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/11855
  • 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/11855
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.

NELSON BERNARDO

Listed Specialty: Cardiovascular Disease
110 IRVING ST NW, SUITE 4B-1, WASHINGTON, DC, 20010-3017

2018 Payments: At a Glance

156

payments

$48,077

payment total

18

companies paid this doctor

Types of Payments

Category Payments Payment Value
Nonaccredited Training
 5 $31,900
Honoraria
 1 $6,000
Food and Beverage
 133 $4,311
Travel and Lodging
 16 $3,366
Consulting
 1 $2,500

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†
COOK MEDICAL IAA

device

 $27,500
VASCULAR CLOSURE DEVICE

device

 $6,103
Payments with no listed product

N/A

 $4,848
INCRAFT AAA STENT GRAFT SYSTEM

device

 $4,084
COOK MEDICAL ZILVER PTX

device

 $1,345
IMPELLA

device

 $572
COOK MEDICAL PERIPHERAL INTERVENTION

device

 $400
VIABAHN VBX BALLOON EXPANDABLE ENDOPROSTHESIS

device

 $329
IN.PACT ADMIRAL

device

 $291
PERIPHERAL ORBITAL ATHERECTOMY SYSTEM

device

 $238
COOK MEDICAL CATHETERS

device

 $236
CORONARY ORBITAL ATHERECTOMY SYSTEM

device

 $218
CARDIOFORM SEPTAL OCCLUDER

device

 $164
BRILINTA

drug

 $155
HAWKONE

device

 $125
MITRA CLIP SYSTEM

device

 $107
INDIGO

device

 $102
INTERLOCK

device

 $94
COOK MEDICAL STENTS

device

 $91
VIABAHN ENDOPROSTHESIS WITH HEPARIN BIOACTIVE SURFACE

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/11855

Payment Details

When How Much Related To What For From Third Party Payee
Jun 20, 2018 $14,400 COOK MEDICAL IAA Nonaccredited Training COOK INCORPORATED
Jan 8, 2018 $6,000 VASCULAR CLOSURE DEVICE Honoraria CARDIVA MEDICAL, INC.
Jan 17, 2018 $5,900 COOK MEDICAL IAA Nonaccredited Training COOK INCORPORATED
Oct 15, 2018 $4,400 No Listed Product Nonaccredited Training COOK INCORPORATED
Aug 6, 2018 $4,400 COOK MEDICAL IAA Nonaccredited Training COOK INCORPORATED
Dec 19, 2018 $2,800 COOK MEDICAL IAA Nonaccredited Training COOK INCORPORATED
Nov 19, 2018 $2,500 INCRAFT AAA STENT GRAFT SYSTEM Consulting CARDINAL HEALTH 200, LLC BCD Travel US
Oct 30, 2018 $723 INCRAFT AAA STENT GRAFT SYSTEM Travel and Lodging CARDINAL HEALTH 200, LLC BCD Travel US
Dec 6, 2018 $581 COOK MEDICAL ZILVER PTX Travel and Lodging COOK INCORPORATED
Oct 26, 2018 $406 INCRAFT AAA STENT GRAFT SYSTEM Travel and Lodging CARDINAL HEALTH 200, LLC
Dec 4, 2018 $321 COOK MEDICAL ZILVER PTX Travel and Lodging COOK INCORPORATED
Jun 6, 2018 $240 VIABAHN VBX BALLOON EXPANDABLE ENDOPROSTHESIS Travel and Lodging W. L. GORE & ASSOCIATES, INC.
Dec 6, 2018 $189 COOK MEDICAL ZILVER PTX Travel and Lodging COOK INCORPORATED
Jan 24, 2018 $173 IN.PACT ADMIRAL Food and Beverage MEDTRONIC VASCULAR, INC.
Nov 14, 2018 $167 INCRAFT AAA STENT GRAFT SYSTEM Travel and Lodging CARDINAL HEALTH 200, LLC
Nov 14, 2018 $159 INCRAFT AAA STENT GRAFT SYSTEM Travel and Lodging CARDINAL HEALTH 200, LLC
Aug 1, 2018 $156 No Listed Product Travel and Lodging CORINDUS INC.
Aug 2, 2018 $148 No Listed Product Travel and Lodging CORINDUS INC.
May 30, 2018 $144 CARDIOFORM SEPTAL OCCLUDER Food and Beverage W. L. GORE & ASSOCIATES, INC.
Nov 7, 2018 $129 PERIPHERAL ORBITAL ATHERECTOMY SYSTEM Food and Beverage CARDIOVASCULAR SYSTEMS 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/11855

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.