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/119726
  • 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/119726
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.

DANIEL LAYISH

Listed Specialty: Internal Medicine
1115 E. RIDGEWOOD STREET, ORLANDO, FL, 32803

2018 Payments: At a Glance

165

payments

$25,044

payment total

25

companies paid this doctor

Types of Payments

Category Payments Payment Value
Promotional Speaking/Other
 9 $13,554
Food and Beverage
 144 $4,293
Consulting
 1 $3,395
Travel and Lodging
 8 $2,502
Honoraria
 1 $1,200
Education
 2 $100

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†
ESBRIET

drug

 $7,719
PROLASTIN-C

drug

 $4,925
STIOLTO RESPIMAT

drug

 $3,408
ADEMPAS

drug

 $2,601
Payments with no listed product

N/A

 $1,924
GIAPREZA

drug

 $1,427
ARALAST

drug

 $525
RESPIRATORIY CARE UNDIV

device

 $487
WELLCENTIVE UNDIV

device

 $469
ZERBAXA

drug

 $249
XOLAIR

drug

 $218
BEVYXXA

drug

 $153
OFEV

drug

 $152
ORENITRAM

drug

 $151
THE VEST SYSTEM MODEL 105 HOME CARE

device

 $131
PICO

device

 $107
NUCALA

drug

 $94
FASENRA

drug

 $46
ANDEXXA

drug

 $43
LONHALA MAGNAIR

drug

 $38
† 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/119726

Payment Details

When How Much Related To What For From Third Party Payee
Oct 18, 2018 $3,395 STIOLTO RESPIMAT Consulting BOEHRINGER INGELHEIM PHARMACEUTICALS, INC.
Apr 21, 2018 $2,450 ESBRIET Promotional Speaking/Other GENENTECH USA, INC.
Aug 6, 2018 $2,450 ADEMPAS Promotional Speaking/Other BAYER HEALTHCARE PHARMACEUTICALS INC.
Apr 10, 2018 $2,025 PROLASTIN-C Promotional Speaking/Other GRIFOLS USA, LLC
May 23, 2018 $2,025 PROLASTIN-C Promotional Speaking/Other GRIFOLS USA, LLC
Oct 10, 2018 $1,700 ESBRIET Promotional Speaking/Other GENENTECH USA, INC.
Apr 18, 2018 $1,700 ESBRIET Promotional Speaking/Other GENENTECH USA, INC.
Aug 22, 2018 $1,200 GIAPREZA Honoraria LA JOLLA PHARMACEUTICAL COMPANY
Apr 21, 2018 $778 ESBRIET Travel and Lodging GENENTECH USA, INC.
Aug 25, 2018 $650 PROLASTIN-C Promotional Speaking/Other GRIFOLS USA, LLC
Sep 24, 2018 $525 ARALAST Promotional Speaking/Other SHIRE NORTH AMERICAN GROUP INC
Dec 1, 2018 $461 No Listed Product Travel and Lodging ACTELION PHARMACEUTICALS US, INC.
Apr 21, 2018 $448 ESBRIET Travel and Lodging GENENTECH USA, INC.
Nov 30, 2018 $374 No Listed Product Travel and Lodging ACTELION PHARMACEUTICALS US, INC.
Dec 1, 2018 $342 No Listed Product Travel and Lodging ACTELION PHARMACEUTICALS US, INC.
Apr 21, 2018 $242 ESBRIET Food and Beverage GENENTECH USA, INC.
Dec 1, 2018 $141 No Listed Product Food and Beverage ACTELION PHARMACEUTICALS US, INC.
Aug 22, 2018 $127 GIAPREZA Food and Beverage LA JOLLA PHARMACEUTICAL COMPANY
Apr 10, 2018 $125 PROLASTIN-C Food and Beverage GRIFOLS USA, LLC
Apr 18, 2018 $125 ESBRIET Food and Beverage GENENTECH USA, 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/119726

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.