Dollars for Docs: Talk With Your Doctor

https://projects.propublica.org/docdollars/
You can print this page and show it to your doctor.

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.

ProPublica's Dollars for Docs database lets you search for payments to U.S.-based doctors made by pharmaceutical and medical device companies between August 2013 and December 2018. The disclosure of these payments is required under the Physician Payments Sunshine Act, a provision of the 2010 Affordable Care Act.

About This Information

  • The information that appears here comes directly from the federal government. Companies must attest to its accuracy, and doctors have the ability to contest information they believe is in error.
  • This site includes payments for such activities as speaking, consulting, meals, travel and royalties. It does not include payments for clinical research.
  • It is legal for companies to make payments to doctors as long as the payments are not a kickback or inducement to use their products.
  • Some doctors say collaborative relationships, particularly those involving research, are necessary to develop new treatments and cures. But many ethicists have raised questions about the payments, and studies show that they may influence doctors' prescribing decisions.
  • Only you can decide if this matters to you and if so, whether you want to talk with your doctor about it. If you plan to talk with your doctor (or if you already have), please help us by filling out this short survey: propub.li/participate-d4d

Preparing for Your Conversation

If you decide you'd like to talk to your doctor about this, please keep in mind:

  • Many health care professionals in our database have similar names, so you should start by asking your doctor if the person mentioned in this payment record is really him/her.
  • Your doctor may not know he or she is listed as receiving payments, especially if the payments are small. You can direct your doctor to this site (the URL will be printed at the top of the payment record) or directly to the government's site here: https://openpaymentsdata.cms.gov/physician/1031
  • Some doctors are happy to discuss this information with you. Others might not be. The best approach is to ask questions and to not be accusatory.

Questions You Might Want to Ask

  • Is this you?
  • What type of work do you do with these companies?
  • Have you prescribed me any drugs that are manufactured by companies you've taken payments from?
  • Are there non-drug alternatives that I may want to consider first?
  • Are there less expensive generic alternatives to the drugs you have prescribed?
  • What devices have you used in my care that are manufactured by companies you've taken payments from?

Dollars for Docs: Talk With Your Doctor

https://projects.propublica.org/docdollars/doctors/pid/1031
If you spot an error, please let us know at [email protected].

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.

MIRIAM BETTENCOURT

Listed Specialty: Dermatology
1701 N GREEN VALLEY PKWY, STE 7B, HENDERSON, NV, 89074-5885

2018 Payments: At a Glance

339

payments

$228,099

payment total

31

companies paid this doctor

Types of Payments

Category Payments Payment Value
Promotional Speaking/Other
 38 $129K
Travel and Lodging
 75 $33,063
Consulting
 10 $32,520
Nonaccredited Training
 7 $21,560
Food and Beverage
 206 $9,567
Honoraria
 1 $2,000
Education
 2 $14

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†
OTEZLA

drug

 $120K
HUMIRA

drug

 $31,934
SILIQ

drug

 $24,846
ENSTILAR

drug

 $20,359
PICATO

drug

 $18,129
EUCRISA

drug

 $12,521
Payments with no listed product

N/A

 $6,598
TREMFYA

drug

 $4,294
KX2-391 OINTMENT

drug

 $2,925
SERNIVO SPRAY

drug

 $2,150
TRIANEX

drug

 $2,150
CLODERM

drug

 $500
COSENTYX

drug

 $382
XEOMIN

drug

 $282
ASCLERA

drug

 $252
XELJANZ

drug

 $180
CIMZIA

drug

 $179
VELTIN

drug

 $157
BENLYSTA

drug

 $131
SQRX PULSE GENERATOR

device

 $128
† 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.

For ease of printing, only the 20 drugs and devices with the highest payments are displayed. For a complete list, please visit: https://projects.propublica.org/docdollars/doctors/pid/1031

Payment Details

When How Much Related To What For From Third Party Payee
Jun 8, 2018 $7,700 PICATO ENSTILAR Consulting LEO PHARMA INC.
Jan 25, 2018 $6,280 OTEZLA Promotional Speaking/Other CELGENE CORPORATION
Jan 6, 2018 $6,280 OTEZLA Consulting CELGENE CORPORATION
Apr 25, 2018 $6,280 OTEZLA Promotional Speaking/Other CELGENE CORPORATION
Feb 5, 2018 $6,280 OTEZLA Promotional Speaking/Other CELGENE CORPORATION
Jul 12, 2018 $6,280 OTEZLA Promotional Speaking/Other CELGENE CORPORATION
Jul 11, 2018 $6,280 OTEZLA Promotional Speaking/Other CELGENE CORPORATION
Jan 25, 2018 $6,280 OTEZLA Promotional Speaking/Other CELGENE CORPORATION
Apr 26, 2018 $6,280 OTEZLA Promotional Speaking/Other CELGENE CORPORATION
Mar 2, 2018 $6,280 OTEZLA Promotional Speaking/Other CELGENE CORPORATION
Feb 28, 2018 $6,280 OTEZLA Promotional Speaking/Other CELGENE CORPORATION
Feb 28, 2018 $4,780 OTEZLA Travel and Lodging CELGENE CORPORATION
May 30, 2018 $4,300 SILIQ Nonaccredited Training ORTHO DERMATOLOGICS, A DIVISION OF BAUSCH HEALTH US, LLC
Mar 27, 2018 $4,300 SILIQ Nonaccredited Training ORTHO DERMATOLOGICS, A DIVISION OF BAUSCH HEALTH US, LLC
Nov 19, 2018 $4,025 HUMIRA Promotional Speaking/Other ABBVIE, INC.
Oct 29, 2018 $3,500 EUCRISA Consulting PFIZER INC.
Mar 1, 2018 $3,410 OTEZLA Promotional Speaking/Other CELGENE CORPORATION
Mar 1, 2018 $3,410 OTEZLA Promotional Speaking/Other CELGENE CORPORATION
Jan 25, 2018 $3,410 OTEZLA Promotional Speaking/Other CELGENE CORPORATION
Dec 19, 2018 $3,200 TREMFYA Consulting JANSSEN BIOTECH, INC.

For ease of printing, 20 payments are displayed, the largest appearing on top. For a full list of payments, please visit: https://projects.propublica.org/docdollars/doctors/pid/1031

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.