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/137814
  • 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/137814
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.

RYAN PEREIRA

Listed Specialty: Podiatrist, Foot & Ankle Surgery
1301 PLANTATION ISLAND DR S, STE 203, ST AUGUSTINE, FL, 32080-3108

2018 Payments: At a Glance

96

payments

$9,293

payment total

14

companies paid this doctor

Types of Payments

Category Payments Payment Value
Food and Beverage
 90 $3,020
Education
 1 $2,400
Promotional Speaking/Other
 2 $1,969
Consulting
 2 $1,050
Travel and Lodging
 1 $854

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

 $2,467
BILAYER WOUND MATRIX BWM

device

 $2,445
FLOWABLE

device

 $2,445
IDRT

device

 $2,445
INTEGRA WOUND MATRIX IWM

device

 $2,445
EVLT

device

 $2,400
AXOGUARD NERVE CONNECTOR

device

 $452
AXOGUARD NERVE PROTECTOR

device

 $452
RAYOS

drug

 $439
HOFFMANN

device

 $378
AMNIOEXCEL

device

 $344
KRYSTEXXA

drug

 $134
PRIMATRIX

device

 $132
ALLOWRAP

device

 $120
BAXDELA

drug

 $120
CADENCE ANKLE REPLACEMENT SYSTEM

device

 $108
HALLU-LOCK

device

 $108
PANTA NAIL

device

 $108
SALTO TALARIS TOTAL ANKLE PROSTHESIS

device

 $108
TOTAL FOOT SYSTEM

device

 $108
† 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/137814

Payment Details

When How Much Related To What For From Third Party Payee
Dec 31, 2018 $2,400 EVLT Education ANGIODYNAMICS, INC.
May 18, 2018 $1,500 BILAYER WOUND MATRIX BWM FLOWABLE INTEGRA WOUND MATRIX IWM IDRT Promotional Speaking/Other INTEGRA LIFESCIENCES CORPORATION
Aug 31, 2018 $854 No Listed Product Travel and Lodging ARTERIOCYTE MEDICAL SYSTEMS, INC.
May 1, 2018 $600 No Listed Product Consulting CROSSROADS EXTREMITY SYSTEMS, LLC
May 18, 2018 $469 BILAYER WOUND MATRIX BWM FLOWABLE INTEGRA WOUND MATRIX IWM IDRT Promotional Speaking/Other INTEGRA LIFESCIENCES CORPORATION
Nov 2, 2018 $450 No Listed Product Consulting CROSSROADS EXTREMITY SYSTEMS, LLC
Sep 17, 2018 $438 No Listed Product Food and Beverage ISTO TECHNOLOGIES II, LLC
Jul 13, 2018 $164 AXOGUARD NERVE PROTECTOR AXOGUARD NERVE CONNECTOR Food and Beverage AXOGEN
Apr 25, 2018 $140 BILAYER WOUND MATRIX BWM INTEGRA WOUND MATRIX IWM AMNIOEXCEL IDRT FLOWABLE Food and Beverage INTEGRA LIFESCIENCES CORPORATION
Sep 5, 2018 $136 BILAYER WOUND MATRIX BWM INTEGRA WOUND MATRIX IWM AMNIOEXCEL IDRT FLOWABLE Food and Beverage INTEGRA LIFESCIENCES CORPORATION
Oct 10, 2018 $124 RAYOS Food and Beverage HORIZON PHARMA PLC
Aug 22, 2018 $123 AXOGUARD NERVE PROTECTOR AXOGUARD NERVE CONNECTOR Food and Beverage AXOGEN
Jan 31, 2018 $120 ALLOWRAP Food and Beverage STRYKER CORPORATION
Jun 14, 2018 $116 AXOGUARD NERVE PROTECTOR AXOGUARD NERVE CONNECTOR Food and Beverage AXOGEN
May 8, 2018 $110 RAYOS Food and Beverage HORIZON PHARMA PLC
Jul 17, 2018 $106 HOFFMANN Food and Beverage STRYKER CORPORATION
Oct 24, 2018 $106 BILAYER WOUND MATRIX BWM INTEGRA WOUND MATRIX IWM PRIMATRIX IDRT FLOWABLE Food and Beverage INTEGRA LIFESCIENCES CORPORATION
Feb 28, 2018 $105 KRYSTEXXA Food and Beverage HORIZON PHARMA PLC
Mar 20, 2018 $104 HOFFMANN Food and Beverage STRYKER CORPORATION
Jan 10, 2018 $84 SALTO TALARIS TOTAL ANKLE PROSTHESIS CADENCE ANKLE REPLACEMENT SYSTEM HALLU-LOCK PANTA NAIL TOTAL FOOT SYSTEM Food and Beverage INTEGRA LIFESCIENCES 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/137814

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.