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/1154089
  • 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/1154089
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.

JONATHAN DUKES

Listed Specialty: Internal Medicine
505 PARNASSUS AVE, UCSF DIVISION OF CARDIOLOGY, SAN FRANCISCO, CA, 94143-0124

2018 Payments: At a Glance

261

payments

$42,663

payment total

16

companies paid this doctor

Types of Payments

Category Payments Payment Value
Travel and Lodging
 39 $14,816
Consulting
 5 $12,508
Food and Beverage
 212 $8,580
Promotional Speaking/Other
 3 $4,500
Nonaccredited Training
 1 $2,000
Grant
 1 $259

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

 $16,283
CARTO 3 SYSTEM

device

 $13,670
ELIQUIS

drug

 $4,921
SELECTSECURE

device

 $1,952
ARCTIC FRONT

device

 $1,383
AZURE

device

 $876
SOUNDSTAR

device

 $701
MICRA

device

 $586
NAVISTAR

device

 $495
CLARIA MRI

device

 $314
TYRX

device

 $228
VISIA AF

device

 $208
AMPLIA MRI

device

 $176
RHYTHMVIEW WORK STATIONS

device

 $146
CARTO SMARTTOUCH

device

 $127
REPATHA

drug

 $119
GENERAL TACHY

device

 $119
PACEART

device

 $116
BYSTOLIC

drug

 $86
VIGILANT

device

 $85
† 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/1154089

Payment Details

When How Much Related To What For From Third Party Payee
Dec 21, 2018 $4,200 CARTO 3 SYSTEM Consulting MEDICAL DEVICE BUSINESS SERVICES, INC.
Jul 9, 2018 $3,500 CARTO 3 SYSTEM Consulting MEDICAL DEVICE BUSINESS SERVICES, INC.
May 14, 2018 $2,625 CARTO 3 SYSTEM Consulting BIOSENSE WEBSTER, INC.
Dec 4, 2018 $2,100 CARTO 3 SYSTEM Consulting MEDICAL DEVICE BUSINESS SERVICES, INC.
Jul 30, 2018 $2,000 ELIQUIS Promotional Speaking/Other PFIZER INC.
Dec 6, 2018 $2,000 ELIQUIS Promotional Speaking/Other PFIZER INC.
May 22, 2018 $2,000 No Listed Product Nonaccredited Training BIOTRONIK INC.
Dec 2, 2018 $1,203 No Listed Product Travel and Lodging MEDICAL DEVICE BUSINESS SERVICES, INC.
Jun 29, 2018 $1,151 SELECTSECURE Travel and Lodging MEDTRONIC VASCULAR, INC.
Dec 8, 2018 $992 No Listed Product Travel and Lodging MEDICAL DEVICE BUSINESS SERVICES, INC.
Jan 26, 2018 $849 No Listed Product Travel and Lodging MEDTRONIC VASCULAR, INC.
Nov 16, 2018 $810 No Listed Product Travel and Lodging MEDTRONIC VASCULAR, INC.
Mar 22, 2018 $672 ARCTIC FRONT Travel and Lodging MEDTRONIC VASCULAR, INC.
Apr 24, 2018 $664 No Listed Product Travel and Lodging BIOTRONIK INC.
Nov 16, 2018 $628 No Listed Product Travel and Lodging MEDTRONIC VASCULAR, INC.
Feb 15, 2018 $561 No Listed Product Travel and Lodging BIOTRONIK INC.
Feb 15, 2018 $516 No Listed Product Travel and Lodging BIOTRONIK INC.
Dec 17, 2018 $500 ELIQUIS Promotional Speaking/Other PFIZER INC.
Apr 23, 2018 $483 CARTO 3 SYSTEM Travel and Lodging BIOSENSE WEBSTER, INC.
Jan 26, 2018 $462 No Listed Product Travel and Lodging MEDTRONIC VASCULAR, INC.

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/1154089

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.