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/1117785
  • 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/1117785
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.

EDGARDO LUIS SANTIAGO-GUZMAN

Listed Specialty: Hematology & Oncology
HOSPITAL DEL MAESTRO, SUITE 2002, SAN JUAN, PR, 00918-2002

2018 Payments: At a Glance

130

payments

$7,962

payment total

15

companies paid this doctor

Types of Payments

Category Payments Payment Value
Promotional Speaking/Other
 2 $4,792
Food and Beverage
 123 $2,281
Consulting
 1 $500
Education
 3 $205
Travel and Lodging
 1 $184

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

 $5,853
Payments with no listed product

N/A

 $307
IBRANCE

drug

 $226
CYRAMZA

drug

 $171
VERZENIO

drug

 $171
VELCADE

drug

 $134
SPRYCEL

drug

 $127
IMFINZI

drug

 $124
NINLARO

drug

 $114
KEYTRUDA

drug

 $102
LARTRUVO

drug

 $78
KYPROLIS

drug

 $76
XGEVA

drug

 $72
GAZYVA

drug

 $71
BAVENCIO

drug

 $70
INLYTA

drug

 $70
SUTENT

drug

 $70
TAGRISSO

drug

 $69
TECENTRIQ

drug

 $66
XALKORI

drug

 $53
† 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/1117785

Payment Details

When How Much Related To What For From Third Party Payee
Feb 23, 2018 $2,709 OPDIVO Promotional Speaking/Other E.R. SQUIBB & SONS, L.L.C.
Nov 14, 2018 $2,083 OPDIVO Promotional Speaking/Other E.R. SQUIBB & SONS, L.L.C.
Oct 2, 2018 $500 OPDIVO Consulting E.R. SQUIBB & SONS, L.L.C.
Oct 25, 2018 $184 OPDIVO Travel and Lodging E.R. SQUIBB & SONS, L.L.C.
Sep 28, 2018 $134 VELCADE Education TAKEDA PHARMACEUTICALS U.S.A., INC.
Jun 7, 2018 $125 No Listed Product Food and Beverage E.R. SQUIBB & SONS, L.L.C.
Oct 25, 2018 $110 OPDIVO Food and Beverage E.R. SQUIBB & SONS, L.L.C.
Sep 28, 2018 $55 CYRAMZA VERZENIO Education ELI LILLY EXPORT S.A. PUERTO RICO BRANCH
Sep 29, 2018 $40 KYPROLIS Food and Beverage AMGEN INC.
May 2, 2018 $25 SPRYCEL Food and Beverage E.R. SQUIBB & SONS, L.L.C.
Aug 15, 2018 $24 SPRYCEL Food and Beverage E.R. SQUIBB & SONS, L.L.C.
Mar 20, 2018 $24 TASIGNA Food and Beverage NOVARTIS PHARMACEUTICALS CORPORATION
Apr 19, 2018 $24 REVLIMID Food and Beverage CELGENE CORPORATION
Sep 6, 2018 $23 OPDIVO Food and Beverage E.R. SQUIBB & SONS, L.L.C.
Apr 19, 2018 $23 OPDIVO Food and Beverage E.R. SQUIBB & SONS, L.L.C.
Jan 15, 2018 $22 IBRANCE Food and Beverage PFIZER PHARMACEUTICALS LLC
Dec 17, 2018 $21 AVASTIN Food and Beverage GENENTECH USA, INC.
Aug 29, 2018 $21 REVLIMID Food and Beverage CELGENE CORPORATION
Jun 21, 2018 $21 ALECENSA TECENTRIQ Food and Beverage GENENTECH USA, INC.
Aug 15, 2018 $21 PROMACTA Food and Beverage NOVARTIS PHARMACEUTICALS 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/1117785

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.