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/1369008
  • 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/1369008
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.

ADAM RAMMACHER

Listed Specialty: Podiatrist, Foot & Ankle Surgery
2100 MADISON AVE, GRANITE CITY, IL, 62040-4701

2018 Payments: At a Glance

56

payments

$5,101

payment total

8

companies paid this doctor

Types of Payments

Category Payments Payment Value
Food and Beverage
 52 $2,246
Education
 2 $1,931
Travel and Lodging
 2 $924

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

 $1,970
HOFFMANN

device

 $1,049
ANCHORAGE

device

 $920
FIXOS

device

 $307
VARIAX

device

 $278
STAR

device

 $167
AUGMENT

device

 $133
STIMULAN

device

 $121
CERAMENT BONE VOID FILLER

device

 $115
MT PLATES

device

 $115
SUBCHONDROPLASTY

device

 $115
ASNIS

device

 $42
ALLOGRAFT

device

 $39
TRINTELLIX

drug

 $33
REGRANEX

drug

 $25
NEW PRODUCT DEVELOPMENT

device

 $20
SMART TOE

device

 $20
TRESIBA

drug

 $16
VICTOZA

drug

 $16
XULTOPHY 100/3.6

drug

 $16
† 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/1369008

Payment Details

When How Much Related To What For From Third Party Payee
Feb 10, 2018 $1,016 No Listed Product Education ELITE ORTHOPEDICS, LLC
Jun 25, 2018 $915 No Listed Product Education ELITE ORTHOPEDICS, LLC
Oct 13, 2018 $514 ANCHORAGE Travel and Lodging STRYKER CORPORATION
Oct 1, 2018 $410 HOFFMANN Travel and Lodging STRYKER CORPORATION
Apr 20, 2018 $142 VARIAX Food and Beverage STRYKER CORPORATION
Oct 12, 2018 $139 HOFFMANN Food and Beverage STRYKER CORPORATION
Sep 10, 2018 $133 AUGMENT Food and Beverage WRIGHT MEDICAL TECHNOLOGY, INC.
Mar 22, 2018 $130 FIXOS Food and Beverage STRYKER CORPORATION
Apr 19, 2018 $125 FIXOS Food and Beverage STRYKER CORPORATION
Mar 6, 2018 $121 STIMULAN Food and Beverage BIOCOMPOSITES INC
Mar 24, 2018 $115 CERAMENT BONE VOID FILLER SUBCHONDROPLASTY MT PLATES Food and Beverage ZIMMER BIOMET HOLDINGS, INC.
Jan 11, 2018 $109 HOFFMANN Food and Beverage STRYKER CORPORATION
Oct 13, 2018 $103 STAR Food and Beverage STRYKER CORPORATION
Nov 14, 2018 $97 HOFFMANN Food and Beverage STRYKER CORPORATION
Jul 12, 2018 $91 ANCHORAGE Food and Beverage STRYKER CORPORATION
Dec 19, 2018 $80 HOFFMANN Food and Beverage STRYKER CORPORATION
Sep 19, 2018 $76 HOFFMANN Food and Beverage STRYKER CORPORATION
Oct 13, 2018 $75 ANCHORAGE Food and Beverage STRYKER CORPORATION
Oct 13, 2018 $50 ANCHORAGE Food and Beverage STRYKER CORPORATION
Oct 13, 2018 $50 ANCHORAGE Food and Beverage STRYKER CORPORATION

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/1369008

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.