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/1144624
  • 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/1144624
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.

JOHN SCAGNELLI

Listed Specialty: Neurology
1540 SUNDAY DR, RALEIGH, NC, 27607-6010

2018 Payments: At a Glance

290

payments

$32,187

payment total

21

companies paid this doctor

Types of Payments

Category Payments Payment Value
Promotional Speaking/Other
 12 $26,358
Food and Beverage
 273 $3,130
Consulting
 1 $1,350
Travel and Lodging
 4 $1,349

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†
LEMTRADA

drug

 $12,289
AUBAGIO

drug

 $5,379
TECFIDERA

drug

 $5,292
TYSABRI

drug

 $4,843
GILENYA

drug

 $2,890
OCREVUS

drug

 $405
Payments with no listed product

N/A

 $244
TROKENDI XR

drug

 $199
REBIF

drug

 $113
OXTELLAR XR

drug

 $78
AIMOVIG

drug

 $73
GAMUNEX-C

drug

 $67
COPAXONE

drug

 $56
AUSTEDO

drug

 $54
XEOMIN

drug

 $42
BOTOX

drug

 $39
RADICAVA

drug

 $37
GOCOVRI

drug

 $35
AMPYRA

drug

 $30
ACTHAR

drug

 $29
† 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/1144624

Payment Details

When How Much Related To What For From Third Party Payee
Nov 1, 2018 $3,629 LEMTRADA Promotional Speaking/Other GENZYME CORPORATION Raleigh Neurology Associates, P.A
Nov 8, 2018 $3,150 TYSABRI Promotional Speaking/Other BIOGEN, INC.
Apr 19, 2018 $3,150 TECFIDERA Promotional Speaking/Other BIOGEN, INC.
Oct 15, 2018 $3,056 LEMTRADA Promotional Speaking/Other GENZYME CORPORATION Raleigh Neurology Associates, P.A
Jun 25, 2018 $2,660 GILENYA Promotional Speaking/Other NOVARTIS PHARMACEUTICALS CORPORATION RALEIGH NEUROLOGY ASSOCIATES PA
Nov 1, 2018 $2,483 AUBAGIO Promotional Speaking/Other GENZYME CORPORATION Raleigh Neurology Associates, P.A
Apr 25, 2018 $2,197 AUBAGIO Promotional Speaking/Other GENZYME CORPORATION Raleigh Neurology Associates, P.A
Jul 18, 2018 $2,197 LEMTRADA Promotional Speaking/Other GENZYME CORPORATION Raleigh Neurology Associates, P.A
May 16, 2018 $2,006 LEMTRADA Promotional Speaking/Other GENZYME CORPORATION Raleigh Neurology Associates, P.A
Dec 4, 2018 $1,800 TECFIDERA Promotional Speaking/Other BIOGEN, INC.
Nov 27, 2018 $1,350 TYSABRI Consulting BIOGEN, INC.
Nov 1, 2018 $654 LEMTRADA Travel and Lodging GENZYME CORPORATION
Oct 15, 2018 $404 LEMTRADA Travel and Lodging GENZYME CORPORATION
Sep 27, 2018 $285 AUBAGIO Travel and Lodging GENZYME CORPORATION
Nov 27, 2018 $125 TYSABRI Food and Beverage BIOGEN, INC.
Oct 18, 2018 $93 LEMTRADA Food and Beverage GENZYME CORPORATION
Nov 1, 2018 $58 AUBAGIO Food and Beverage GENZYME CORPORATION
Sep 27, 2018 $58 AUBAGIO Food and Beverage GENZYME CORPORATION
Apr 25, 2018 $44 AUBAGIO Food and Beverage GENZYME CORPORATION
Jun 25, 2018 $40 GILENYA 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/1144624

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.