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/110300
  • 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/110300
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.

JOSE AYALA

Listed Specialty: Podiatrist
5700 N EXPRESSWAY, SUITE 305B, BROWNSVILLE, TX, 78526-4353

2018 Payments: At a Glance

20

payments

$2,442

payment total

6

companies paid this doctor

Types of Payments

Category Payments Payment Value
Travel and Lodging
 4 $1,451
Food and Beverage
 16 $991

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†
Payments with no listed product

N/A

 $2,052
RESTRATA WOUND MATRIX

device

 $160
GRAFIX & STRAVIX

drug

 $134
ELIQUIS

drug

 $48
PERI-STRIPS DRY

drug

 $35
FLEXITOUCH

device

 $13
ACTITOUCH

device

 $13
ENTRE

device

 $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

All payments are displayed, the largest appearing on top.

When How Much Related To What For From Third Party Payee
Jun 13, 2018 $1,143 No Listed Product Travel and Lodging BIOTRONIK INC.
May 1, 2018 $327 No Listed Product Food and Beverage BIOTRONIK INC.
May 16, 2018 $169 No Listed Product Travel and Lodging BIOTRONIK INC.
Apr 27, 2018 $124 No Listed Product Food and Beverage BIOTRONIK INC.
Apr 29, 2018 $120 No Listed Product Travel and Lodging BIOTRONIK INC.
Nov 20, 2018 $114 RESTRATA WOUND MATRIX Food and Beverage ACERA SURGICAL, INC.
Apr 28, 2018 $113 No Listed Product Food and Beverage BIOTRONIK INC.
Oct 30, 2018 $48 ELIQUIS Food and Beverage E.R. SQUIBB & SONS, L.L.C.
Nov 29, 2018 $46 RESTRATA WOUND MATRIX Food and Beverage ACERA SURGICAL, INC.
Apr 27, 2018 $37 No Listed Product Food and Beverage BIOTRONIK INC.
Apr 13, 2018 $35 PERI-STRIPS DRY Food and Beverage BAXTER HEALTHCARE
Sep 28, 2018 $23 GRAFIX & STRAVIX Food and Beverage OSIRIS THERAPEUTICS INC.
Oct 25, 2018 $23 GRAFIX & STRAVIX Food and Beverage OSIRIS THERAPEUTICS INC.
Mar 29, 2018 $23 GRAFIX & STRAVIX Food and Beverage OSIRIS THERAPEUTICS INC.
Aug 24, 2018 $21 GRAFIX & STRAVIX Food and Beverage OSIRIS THERAPEUTICS INC.
Nov 8, 2018 $21 GRAFIX & STRAVIX Food and Beverage OSIRIS THERAPEUTICS INC.
Mar 28, 2018 $20 GRAFIX & STRAVIX Food and Beverage OSIRIS THERAPEUTICS INC.
Mar 9, 2018 $20 No Listed Product Travel and Lodging BIOTRONIK INC.
Oct 4, 2018 $13 FLEXITOUCH ACTITOUCH ENTRE Food and Beverage TACTILE SYSTEMS TECHNOLOGY INC
Mar 14, 2018 $2 GRAFIX & STRAVIX Food and Beverage OSIRIS THERAPEUTICS INC.

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.