY PHARMACEUTICALS INC
Jan 10, 2018 $27 TRINTELLIX Food and Beverage TAKEDA PHARMACEUTICALS U.S.A., INC.
Feb 28, 2018 $26 LINZESS VIBERZI Food and Beverage IRONWOOD PHARMACEUTICALS, INC
Jan 8, 2018 $21 REPATHA Food and Beverage AMGEN INC.
Jan 3, 2018 $20 No Listed Product Food and Beverage MERCK SHARP & DOHME CORPORATION
Oct 24, 2018 $16 TRINTELLIX Food and Beverage TAKEDA PHARMACEUTICALS U.S.A., INC.
Mar 14, 2018 $16 DEXILANT Food and Beverage TAKEDA PHARMACEUTICALS U.S.A., INC.
Mar 26, 2018 $16 INVOKANA XARELTO Food and Beverage JANSSEN PHARMACEUTICALS, INC
Apr 23, 2018 $15 ELIQUIS Food and Beverage PFIZER INC.
Dec 27, 2018 $15 AFREZZA Food and Beverage MANNKIND CORPORATION
Mar 28, 2018 $15 STIOLTO RESPIMAT SPIRIVA RESPIMAT Food and Beverage BOEHRINGER INGELHEIM PHARMACEUTICALS, INC.
Sep 24, 2018 $15 ELIQUIS Food and Beverage PFIZER INC.
Oct 29, 2018 $15 CHANTIX ELIQUIS Food and Beverage PFIZER INC.
Dec 11, 2018 $15 ANORO Food and Beverage GLAXOSMITHKLINE, LLC.
Jan 23, 2018 $15 TRADJENTA JARDIANCE Food and Beverage BOEHRINGER INGELHEIM PHARMACEUTICALS, INC.
Oct 2, 2018 $15 ANORO Food and Beverage GLAXOSMITHKLINE, LLC.
May 30, 2018 $15 ELIQUIS Food and Beverage PFIZER INC.
Jul 2, 2018 $15 ANORO Food and Beverage GLAXOSMITHKLINE, LLC.
Feb 26, 2018 $15 CHANTIX ELIQUIS Food and Beverage PFIZER INC.
Feb 12, 2018 $15 VICTOZA TRESIBA XULTOPHY 100/3.6 Food and Beverage NOVO NORDISK INC
Nov 28, 2018 $15 ELIQUIS Food and Beverage PFIZER INC.
Aug 30, 2018 $15 CHANTIX ELIQUIS Food and Beverage PFIZER INC.
Dec 12, 2018 $15 JANUVIA BELSOMRA STEGLATRO Food and Beverage MERCK SHARP & DOHME CORPORATION
Jun 21, 2018 $15 FARXIGA Food and Beverage ASTRAZENECA PHARMACEUTICALS LP
Jul 30, 2018 $15 ELIQUIS Food and Beverage PFIZER INC.
Sep 18, 2018 $15 STIOLTO RESPIMAT SPIRIVA RESPIMAT Food and Beverage BOEHRINGER INGELHEIM PHARMACEUTICALS, INC.
Mar 30, 2018 $15 SYMBICORT Food and Beverage ASTRAZENECA PHARMACEUTICALS LP
May 14, 2018 $15 TRESIBA Food and Beverage NOVO NORDISK INC
Feb 20, 2018 $15 TYMLOS Food and Beverage RADIUS HEALTH, INC.
Jul 11, 2018 $15 LINZESS VIBERZI DUZALLO Food and Beverage IRONWOOD PHARMACEUTICALS, INC
Nov 8, 2018 $15 PRADAXA Food and Beverage BOEHRINGER INGELHEIM PHARMACEUTICALS, INC.
Feb 8, 2018 $15 XARELTO INVOKANA INVOKAMET Food and Beverage JANSSEN PHARMACEUTICALS, INC
May 3, 2018 $15 PRADAXA JARDIANCE Food and Beverage BOEHRINGER INGELHEIM PHARMACEUTICALS, INC.
Aug 16, 2018 $15 SOLIQUA Food and Beverage SANOFI-AVENTIS U.S. LLC
Jan 29, 2018 $15 SOLIQUA Food and Beverage SANOFI-AVENTIS U.S. LLC
Jun 18, 2018 $15 TOUJEO Food and Beverage SANOFI-AVENTIS U.S. LLC
Apr 10, 2018 $15 DUEXIS Food and Beverage HORIZON PHARMA PLC
Nov 7, 2018 $15 JANUVIA BELSOMRA STEGLATRO Food and Beverage MERCK SHARP & DOHME CORPORATION
Jan 2, 2018 $15 FARXIGA Food and Beverage ASTRAZENECA PHARMACEUTICALS LP
Feb 15, 2018 $15 FORTEO Food and Beverage LILLY USA, LLC
Jul 19, 2018 $15 TOUJEO Food and Beverage SANOFI-AVENTIS U.S. LLC
Aug 10, 2018 $15 TRADJENTA JARDIANCE Food and Beverage BOEHRINGER INGELHEIM PHARMACEUTICALS, INC.
Feb 13, 2018 $15 XIFAXAN Food and Beverage SALIX PHARMACEUTICALS, A DIVISION OF BAUSCH HEALTH US, LLC
May 8, 2018 $15 STIOLTO RESPIMAT Food and Beverage BOEHRINGER INGELHEIM PHARMACEUTICALS, INC.
Dec 4, 2018 $15 XARELTO INVOKANA INVOKAMET Food and Beverage JANSSEN PHARMACEUTICALS, INC
Oct 17, 2018 $15 STEGLATRO Food and Beverage MERCK SHARP & DOHME CORPORATION
May 2, 2018 $15 SYMBICORT Food and Beverage ASTRAZENECA PHARMACEUTICALS LP
Aug 23, 2018 $15 FARXIGA Food and Beverage ASTRAZENECA PHARMACEUTICALS LP
Aug 15, 2018 $15 JANUVIA BELSOMRA STEGLATRO Food and Beverage MERCK SHARP & DOHME CORPORATION
Feb 13, 2018 $15 TOUJEO Food and Beverage SANOFI-AVENTIS U.S. LLC
Nov 6, 2018 $15 XARELTO INVOKANA INVOKAMET Food and Beverage JANSSEN PHARMACEUTICALS, INC
Sep 11, 2018 $14 PRADAXA Food and Beverage BOEHRINGER INGELHEIM PHARMACEUTICALS, INC.
Feb 7, 2018 $14 PRADAXA JARDIANCE Food and Beverage BOEHRINGER INGELHEIM PHARMACEUTICALS, INC.
Mar 21, 2018 $14 AFREZZA Food and Beverage MANNKIND CORPORATION
Sep 12, 2018 $14 JARDIANCE GLYXAMBI Food and Beverage BOEHRINGER INGELHEIM PHARMACEUTICALS, INC.
Jun 21, 2018 $14 PRADAXA JARDIANCE Food and Beverage BOEHRINGER INGELHEIM PHARMACEUTICALS, INC.
Nov 1, 2018 $14 XIFAXAN Food and Beverage SALIX PHARMACEUTICALS, A DIVISION OF BAUSCH HEALTH US, LLC
Jul 26, 2018 $14 TRADJENTA JARDIANCE Food and Beverage BOEHRINGER INGELHEIM PHARMACEUTICALS, INC.
Nov 13, 2018 $14 SPIRIVA RESPIMAT Food and Beverage BOEHRINGER INGELHEIM PHARMACEUTICALS, INC.
Nov 1, 2018 $14 TRULICITY BASAGLAR Food and Beverage LILLY USA, LLC
Mar 26, 2018 $14 PRADAXA JARDIANCE Food and Beverage BOEHRINGER INGELHEIM PHARMACEUTICALS, INC.
Dec 20, 2018 $14 JARDIANCE Food and Beverage BOEHRINGER INGELHEIM PHARMACEUTICALS, INC.
Apr 3, 2018 $14 TRULANCE Food and Beverage SYNERGY PHARMACEUTICALS INC
Sep 19, 2018 $14 JANUVIA BELSOMRA STEGLATRO Food and Beverage MERCK SHARP & DOHME CORPORATION
Sep 17, 2018 $14 TRESIBA Food and Beverage NOVO NORDISK INC
Jan 24, 2018 $14 ELIQUIS Food and Beverage E.R. SQUIBB & SONS, L.L.C.
Feb 21, 2018 $14 CHANTIX ELIQUIS Food and Beverage PFIZER INC.
May 21, 2018 $14 STIOLTO RESPIMAT SPIRIVA RESPIMAT Food and Beverage BOEHRINGER INGELHEIM PHARMACEUTICALS, INC.
Jun 20, 2018 $14 AMITIZA Food and Beverage TAKEDA PHARMACEUTICALS U.S.A., INC.
Oct 3, 2018 $14 SPIRIVA RESPIMAT Food and Beverage BOEHRINGER INGELHEIM PHARMACEUTICALS, INC.
Jul 26, 2018 $14 SYMBICORT Food and Beverage ASTRAZENECA PHARMACEUTICALS LP
Jun 18, 2018 $14 PRADAXA JARDIANCE Food and Beverage BOEHRINGER INGELHEIM PHARMACEUTICALS, INC.
Apr 12, 2018 $14 SOLIQUA Food and Beverage SANOFI-AVENTIS U.S. LLC
Mar 19, 2018 $14 VICTOZA TRESIBA XULTOPHY 100/3.6 Food and Beverage NOVO NORDISK INC
Sep 27, 2018 $14 AMITIZA Food and Beverage TAKEDA PHARMACEUTICALS U.S.A., INC.
Jun 6, 2018 $14 TYMLOS Food and Beverage RADIUS HEALTH, INC.
Jul 16, 2018 $14 REPATHA Food and Beverage AMGEN INC.
Jul 5, 2018 $14 No Listed Product Food and Beverage BOEHRINGER INGELHEIM PHARMACEUTICALS, INC.
Apr 26, 2018 $14 LINZESS VIBERZI Food and Beverage ALLERGAN INC.
Aug 13, 2018 $14 REPATHA Food and Beverage AMGEN INC.
Feb 5, 2018 $14 DUEXIS Food and Beverage HORIZON PHARMA PLC
Nov 26, 2018 $14 TRESIBA Food and Beverage NOVO NORDISK INC
Feb 5, 2018 $14 REPATHA Food and Beverage AMGEN INC.
Jul 9, 2018 $14 VICTOZA TRESIBA XULTOPHY 100/3.6 Food and Beverage NOVO NORDISK INC
Aug 20, 2018 $14 TRESIBA Food and Beverage NOVO NORDISK INC
Jul 18, 2018 $14 PRADAXA JARDIANCE Food and Beverage BOEHRINGER INGELHEIM PHARMACEUTICALS, INC.
May 16, 2018 $14 PRADAXA JARDIANCE Food and Beverage BOEHRINGER INGELHEIM PHARMACEUTICALS, INC.
Apr 2, 2018 $14 REPATHA Food and Beverage AMGEN INC.
Mar 5, 2018 $14 REPATHA Food and Beverage AMGEN INC.
Jul 25, 2018 $14 TRINTELLIX Food and Beverage TAKEDA PHARMACEUTICALS U.S.A., INC.
Aug 8, 2018 $14 TYMLOS Food and Beverage RADIUS HEALTH, INC.
Oct 10, 2018 $14 TYMLOS Food and Beverage RADIUS HEALTH, INC.
Oct 10, 2018 $14 XIFAXAN Food and Beverage SALIX PHARMACEUTICALS, A DIVISION OF BAUSCH HEALTH US, LLC
May 7, 2018 $14 REPATHA Food and Beverage AMGEN INC.
Oct 15, 2018 $13 LINZESS VIBERZI Food and Beverage IRONWOOD PHARMACEUTICALS, INC
Nov 20, 2018 $13 TRULANCE Food and Beverage SYNERGY PHARMACEUTICALS INC
Aug 6, 2018 $13 ANORO Food and Beverage GLAXOSMITHKLINE, LLC.
Feb 14, 2018 $13 TRINTELLIX Food and Beverage TAKEDA PHARMACEUTICALS U.S.A., INC.
Mar 1, 2018 $13 FARXIGA Food and Beverage ASTRAZENECA PHARMACEUTICALS LP
Aug 7, 2018 $13 FARXIGA Food and Beverage ASTRAZENECA PHARMACEUTICALS LP
Jan 9, 2018 $13 XIFAXAN Food and Beverage SALIX PHARMACEUTICALS, A DIVISION OF BAUSCH HEALTH US, LLC
Jan 11, 2018 $13 PRADAXA JARDIANCE Food and Beverage BOEHRINGER INGELHEIM PHARMACEUTICALS, INC.
Feb 27, 2018 $13 STIOLTO RESPIMAT SPIRIVA RESPIMAT Food and Beverage BOEHRINGER INGELHEIM PHARMACEUTICALS, INC.
Jan 16, 2018 $13 VICTOZA TRESIBA XULTOPHY 100/3.6 Food and Beverage NOVO NORDISK INC
May 17, 2018 $13 TYMLOS Food and Beverage RADIUS HEALTH, INC.
Nov 15, 2018 $13 FARXIGA Food and Beverage ASTRAZENECA PHARMACEUTICALS LP
Jan 25, 2018 $13 BD ULTRA-FINE Food and Beverage BECTON, DICKINSON AND COMPANY
Mar 13, 2018 $13 SOLIQUA Food and Beverage SANOFI-AVENTIS U.S. LLC
Sep 10, 2018 $13 REPATHA Food and Beverage AMGEN INC.
Feb 23, 2018 $13 MYRBETRIQ Food and Beverage ASTELLAS PHARMA US INC
Feb 20, 2018 $13 FARXIGA Food and Beverage ASTRAZENECA PHARMACEUTICALS LP
Nov 8, 2018 $13 TOUJEO Food and Beverage SANOFI-AVENTIS U.S. LLC
Sep 5, 2018 $12 TYMLOS Food and Beverage RADIUS HEALTH, INC.
Nov 21, 2018 $12 TYMLOS Food and Beverage RADIUS HEALTH, INC.
May 9, 2018 $12 JANUVIA BELSOMRA Food and Beverage MERCK SHARP & DOHME CORPORATION
Oct 11, 2018 $12 TOUJEO Food and Beverage SANOFI-AVENTIS U.S. LLC
Dec 6, 2018 $12 SOLIQUA Food and Beverage SANOFI-AVENTIS U.S. LLC
May 10, 2018 $12 FORTEO Food and Beverage LILLY USA, LLC
Oct 23, 2018 $12 TRULICITY BASAGLAR Food and Beverage LILLY USA, LLC
Nov 27, 2018 $12 TRULICITY JARDIANCE BASAGLAR Food and Beverage LILLY USA, LLC
Aug 9, 2018 $12 FORTEO Food and Beverage LILLY USA, LLC
Apr 25, 2018 $12 DUZALLO LINZESS VIBERZI Food and Beverage IRONWOOD PHARMACEUTICALS, INC
Apr 11, 2018 $12 JANUVIA JANUMET JANUMET XR STEGLATRO Food and Beverage MERCK SHARP & DOHME CORPORATION
Aug 17, 2018 $12 XARELTO INVOKANA Food and Beverage JANSSEN PHARMACEUTICALS, INC
Oct 26, 2018 $12 XARELTO INVOKANA Food and Beverage JANSSEN PHARMACEUTICALS, INC
Sep 4, 2018 $12 XARELTO INVOKANA Food and Beverage JANSSEN PHARMACEUTICALS, INC
Oct 16, 2018 $12 XARELTO INVOKANA Food and Beverage JANSSEN PHARMACEUTICALS, INC
Mar 15, 2018 $12 FORTEO Food and Beverage LILLY USA, LLC
May 16, 2018 $12 TRINTELLIX Food and Beverage TAKEDA PHARMACEUTICALS U.S.A., INC.
Apr 5, 2018 $12 SYMPROIC Food and Beverage PURDUE PHARMA L.P.
Jun 26, 2018 $12 PROLIA REPATHA Food and Beverage AMGEN INC.
Aug 30, 2018 $12 VICTOZA TRESIBA XULTOPHY 100/3.6 Food and Beverage NOVO NORDISK INC
Jan 31, 2018 $12 TRADJENTA JARDIANCE Food and Beverage BOEHRINGER INGELHEIM PHARMACEUTICALS, INC.
Jul 23, 2018 $12 TYMLOS Food and Beverage RADIUS HEALTH, INC.
Jun 7, 2018 $12 INVOKANA XARELTO Food and Beverage JANSSEN PHARMACEUTICALS, INC
Dec 5, 2018 $11 AIMOVIG REPATHA Food and Beverage AMGEN INC.
Sep 20, 2018 $11 SOLIQUA Food and Beverage SANOFI-AVENTIS U.S. LLC
Jun 15, 2018 $11 FORTEO Food and Beverage LILLY USA, LLC
Apr 19, 2018 $11 FORTEO Food and Beverage LILLY USA, LLC
Jul 12, 2018 $11 FORTEO Food and Beverage LILLY USA, LLC
Oct 8, 2018 $11 REPATHA Food and Beverage AMGEN INC.
Jan 18, 2018 $11 FORTEO Food and Beverage LILLY USA, LLC
Nov 15, 2018 $11 TRINTELLIX Food and Beverage TAKEDA PHARMACEUTICALS U.S.A., INC.
Mar 20, 2018 $11 INVOKANA XARELTO Food and Beverage JANSSEN PHARMACEUTICALS, INC
May 1, 2018 $11 TYMLOS Food and Beverage RADIUS HEALTH, INC.
Jun 20, 2018 $11 XIFAXAN Food and Beverage SALIX PHARMACEUTICALS, A DIVISION OF BAUSCH HEALTH US, LLC
Feb 20, 2018 $11 PRADAXA JARDIANCE Food and Beverage BOEHRINGER INGELHEIM PHARMACEUTICALS, INC.
Nov 30, 2018 $11 ENTRESTO Food and Beverage NOVARTIS PHARMACEUTICALS CORPORATION
Aug 23, 2018 $11 TRINTELLIX Food and Beverage TAKEDA PHARMACEUTICALS U.S.A., INC.
Oct 25, 2018 $11 FARXIGA Food and Beverage ASTRAZENECA PHARMACEUTICALS LP
Jul 18, 2018 $11 JANUVIA BELSOMRA STEGLATRO Food and Beverage MERCK SHARP & DOHME CORPORATION
Sep 13, 2018 $10 VICTOZA TRESIBA XULTOPHY 100/3.6 Food and Beverage NOVO NORDISK INC
Apr 20, 2018 $10 INVOKANA XARELTO Food and Beverage JANSSEN PHARMACEUTICALS, INC
Apr 16, 2018 $10 PRADAXA JARDIANCE Food and Beverage BOEHRINGER INGELHEIM PHARMACEUTICALS, INC.
Oct 24, 2018 $9 PRADAXA JARDIANCE Food and Beverage BOEHRINGER INGELHEIM PHARMACEUTICALS, INC.
Nov 16, 2018 $8 PRADAXA JARDIANCE Food and Beverage BOEHRINGER INGELHEIM PHARMACEUTICALS, INC.
Nov 5, 2018 $8 PROLIA REPATHA Food and Beverage AMGEN INC.
Nov 7, 2018 $8 DUETACT Food and Beverage TAKEDA PHARMACEUTICALS U.S.A., INC.
Sep 28, 2018 $7 SIVEXTRO Food and Beverage MERCK SHARP & DOHME CORPORATION
Aug 7, 2018 $5 FARXIGA Education ASTRAZENECA PHARMACEUTICALS LP
Apr 11, 2018 $5 INVOKANA Education JANSSEN PHARMACEUTICALS, INC
Aug 1, 2018 $5 VICTOZA Food and Beverage NOVO NORDISK INC
May 2, 2018 $5 VICTOZA Food and Beverage NOVO NORDISK INC
Jan 17, 2018 $5 VICTOZA Food and Beverage NOVO NORDISK INC
Mar 6, 2018 $5 VICTOZA Food and Beverage NOVO NORDISK INC
Feb 7, 2018 $5 VICTOZA Food and Beverage NOVO NORDISK INC
Nov 14, 2018 $4 DEXILANT Food and Beverage TAKEDA PHARMACEUTICALS U.S.A., INC.
Dec 12, 2018 $4 VICTOZA Food and Beverage NOVO NORDISK INC
Aug 22, 2018 $3 TRINTELLIX Food and Beverage TAKEDA PHARMACEUTICALS U.S.A., INC.
Nov 14, 2018 $2 TRINTELLIX Food and Beverage TAKEDA PHARMACEUTICALS U.S.A., 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.