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/1394760
  • 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/1394760
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.

NATHAN MARSHALL

Listed Specialty: Orthopaedic Surgery
2799 W GRAND BLVD, DETROIT, MI, 48202-2608

2018 Payments: At a Glance

45

payments

$18,895

payment total

10

companies paid this doctor

Types of Payments

Category Payments Payment Value
Education
 10 $13,779
Travel and Lodging
 7 $2,019
Food and Beverage
 26 $1,847
Grant
 2 $1,250

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

 $15,631
HIP ARTHROSCOPY ACCESS & INSTRUMENTATION SET

device

 $1,152
GRYPHON

device

 $902
CINCHLOCK SS

device

 $663
ACCU-PASS

device

 $149
COBLATION WANDS

device

 $149
FAST-FIX 360

device

 $149
HEALICOIL

device

 $149
Q-FIX

device

 $149
COLLAGEN MENISCAL IMPLANT

device

 $141
NONE

device

 $112
BME NITINOL CONTINUOUS COMPRESSION IMPLANTS

device

 $45
ZILRETTA

drug

 $38
LCS

device

 $29
RIGIDLOOP

device

 $29
HYMOVIS

device

 $17
CHECKPOINT STIMULATORS

device

 $17
† 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
Jan 10, 2018 $2,419 No Listed Product Education SMITH & NEPHEW, INC. Kerlan Jobe Orthopaedic Foundation
Jun 15, 2018 $1,651 No Listed Product Education ARTHREX, INC.
Jul 24, 2018 $1,593 No Listed Product Education ARTHREX, INC.
Jul 16, 2018 $1,553 No Listed Product Education ARTHREX, INC.
Jan 13, 2018 $1,469 No Listed Product Education ARTHREX, INC.
May 14, 2018 $1,451 No Listed Product Education ARTHREX, INC.
Feb 12, 2018 $1,145 No Listed Product Education ARTHREX, INC.
Jun 13, 2018 $899 No Listed Product Education ARTHREX, INC.
Jan 8, 2018 $834 No Listed Product Education ARTHREX, INC.
May 3, 2018 $765 No Listed Product Education ARTHREX, INC.
Aug 23, 2018 $625 No Listed Product Grant DJO, LLC
Feb 8, 2018 $625 No Listed Product Grant DJO, LLC
May 30, 2018 $459 HIP ARTHROSCOPY ACCESS & INSTRUMENTATION SET Travel and Lodging STRYKER CORPORATION
Feb 26, 2018 $413 HIP ARTHROSCOPY ACCESS & INSTRUMENTATION SET Travel and Lodging STRYKER CORPORATION
Apr 13, 2018 $358 GRYPHON Travel and Lodging MEDICAL DEVICE BUSINESS SERVICES, INC.
Apr 13, 2018 $330 GRYPHON Travel and Lodging MEDICAL DEVICE BUSINESS SERVICES, INC.
Dec 11, 2018 $284 No Listed Product Travel and Lodging ARTHREX, INC.
May 30, 2018 $280 HIP ARTHROSCOPY ACCESS & INSTRUMENTATION SET Food and Beverage STRYKER CORPORATION
Dec 11, 2018 $160 No Listed Product Travel and Lodging ARTHREX, INC.
May 18, 2018 $150 CINCHLOCK SS Food and Beverage STRYKER 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/1394760

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.