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/1394869
  • 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/1394869
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.

ROBERT STARKE

Listed Specialty: Neurological Surgery
1095 NW 14TH TER, MIAMI, FL, 33136-1060

2018 Payments: At a Glance

84

payments

$78,080

payment total

10

companies paid this doctor

Types of Payments

Category Payments Payment Value
Consulting
 8 $43,447
Travel and Lodging
 24 $16,551
Promotional Speaking/Other
 3 $15,000
Food and Beverage
 49 $3,082

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†
ACCULINK CAROTID STENT SYSTEM

device

 $33,755
ACCUNET EMBOLIC PROTECTION SYSTEM

device

 $33,755
EMBOSHIELD NAV6 SYSTEM

device

 $33,755
XACT CAROTID STENT SYSTEM

device

 $33,755
Payments with no listed product

N/A

 $25,198
PIPELINE

device

 $13,523
PENUMBRA SMART COIL

device

 $2,495
PENUMBRA SYSTEM

device

 $888
ARTEMIS

device

 $888
3D REVASCULARIZATION

device

 $512
HYDROFRAME COIL

device

 $234
HYDROSOFT 3D COIL

device

 $234
SOFIA

device

 $234
ACE

device

 $172
LVIS JR.

device

 $149
O-ARM-ST

device

 $123
PULSERIDER

device

 $123
TRUFILL

device

 $123
WEB

device

 $85
TARGET

device

 $71
† 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/1394869

Payment Details

When How Much Related To What For From Third Party Payee
Jul 26, 2018 $19,400 No Listed Product Consulting MEDTRONIC USA, INC.
Jan 8, 2018 $6,400 PIPELINE Promotional Speaking/Other MEDTRONIC USA, INC.
Feb 20, 2018 $6,200 PIPELINE Promotional Speaking/Other MEDTRONIC USA, INC.
Aug 25, 2018 $5,529 ACCULINK CAROTID STENT SYSTEM ACCUNET EMBOLIC PROTECTION SYSTEM EMBOSHIELD NAV6 SYSTEM XACT CAROTID STENT SYSTEM Travel and Lodging ABBOTT LABORATORIES
Nov 26, 2018 $4,800 ACCULINK CAROTID STENT SYSTEM ACCUNET EMBOLIC PROTECTION SYSTEM EMBOSHIELD NAV6 SYSTEM XACT CAROTID STENT SYSTEM Consulting ABBOTT LABORATORIES
Nov 26, 2018 $4,800 ACCULINK CAROTID STENT SYSTEM ACCUNET EMBOLIC PROTECTION SYSTEM EMBOSHIELD NAV6 SYSTEM XACT CAROTID STENT SYSTEM Consulting ABBOTT LABORATORIES
Nov 26, 2018 $4,800 ACCULINK CAROTID STENT SYSTEM ACCUNET EMBOLIC PROTECTION SYSTEM EMBOSHIELD NAV6 SYSTEM XACT CAROTID STENT SYSTEM Consulting ABBOTT LABORATORIES
Nov 26, 2018 $4,800 ACCULINK CAROTID STENT SYSTEM ACCUNET EMBOLIC PROTECTION SYSTEM EMBOSHIELD NAV6 SYSTEM XACT CAROTID STENT SYSTEM Consulting ABBOTT LABORATORIES
Nov 26, 2018 $4,800 ACCULINK CAROTID STENT SYSTEM ACCUNET EMBOLIC PROTECTION SYSTEM EMBOSHIELD NAV6 SYSTEM XACT CAROTID STENT SYSTEM Consulting ABBOTT LABORATORIES
Aug 25, 2018 $3,580 ACCULINK CAROTID STENT SYSTEM ACCUNET EMBOLIC PROTECTION SYSTEM EMBOSHIELD NAV6 SYSTEM XACT CAROTID STENT SYSTEM Travel and Lodging ABBOTT LABORATORIES
Jun 20, 2018 $2,400 PENUMBRA SMART COIL Promotional Speaking/Other PENUMBRA, INC.
Jun 22, 2018 $1,363 No Listed Product Travel and Lodging MEDTRONIC USA, INC.
Jun 6, 2018 $782 No Listed Product Travel and Lodging MEDTRONIC USA, INC.
Oct 22, 2018 $779 No Listed Product Travel and Lodging MEDTRONIC USA, INC.
Feb 4, 2018 $698 ARTEMIS Travel and Lodging PENUMBRA, INC.
Jul 17, 2018 $640 No Listed Product Travel and Lodging MEDTRONIC USA, INC.
Aug 24, 2018 $592 ACCULINK CAROTID STENT SYSTEM ACCUNET EMBOLIC PROTECTION SYSTEM EMBOSHIELD NAV6 SYSTEM XACT CAROTID STENT SYSTEM Travel and Lodging ABBOTT LABORATORIES
Feb 8, 2018 $378 PIPELINE Travel and Lodging MEDTRONIC USA, INC.
Nov 14, 2018 $373 No Listed Product Travel and Lodging MEDTRONIC USA, INC.
Jul 25, 2018 $243 No Listed Product Travel and Lodging MEDTRONIC USA, 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/1394869

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.