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/135751
  • 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/135751
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.

PASQUALE MONTESANO

Listed Specialty: Orthopaedic Surgery of the Spine
11000 PROSPERITY FARMS RD, SUITE 102, PALM BEACH GARDENS, FL, 33410-3462

2018 Payments: At a Glance

20

payments

$99,157

payment total

10

companies paid this doctor

Types of Payments

Category Payments Payment Value
Consulting
 10 $98,624
Food and Beverage
 10 $534

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†
10 DEGREES CRTP CAGES

device

 $77,667
VAULT

device

 $17,464
VAULT ALIF

device

 $16,140
VAULT C

device

 $3,493
PRODISC L

device

 $153
GENERAL K2M PRODUCT DISCUSSION

device

 $92
VIVIGEN

device

 $86
BONE MARROW ASPIRATE CONCENTRATE SYSTEM

device

 $67
LAMITRODE SCS LEADS

device

 $52
COFLEX

device

 $33
IFUSE IMPLANT

device

 $20
TISSEEL

drug

 $16
CAVUX CERVICAL CAGE

device

 $14
DTRAX SPINAL SYSTEM

device

 $14
ALLY BONE SCREW

device

 $14
BIOLOGIX ALLOGRAFT BONE

device

 $14
† 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.

Payment Details

All payments are displayed, the largest appearing on top.

When How Much Related To What For From Third Party Payee
Feb 13, 2018 $23,229 10 DEGREES CRTP CAGES Consulting PRECISION SPINE, INC.
May 8, 2018 $20,029 10 DEGREES CRTP CAGES Consulting PRECISION SPINE, INC.
Aug 21, 2018 $18,268 10 DEGREES CRTP CAGES Consulting PRECISION SPINE, INC.
Dec 10, 2018 $16,140 10 DEGREES CRTP CAGES VAULT ALIF Consulting PRECISION SPINE, INC.
Jun 6, 2018 $3,493 VAULT Consulting PRECISION SPINE, INC.
Mar 29, 2018 $3,493 VAULT Consulting PRECISION SPINE, INC.
Mar 1, 2018 $3,493 VAULT Consulting PRECISION SPINE, INC.
Jan 31, 2018 $3,493 VAULT C Consulting PRECISION SPINE, INC.
Jun 29, 2018 $3,493 VAULT Consulting PRECISION SPINE, INC.
Apr 30, 2018 $3,493 VAULT Consulting PRECISION SPINE, INC.
Aug 16, 2018 $119 PRODISC L Food and Beverage CENTINEL SPINE, LLC
Jan 25, 2018 $92 GENERAL K2M PRODUCT DISCUSSION Food and Beverage K2M, INC.
Mar 27, 2018 $86 VIVIGEN Food and Beverage DEPUY SYNTHES SALES INC.
Nov 27, 2018 $67 BONE MARROW ASPIRATE CONCENTRATE SYSTEM Food and Beverage TERUMO BCT, INC.
Apr 27, 2018 $52 LAMITRODE SCS LEADS Food and Beverage ABBOTT LABORATORIES
Apr 12, 2018 $34 PRODISC L Food and Beverage CENTINEL SPINE, LLC
Jul 26, 2018 $33 COFLEX Food and Beverage PARADIGM SPINE, LLC
Feb 21, 2018 $20 IFUSE IMPLANT Food and Beverage SI-BONE, INC.
Dec 13, 2018 $16 TISSEEL Food and Beverage BAXTER HEALTHCARE
Feb 28, 2018 $14 CAVUX CERVICAL CAGE DTRAX SPINAL SYSTEM ALLY BONE SCREW BIOLOGIX ALLOGRAFT BONE Food and Beverage PROVIDENCE MEDICAL TECHNOLOGY, INC.

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.