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/109740
  • 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/109740
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.


MICHAEL AST

Listed Specialty: Orthopaedic Surgery
3120 PRINCETON PIKE, MERCER BUCKS ORTHOPAEDICS, LAWRENCEVILLE, NJ, 08648-2325

2018 Payments: At a Glance

137

payments

$105,953

payment total

12

companies paid this doctor

Types of Payments

Category Payments Payment Value
Promotional Speaking/Other
16 $57,310
Consulting
16 $25,765
Travel and Lodging
55 $18,764
Food and Beverage
50 $4,114

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
JOURNEY II XR

device

$61,471
JOURNEY II BCS

device

$38,044
NAVIO SURGICAL SYSTEM

device

$35,628
JOURNEY II CR

device

$28,750
JOURNEY UNI

device

$19,548
VISIONAIRE CUTTING GUIDES

device

$15,749
ORTHALIGN PLUS SYSTEM

device

$14,133
JII UNICONDYLAR KNEE SYSTEM

device

$10,700
LEGION

device

$7,100
POLARSTEM

device

$3,216
ANTHOLOGY

device

$2,918
VISIONAIRE SOLUTIONS

device

$2,694
LEGION REVISION

device

$2,612
HTX-011

drug

$2,566
BONESAVE

device

$1,830
JOURNEY PFJ

device

$1,829
LEGION HINGE

device

$1,829
Payments with no listed product

N/A

$1,677
ZUK UNI

device

$1,660
OXINIUM HIPS

device

$1,186
† 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/109740

Payment Details

When How Much Related To What For From Third Party Payee
May 11, 2018 $12,300 JOURNEY UNI VISIONAIRE CUTTING GUIDES NAVIO SURGICAL SYSTEM JOURNEY II BCS JOURNEY II XR Promotional Speaking/Other SMITH & NEPHEW, INC.
Feb 12, 2018 $8,150 NAVIO SURGICAL SYSTEM JOURNEY II BCS JOURNEY II CR JOURNEY II XR Promotional Speaking/Other SMITH & NEPHEW, INC.
Sep 9, 2018 $7,700 ORTHALIGN PLUS SYSTEM Consulting ORTHALIGN INC
May 22, 2018 $6,300 JII UNICONDYLAR KNEE SYSTEM NAVIO SURGICAL SYSTEM JOURNEY II CR JOURNEY II XR Promotional Speaking/Other SMITH & NEPHEW, INC.
Jul 10, 2018 $4,800 JOURNEY II XR Promotional Speaking/Other SMITH & NEPHEW, INC.
Aug 10, 2018 $4,750 JOURNEY II XR Promotional Speaking/Other SMITH & NEPHEW, INC.
Oct 22, 2018 $3,650 JOURNEY II XR Promotional Speaking/Other SMITH & NEPHEW, INC.
Jul 30, 2018 $3,200 JOURNEY II XR Promotional Speaking/Other SMITH & NEPHEW, INC.
Oct 5, 2018 $3,200 LEGION JOURNEY II BCS JOURNEY II CR Consulting SMITH & NEPHEW, INC.
Nov 16, 2018 $2,600 LEGION REVISION NAVIO SURGICAL SYSTEM JOURNEY II BCS JOURNEY II CR JOURNEY II XR Promotional Speaking/Other SMITH & NEPHEW, INC.
Dec 14, 2018 $2,485 ORTHALIGN PLUS SYSTEM Consulting ORTHALIGN INC
Mar 31, 2018 $2,170 ORTHALIGN PLUS SYSTEM Consulting ORTHALIGN INC
Apr 9, 2018 $2,100 JOURNEY II XR Promotional Speaking/Other SMITH & NEPHEW, INC.
Oct 17, 2018 $2,000 HTX-011 Consulting HERON THERAPEUTICS, INC.
Apr 9, 2018 $2,000 VISIONAIRE CUTTING GUIDES JOURNEY II CR Promotional Speaking/Other SMITH & NEPHEW, INC.
Apr 9, 2018 $1,800 JOURNEY II XR Consulting SMITH & NEPHEW, INC.
Jan 29, 2018 $1,660 ZUK UNI JOURNEY II BCS Promotional Speaking/Other SMITH & NEPHEW, INC.
Sep 3, 2018 $1,600 JII UNICONDYLAR KNEE SYSTEM JOURNEY UNI JOURNEY II BCS JOURNEY II CR JOURNEY II XR Promotional Speaking/Other SMITH & NEPHEW, INC.
Jun 29, 2018 $1,600 JII UNICONDYLAR KNEE SYSTEM JOURNEY UNI LEGION JOURNEY II CR Promotional Speaking/Other SMITH & NEPHEW, INC.
Aug 14, 2018 $1,471 BONESAVE Travel and Lodging STRYKER CORPORATION

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/109740

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.