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/129338
  • 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/129338
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.


ANDREA NATALE

Listed Specialty: Cardiovascular Disease
3000 N IH 35, SUITE 700, AUSTIN, TX, 78705-1804

2018 Payments: At a Glance

176

payments

$74,443

payment total

12

companies paid this doctor

Types of Payments

Category Payments Payment Value
Travel and Lodging
27 $23,295
Promotional Speaking/Other
5 $19,375
Consulting
12 $15,200
Nonaccredited Training
2 $10,000
Food and Beverage
129 $6,314
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

$33,474
CARTO 3 SYSTEM

device

$9,043
NAVISTAR

device

$6,343
WATCHMAN

device

$6,096
ELIQUIS

drug

$5,668
ARCTIC FRONT

device

$4,593
GENERAL THERAPIES

device

$3,608
THERAPIES

device

$2,463
CRM-RESEARCH ONLY

device

$777
ENSITE CARDIAC MAPPING SYSTEM

device

$706
CARTO SMARTTOUCH

device

$418
SMARTABLATE

device

$297
TACTICATH QUARTZ CFA CATHETER

device

$161
XARELTO

drug

$150
THERMOCOOL

device

$119
CARTOMERGE

device

$116
CONFIDENSE

device

$116
ATRICURE SYNERGY ABLATION SYSTEM

device

$113
CARTOSOUND

device

$111
ADAPTA

device

$98
† 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/129338

Payment Details

When How Much Related To What For From Third Party Payee
Dec 18, 2018 $11,024 No Listed Product Travel and Lodging BIOTRONIK INC.
Dec 11, 2018 $6,875 No Listed Product Promotional Speaking/Other MEDTRONIC VASCULAR, INC. P & E Consulting
Jul 17, 2018 $6,250 No Listed Product Nonaccredited Training BIOTRONIK INC.
Jul 4, 2018 $5,850 WATCHMAN Consulting BOSTON SCIENTIFIC CORPORATION
Mar 28, 2018 $5,731 NAVISTAR Travel and Lodging BIOSENSE WEBSTER, INC.
Jan 3, 2018 $3,750 No Listed Product Nonaccredited Training BIOTRONIK INC.
Nov 20, 2018 $3,500 GENERAL THERAPIES Promotional Speaking/Other BOSTON SCIENTIFIC CORPORATION
Sep 13, 2018 $3,500 ARCTIC FRONT Promotional Speaking/Other MEDTRONIC VASCULAR, INC. P & E Consulting
Nov 29, 2018 $2,750 ELIQUIS Promotional Speaking/Other PFIZER INC.
Nov 21, 2018 $2,750 ELIQUIS Promotional Speaking/Other PFIZER INC.
Jul 27, 2018 $1,400 CARTO 3 SYSTEM Consulting BIOSENSE WEBSTER, INC. P&E Consulting, LLC
Sep 27, 2018 $1,050 CARTO 3 SYSTEM Consulting BIOSENSE WEBSTER, INC. P&E Consulting, LLC
May 18, 2018 $1,050 CARTO 3 SYSTEM Consulting BIOSENSE WEBSTER, INC. P&E Consulting, LLC
Feb 12, 2018 $1,050 CARTO 3 SYSTEM Consulting MEDICAL DEVICE BUSINESS SERVICES, INC. P&E Consulting, Llc
Sep 27, 2018 $1,050 CARTO 3 SYSTEM Consulting BIOSENSE WEBSTER, INC. P&E Consulting, LLC
May 8, 2018 $1,040 No Listed Product Travel and Lodging BIOTRONIK INC.
Jul 4, 2018 $950 No Listed Product Consulting BAYLIS MEDICAL COMPANY INC
Jun 7, 2018 $891 THERAPIES Travel and Lodging BOSTON SCIENTIFIC CORPORATION
Jul 20, 2018 $769 CRM-RESEARCH ONLY Travel and Lodging ABBOTT LABORATORIES
Aug 17, 2018 $700 CARTO 3 SYSTEM Consulting BIOSENSE WEBSTER, INC. P&E Consulting, LLC

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/129338

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.