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/1380781
  • 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/1380781
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.

FARHAN KARIM

Listed Specialty: Orthopaedic Surgery of the Spine
51-15 BEACH CHANNEL DRIVE, FAR ROCKAWAY, NY, 11691-1042

2018 Payments: At a Glance

68

payments

$13,951

payment total

15

companies paid this doctor

Types of Payments

Category Payments Payment Value
Consulting
 2 $7,123
Travel and Lodging
 14 $4,511
Food and Beverage
 52 $2,318

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

 $8,401
IFUSE IMPLANT

device

 $1,979
EXCELSIUS - GPS

device

 $1,320
ELSA

device

 $759
CLYDESDALE

device

 $296
SPINAL IMPLANTS

device

 $224
MAZORX - RENAISSANCE

device

 $180
VIPER

device

 $176
COUGAR

device

 $107
ACLP

device

 $89
MAXAN CERVICAL SYSTEM

device

 $85
LESSRAY

device

 $65
MODULUS

device

 $65
PULSE

device

 $65
RELINE

device

 $65
VIVIGEN

device

 $61
PIVOX OBLIQUE LATERAL SPINAL SYSTEM

device

 $57
ANCHORAGE

device

 $31
VARIAX

device

 $31
EXPEDIUM

device

 $25
† 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/1380781

Payment Details

When How Much Related To What For From Third Party Payee
Oct 18, 2018 $4,235 No Listed Product Consulting MEDICAL DEVICE BUSINESS SERVICES, INC.
Dec 27, 2018 $2,888 No Listed Product Consulting DEPUY SYNTHES PRODUCTS LLC
Apr 3, 2018 $721 IFUSE IMPLANT Travel and Lodging SI-BONE, INC.
Apr 10, 2018 $654 EXCELSIUS - GPS Travel and Lodging GLOBUS MEDICAL, INC.
Apr 18, 2018 $607 EXCELSIUS - GPS Travel and Lodging GLOBUS MEDICAL, INC.
Oct 26, 2018 $495 No Listed Product Travel and Lodging DEPUY SYNTHES PRODUCTS LLC
Oct 25, 2018 $490 No Listed Product Travel and Lodging DEPUY SYNTHES PRODUCTS LLC
Nov 30, 2018 $346 ELSA Travel and Lodging GLOBUS MEDICAL, INC.
Apr 27, 2018 $283 IFUSE IMPLANT Travel and Lodging SI-BONE, INC.
Dec 1, 2018 $236 ELSA Travel and Lodging GLOBUS MEDICAL, INC.
Apr 5, 2018 $230 IFUSE IMPLANT Travel and Lodging SI-BONE, INC.
Aug 18, 2018 $220 CLYDESDALE Travel and Lodging MEDTRONIC USA, INC.
May 4, 2018 $148 IFUSE IMPLANT Food and Beverage SI-BONE, INC.
Mar 27, 2018 $145 IFUSE IMPLANT Food and Beverage SI-BONE, INC.
May 29, 2018 $120 SPINAL IMPLANTS Food and Beverage SPINE WAVE, INC.
Sep 19, 2018 $120 IFUSE IMPLANT Food and Beverage SI-BONE, INC.
May 5, 2018 $112 IFUSE IMPLANT Travel and Lodging SI-BONE, INC.
Dec 5, 2018 $111 VIPER Food and Beverage DEPUY SYNTHES SALES INC.
Dec 1, 2018 $109 ELSA Food and Beverage GLOBUS MEDICAL, INC.
Mar 8, 2018 $104 SPINAL IMPLANTS Food and Beverage SPINE WAVE, INC.

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/1380781

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.