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/1282657
  • 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/1282657
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.

FRANCISCO ALEMAN

Listed Specialty: Family Medicine
803 W US HIGHWAY 71, SAVANNAH, MO, 64485-1151

2018 Payments: At a Glance

65

payments

$1,343

payment total

20

companies paid this doctor

Types of Payments

Category Payments Payment Value
Food and Beverage
 64 $1,329
Education
 1 $14

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†
EUCRISA

drug

 $157
MAVYRET

drug

 $137
KRYSTEXXA

drug

 $113
VRAYLAR

drug

 $111
EPCLUSA

drug

 $86
JARDIANCE

drug

 $86
ENTRESTO

drug

 $83
REXULTI

drug

 $83
LONHALA MAGNAIR

drug

 $79
CHANTIX

drug

 $74
IMMUNOCAP

device

 $72
INVOKANA

drug

 $64
BROVANA

drug

 $54
SEEBRI

drug

 $54
UTIBRON

drug

 $54
LYRICA

drug

 $53
ELIQUIS

drug

 $51
Payments with no listed product

N/A

 $44
JULUCA

drug

 $43
TRIUMEQ

drug

 $27
† 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/1282657

Payment Details

When How Much Related To What For From Third Party Payee
Jun 12, 2018 $113 KRYSTEXXA Food and Beverage HORIZON PHARMA PLC
Dec 3, 2018 $111 VRAYLAR Food and Beverage ALLERGAN INC.
Mar 22, 2018 $104 EUCRISA Food and Beverage PFIZER INC.
Feb 22, 2018 $100 MAVYRET Food and Beverage ABBVIE, INC.
Feb 28, 2018 $86 EPCLUSA Food and Beverage GILEAD SCIENCES INC
Oct 25, 2018 $86 JARDIANCE Food and Beverage BOEHRINGER INGELHEIM PHARMACEUTICALS, INC.
Jul 18, 2018 $39 INVOKANA Food and Beverage JANSSEN PHARMACEUTICALS, INC
Feb 8, 2018 $28 IMMUNOCAP Food and Beverage PHADIA US INC.
Jan 23, 2018 $24 CHANTIX ELIQUIS Food and Beverage PFIZER INC.
Jul 12, 2018 $24 IMMUNOCAP Food and Beverage PHADIA US INC.
Dec 7, 2018 $22 MAVYRET Food and Beverage ABBVIE, INC.
Aug 15, 2018 $20 REXULTI Food and Beverage OTSUKA AMERICA PHARMACEUTICAL, INC.
Jun 22, 2018 $20 ZUBSOLV Food and Beverage OREXO US, INC.
Apr 12, 2018 $20 IMMUNOCAP Food and Beverage PHADIA US INC.
Jul 19, 2018 $18 ENTRESTO Food and Beverage NOVARTIS PHARMACEUTICALS CORPORATION
Jun 6, 2018 $18 ENTRESTO Food and Beverage NOVARTIS PHARMACEUTICALS CORPORATION
Nov 13, 2018 $18 ENTRESTO Food and Beverage NOVARTIS PHARMACEUTICALS CORPORATION
Oct 23, 2018 $17 REXULTI Food and Beverage OTSUKA AMERICA PHARMACEUTICAL, INC.
Apr 25, 2018 $17 ENTRESTO Food and Beverage NOVARTIS PHARMACEUTICALS CORPORATION
Jan 30, 2018 $16 JULUCA Food and Beverage VIIV HEALTHCARE COMPANY

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/1282657

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.