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/137168
  • 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/137168
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.

TAMARA KOSS

Listed Specialty: Dermatology
260 MIDDLE COUNTRY RD, SUITE 208, SMITHTOWN, NY, 11787-2982

2018 Payments: At a Glance

216

payments

$4,565

payment total

24

companies paid this doctor

Types of Payments

Category Payments Payment Value
Food and Beverage
 214 $4,145
Honoraria
 1 $350
Education
 1 $70

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

 $705
AMELUZ

drug

 $450
BF-RHODOLED

device

 $450
COSENTYX

drug

 $388
IMPOYZ

drug

 $380
TREMFYA

drug

 $330
EPIDUO FORTE

drug

 $286
ENSTILAR

drug

 $285
VELTIN

drug

 $272
BENSAL HP

drug

 $219
NUVAIL

device

 $219
SITAVIG

drug

 $219
BIONECT TOPICAL HA

device

 $219
CLODERM

drug

 $219
EUCRISA

drug

 $180
HUMIRA

drug

 $130
SOOLANTRA

drug

 $128
XOLEGEL

drug

 $112
PICATO

drug

 $102
AVAR

drug

 $99
† 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/137168

Payment Details

When How Much Related To What For From Third Party Payee
Dec 21, 2018 $350 AMELUZ BF-RHODOLED Honoraria BIOFRONTERA INC. Atlantic Dermatology PC
Feb 17, 2018 $150 No Listed Product Food and Beverage ALLERGAN INC.
Jun 12, 2018 $137 EPIDUO FORTE Food and Beverage GALDERMA LABORATORIES, L.P.
Feb 16, 2018 $125 TREMFYA Food and Beverage JANSSEN BIOTECH, INC.
Sep 25, 2018 $112 IMPOYZ Food and Beverage ENCORE DERMATOLOGY INC.
Sep 22, 2018 $110 No Listed Product Food and Beverage ALLERGAN INC.
Apr 27, 2018 $109 EUCRISA Food and Beverage PFIZER INC.
Sep 21, 2018 $101 No Listed Product Food and Beverage ALLERGAN INC.
Oct 11, 2018 $100 No Listed Product Food and Beverage BOEHRINGER INGELHEIM PHARMACEUTICALS, INC.
Nov 12, 2018 $100 AMELUZ BF-RHODOLED Food and Beverage BIOFRONTERA INC.
Jun 22, 2018 $94 No Listed Product Food and Beverage GALDERMA LABORATORIES, L.P.
Jun 15, 2018 $74 No Listed Product Food and Beverage GALDERMA LABORATORIES, L.P.
Oct 16, 2018 $74 PICATO ENSTILAR Food and Beverage LEO PHARMA INC.
Aug 3, 2018 $70 TREMFYA Education JANSSEN BIOTECH, INC.
Mar 6, 2018 $34 COSENTYX Food and Beverage NOVARTIS PHARMACEUTICALS CORPORATION
Feb 17, 2018 $34 COSENTYX Food and Beverage NOVARTIS PHARMACEUTICALS CORPORATION
May 3, 2018 $25 No Listed Product Food and Beverage AQUA PHARMACEUTICALS
May 2, 2018 $24 VELTIN Food and Beverage AQUA PHARMACEUTICALS
Aug 23, 2018 $24 COSENTYX Food and Beverage NOVARTIS PHARMACEUTICALS CORPORATION
Sep 18, 2018 $24 COSENTYX Food and Beverage NOVARTIS PHARMACEUTICALS 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/137168

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.