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/1138902
  • 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/1138902
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.

RYAN MLYNAREK

Listed Specialty: Orthopaedic Surgery
1500 E MEDICAL CENTER DR SPC 5328, TC 2912, ANN ARBOR, MI, 48109-5328

2018 Payments: At a Glance

40

payments

$30,704

payment total

6

companies paid this doctor

Types of Payments

Category Payments Payment Value
Education
 5 $16,016
Grant
 1 $10,000
Travel and Lodging
 15 $2,914
Food and Beverage
 19 $1,774

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

 $27,078
HIP ARTHROSCOPY ACCESS & INSTRUMENTATION SET

device

 $1,817
CEP EXTREMITIES

device

 $881
IVY AIR

device

 $191
NO PRODUCT

drug

 $144
NANO TACT FLEX

device

 $143
BICEPTOR

device

 $125
ULTRABUTTON

device

 $125
NANOPASS

device

 $115
VERSITOMIC

device

 $105
KNEE PRODUCT PORTFOLIO

device

 $61
COMPREHENSIVE INSTRUMENTS

device

 $30
ROTATOR CUFF NEEDLE

device

 $30
SIDUS STEM-FREE SHOULDER

device

 $30
PIVOT PORTAL ENTRY KIT

device

 $16
† 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

When How Much Related To What For From Third Party Payee
Feb 26, 2018 $10,000 No Listed Product Grant ARTHREX, INC.
Jan 17, 2018 $8,000 No Listed Product Education SMITH & NEPHEW, INC. Hospital for Special Surgery
Sep 29, 2018 $3,307 No Listed Product Education PINNACLE, INC
May 10, 2018 $2,673 No Listed Product Education ARTHREX, INC.
May 11, 2018 $1,886 No Listed Product Education ARTHREX, INC.
May 1, 2018 $470 HIP ARTHROSCOPY ACCESS & INSTRUMENTATION SET Travel and Lodging STRYKER CORPORATION
Apr 10, 2018 $433 CEP EXTREMITIES Travel and Lodging ZIMMER BIOMET HOLDINGS, INC.
Jul 31, 2018 $403 No Listed Product Travel and Lodging ARTHREX, INC.
Jun 7, 2018 $335 HIP ARTHROSCOPY ACCESS & INSTRUMENTATION SET Travel and Lodging STRYKER CORPORATION
Jun 7, 2018 $298 HIP ARTHROSCOPY ACCESS & INSTRUMENTATION SET Food and Beverage STRYKER CORPORATION
Mar 5, 2018 $242 No Listed Product Travel and Lodging ARTHREX, INC.
May 10, 2018 $221 No Listed Product Food and Beverage ARTHREX, INC.
Apr 20, 2018 $215 CEP EXTREMITIES Travel and Lodging ZIMMER BIOMET HOLDINGS, INC.
Oct 16, 2018 $195 HIP ARTHROSCOPY ACCESS & INSTRUMENTATION SET Travel and Lodging STRYKER CORPORATION
Jan 31, 2018 $191 IVY AIR Food and Beverage STRYKER CORPORATION
Oct 29, 2018 $179 HIP ARTHROSCOPY ACCESS & INSTRUMENTATION SET Travel and Lodging STRYKER CORPORATION
May 10, 2018 $150 No Listed Product Education ARTHREX, INC.
Jun 19, 2018 $144 NO PRODUCT Food and Beverage HORIZON PHARMA PLC
Mar 4, 2018 $143 NANO TACT FLEX Food and Beverage STRYKER CORPORATION
Oct 30, 2018 $138 HIP ARTHROSCOPY ACCESS & INSTRUMENTATION SET 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/1138902

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.