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/1390190
  • 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/1390190
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.

ALEXANDRA GUILLAUME

Listed Specialty: Gastroenterology
3 TECHNOLOGY DR, EAST SETAUKET, NY, 11733-4064

2018 Payments: At a Glance

57

payments

$1,982

payment total

14

companies paid this doctor

Types of Payments

Category Payments Payment Value
Food and Beverage
 56 $1,968
Education
 1 $15

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

 $409
HUMIRA

drug

 $342
STELARA

drug

 $257
LINZESS

drug

 $222
VIBERZI

drug

 $203
SMART PILL

device

 $149
MANOMETRY

device

 $101
INFLECTRA

drug

 $101
TRULANCE

drug

 $87
XIFAXAN

drug

 $63
MAVYRET

drug

 $61
REMICADE

drug

 $50
CREON

drug

 $39
INJECTAFER

drug

 $34
BARRX

device

 $28
ENTYVIO

drug

 $23
UCERIS

drug

 $21
GATTEX

drug

 $19
KANUMA

drug

 $15
CANASA

drug

 $13
† 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/1390190

Payment Details

When How Much Related To What For From Third Party Payee
May 22, 2018 $149 SMART PILL Food and Beverage COVIDIEN LP
Apr 24, 2018 $146 LINZESS VIBERZI Food and Beverage IRONWOOD PHARMACEUTICALS, INC
Dec 11, 2018 $125 HUMIRA Food and Beverage ABBVIE, INC.
Jun 27, 2018 $125 HUMIRA Food and Beverage ABBVIE, INC.
May 23, 2018 $125 No Listed Product Food and Beverage ABBVIE, INC.
Apr 30, 2018 $107 No Listed Product Food and Beverage ABBVIE, INC.
Jul 4, 2018 $101 MANOMETRY Food and Beverage COVIDIEN LP
May 30, 2018 $93 No Listed Product Food and Beverage ABBVIE, INC.
Jun 3, 2018 $87 TRULANCE Food and Beverage SYNERGY PHARMACEUTICALS INC
Jun 4, 2018 $63 XIFAXAN Food and Beverage SALIX PHARMACEUTICALS, A DIVISION OF BAUSCH HEALTH US, LLC
May 8, 2018 $37 STELARA Food and Beverage JANSSEN BIOTECH, INC.
Jul 9, 2018 $34 STELARA Food and Beverage JANSSEN BIOTECH, INC.
Jul 26, 2018 $32 STELARA REMICADE Food and Beverage JANSSEN BIOTECH, INC.
Nov 21, 2018 $28 BARRX Food and Beverage COVIDIEN LP
Dec 29, 2018 $28 No Listed Product Food and Beverage COVIDIEN LP
Jan 15, 2018 $26 STELARA Food and Beverage JANSSEN BIOTECH, INC.
Nov 14, 2018 $23 ENTYVIO Food and Beverage TAKEDA PHARMACEUTICALS U.S.A., INC.
Sep 18, 2018 $22 STELARA Food and Beverage JANSSEN BIOTECH, INC.
Jun 27, 2018 $21 STELARA Food and Beverage JANSSEN BIOTECH, INC.
Mar 14, 2018 $21 HUMIRA Food and Beverage ABBVIE, 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/1390190

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.