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/1400312
  • 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/1400312
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.

RYAN KISH

Listed Specialty: Podiatrist
29433 RYAN RD, WARREN, MI, 48092-2203

2018 Payments: At a Glance

42

payments

$3,994

payment total

11

companies paid this doctor

Types of Payments

Category Payments Payment Value
Travel and Lodging
 14 $2,670
Food and Beverage
 28 $1,324

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†
PROMO

device

 $1,154
CADENCE ANKLE REPLACEMENT SYSTEM

device

 $1,154
SALTO TALARIS TOTAL ANKLE PROSTHESIS

device

 $1,154
GORILLA PLATING SYSTEM

device

 $1,141
MONSTER SCREW SYSTEM

device

 $1,141
PHANTOM LAPIDUS NAIL

device

 $1,141
TRUELOK

drug

 $634
TOTAL FOOT SYSTEM

device

 $441
AHN

device

 $337
BONE SCREWS

device

 $337
ELBOW FIXATOR

device

 $337
FLEXIBLE REAMERS

device

 $337
CHARCOT

device

 $249
ANKLE COMPRESSION NAIL (ACN)

device

 $193
Payments with no listed product

N/A

 $163
GUIDED GROWTH SYSTEM

device

 $144
HYALOMATRIX WOUND DEVICE

device

 $94
ORBACTIV

drug

 $54
BAXDELA

drug

 $42
MENOCIN

drug

 $42
† 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/1400312

Payment Details

When How Much Related To What For From Third Party Payee
Mar 1, 2018 $549 GORILLA PLATING SYSTEM MONSTER SCREW SYSTEM PROMO PHANTOM LAPIDUS NAIL Travel and Lodging PARAGON 28, INC.
Sep 5, 2018 $432 SALTO TALARIS TOTAL ANKLE PROSTHESIS TOTAL FOOT SYSTEM CADENCE ANKLE REPLACEMENT SYSTEM Travel and Lodging INTEGRA LIFESCIENCES CORPORATION
Sep 21, 2018 $402 CADENCE ANKLE REPLACEMENT SYSTEM SALTO TALARIS TOTAL ANKLE PROSTHESIS Travel and Lodging INTEGRA LIFESCIENCES CORPORATION
Apr 6, 2018 $287 GORILLA PLATING SYSTEM MONSTER SCREW SYSTEM PROMO PHANTOM LAPIDUS NAIL Travel and Lodging PARAGON 28, INC.
Aug 20, 2018 $273 TRUELOK Travel and Lodging ORTHOFIX MEDICAL, INC.
Jun 28, 2018 $271 TRUELOK Travel and Lodging ORTHOFIX MEDICAL, INC.
Jan 8, 2018 $193 BONE SCREWS ANKLE COMPRESSION NAIL (ACN) AHN FLEXIBLE REAMERS ELBOW FIXATOR Travel and Lodging ORTHOFIX MEDICAL, INC.
Sep 21, 2018 $171 CADENCE ANKLE REPLACEMENT SYSTEM SALTO TALARIS TOTAL ANKLE PROSTHESIS Food and Beverage INTEGRA LIFESCIENCES CORPORATION
Jan 3, 2018 $146 No Listed Product Food and Beverage FLOWER ORTHOPEDICS COPORATION
Nov 7, 2018 $144 BONE SCREWS GUIDED GROWTH SYSTEM FLEXIBLE REAMERS AHN ELBOW FIXATOR Travel and Lodging ORTHOFIX MEDICAL, INC.
Nov 2, 2018 $125 CHARCOT Food and Beverage PARAGON 28, INC.
Nov 2, 2018 $125 CHARCOT Food and Beverage PARAGON 28, INC.
Apr 7, 2018 $121 GORILLA PLATING SYSTEM MONSTER SCREW SYSTEM PROMO PHANTOM LAPIDUS NAIL Food and Beverage PARAGON 28, INC.
Apr 6, 2018 $101 GORILLA PLATING SYSTEM MONSTER SCREW SYSTEM PROMO PHANTOM LAPIDUS NAIL Food and Beverage PARAGON 28, INC.
Aug 16, 2018 $90 TRUELOK Food and Beverage ORTHOFIX MEDICAL, INC.
May 10, 2018 $70 HYALOMATRIX WOUND DEVICE Food and Beverage MEDLINE INDUSTRIES, INC.
Sep 22, 2018 $30 CADENCE ANKLE REPLACEMENT SYSTEM SALTO TALARIS TOTAL ANKLE PROSTHESIS Travel and Lodging INTEGRA LIFESCIENCES CORPORATION
Sep 21, 2018 $29 CADENCE ANKLE REPLACEMENT SYSTEM SALTO TALARIS TOTAL ANKLE PROSTHESIS Travel and Lodging INTEGRA LIFESCIENCES CORPORATION
Mar 26, 2018 $28 HOFFMANN Food and Beverage STRYKER CORPORATION
Sep 22, 2018 $26 CADENCE ANKLE REPLACEMENT SYSTEM SALTO TALARIS TOTAL ANKLE PROSTHESIS Food and Beverage INTEGRA LIFESCIENCES 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/1400312

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.