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/1380823
  • 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/1380823
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.

JUAN VARELA

Listed Specialty: Hematology
600 N WOLFE ST, BALTIMORE, MD, 21287-1824

2018 Payments: At a Glance

23

payments

$43,599

payment total

6

companies paid this doctor

Types of Payments

Category Payments Payment Value
Nonaccredited Training
 10 $41,500
Travel and Lodging
 4 $1,446
Food and Beverage
 8 $572
Education
 1 $81

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†
COOK MEDICAL AAA

device

 $20,232
COOK MEDICAL ZENITH

device

 $12,500
Payments with no listed product

N/A

 $10,000
COOK MEDICAL STENTS

device

 $314
SOLIRIS

drug

 $206
REVLIMID

drug

 $102
MOZOBIL

drug

 $98
BLINCYTO

drug

 $92
DEFITELIO

drug

 $55
VYXEOS

drug

 $55
ERWINAZE

drug

 $35
† 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

When How Much Related To What For From Third Party Payee
Apr 19, 2018 $6,500 COOK MEDICAL AAA Nonaccredited Training COOK INCORPORATED
Aug 6, 2018 $5,000 No Listed Product Nonaccredited Training COOK INCORPORATED
Nov 7, 2018 $5,000 COOK MEDICAL ZENITH Nonaccredited Training COOK INCORPORATED
Oct 4, 2018 $5,000 COOK MEDICAL ZENITH Nonaccredited Training COOK INCORPORATED
Jun 8, 2018 $5,000 COOK MEDICAL AAA Nonaccredited Training COOK INCORPORATED
Sep 19, 2018 $4,000 COOK MEDICAL AAA Nonaccredited Training COOK INCORPORATED
Aug 20, 2018 $3,500 COOK MEDICAL AAA Nonaccredited Training COOK INCORPORATED
Nov 30, 2018 $2,500 No Listed Product Nonaccredited Training COOK INCORPORATED
Jul 13, 2018 $2,500 No Listed Product Nonaccredited Training COOK INCORPORATED
Nov 2, 2018 $2,500 COOK MEDICAL ZENITH Nonaccredited Training COOK INCORPORATED
Apr 19, 2018 $957 COOK MEDICAL AAA Travel and Lodging COOK INCORPORATED
Dec 24, 2018 $314 COOK MEDICAL STENTS Travel and Lodging COOK INCORPORATED
Sep 19, 2018 $140 COOK MEDICAL AAA Travel and Lodging COOK INCORPORATED
Nov 27, 2018 $125 SOLIRIS Food and Beverage ALEXION PHARMACEUTICALS, INC.
May 15, 2018 $102 REVLIMID Food and Beverage CELGENE CORPORATION
Apr 19, 2018 $100 COOK MEDICAL AAA Food and Beverage COOK INCORPORATED
Feb 20, 2018 $98 MOZOBIL Food and Beverage GENZYME CORPORATION
May 25, 2018 $81 SOLIRIS Education ALEXION PHARMACEUTICALS, INC.
Feb 22, 2018 $64 BLINCYTO Food and Beverage AMGEN INC.
Feb 25, 2018 $35 DEFITELIO ERWINAZE VYXEOS Food and Beverage JAZZ PHARMACEUTICALS 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/1380823

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.