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/147004
  • 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/147004
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.

NAOKY TSAI

Listed Specialty: Hepatology
642 ULUKAHIKI ST, STE 103, KAILUA, HI, 96734-4400

2018 Payments: At a Glance

219

payments

$177,925

payment total

13

companies paid this doctor

Types of Payments

Category Payments Payment Value
Promotional Speaking/Other
 25 $82,900
Travel and Lodging
 73 $45,862
Consulting
 5 $26,355
Nonaccredited Training
 3 $10,800
Food and Beverage
 110 $6,059
Honoraria
 3 $5,950

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†
MAVYRET

drug

 $51,601
EPCLUSA

drug

 $42,049
Payments with no listed product

N/A

 $30,903
VEMLIDY

drug

 $26,876
OCALIVA

drug

 $22,809
LENVIMA

drug

 $1,983
STIVARGA

drug

 $900
HARVONI

drug

 $238
OPDIVO

drug

 $191
CYRAMZA

drug

 $136
MYOCARDIAL PROTECTION SYSTEM

device

 $83
LINZESS

drug

 $72
OFEV

drug

 $62
CANASA

drug

 $24
VIBERZI

drug

 $24
NUCALA

drug

 $22
† 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
Oct 3, 2018 $12,590 VEMLIDY Consulting GILEAD SCIENCES INC
Aug 16, 2018 $7,121 No Listed Product Travel and Lodging GILEAD SCIENCES INC
May 10, 2018 $5,500 No Listed Product Consulting MERCK SHARP & DOHME CORPORATION NAOKY C. S. TSAI, MD, INC.
Dec 26, 2018 $5,490 No Listed Product Consulting GILEAD SCIENCES INC Naoky C.S. Tsai, MD, Inc
May 7, 2018 $4,500 EPCLUSA Promotional Speaking/Other GILEAD SCIENCES INC Naoky C.S. Tsai, MD Inc.
Dec 24, 2018 $4,500 EPCLUSA Promotional Speaking/Other GILEAD SCIENCES INC Naoky C.S. Tsai, MD Inc.
Mar 5, 2018 $4,200 MAVYRET Promotional Speaking/Other ABBVIE, INC. Naoky C Tsai MD
Nov 12, 2018 $4,200 MAVYRET Promotional Speaking/Other ABBVIE, INC. Naoky C Tsai MD
Oct 30, 2018 $4,200 MAVYRET Promotional Speaking/Other ABBVIE, INC. Naoky C Tsai MD
Oct 29, 2018 $4,200 MAVYRET Promotional Speaking/Other ABBVIE, INC. Naoky C Tsai MD
Jul 20, 2018 $4,200 MAVYRET Promotional Speaking/Other ABBVIE, INC. Naoky C Tsai MD
Jul 16, 2018 $4,200 MAVYRET Promotional Speaking/Other ABBVIE, INC. Naoky C Tsai MD
Nov 6, 2018 $4,200 MAVYRET Promotional Speaking/Other ABBVIE, INC. Naoky C Tsai MD
Jul 16, 2018 $4,200 MAVYRET Promotional Speaking/Other ABBVIE, INC. Naoky C Tsai MD
Oct 12, 2018 $4,000 OCALIVA Honoraria INTERCEPT PHARMACEUTICALS, INC.
Nov 14, 2018 $4,000 OCALIVA Nonaccredited Training INTERCEPT PHARMACEUTICALS, INC.
Mar 9, 2018 $3,750 EPCLUSA Promotional Speaking/Other GILEAD SCIENCES INC Naoky C.S. Tsai, MD Inc.
May 1, 2018 $3,750 EPCLUSA Promotional Speaking/Other GILEAD SCIENCES INC Naoky C.S. Tsai, MD Inc.
Nov 15, 2018 $3,400 OCALIVA Nonaccredited Training INTERCEPT PHARMACEUTICALS, INC.
Nov 16, 2018 $3,400 OCALIVA Nonaccredited Training INTERCEPT 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/147004

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.