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/154803
  • 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/154803
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.

GUSTAVO ALVA

Listed Specialty: Psychiatry
3151 AIRWAY AVE STE T3, COSTA MESA, CA, 92626-4627

2018 Payments: At a Glance

866

payments

$724,600

payment total

22

companies paid this doctor

Types of Payments

Category Payments Payment Value
Promotional Speaking/Other
 189 $490K
Travel and Lodging
 264 $117K
Consulting
 21 $62,766
Honoraria
 6 $39,691
Food and Beverage
 383 $15,672
Education
 3 $10

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†
VRAYLAR

drug

 $165K
ARISTADA

drug

 $129K
TRINTELLIX

drug

 $113K
ABILIFY MAINTENA

drug

 $44,900
INGREZZA

drug

 $42,994
NUPLAZID

drug

 $40,078
NUEDEXTA

drug

 $39,272
AUSTEDO

drug

 $39,210
Payments with no listed product

N/A

 $38,695
REXULTI

drug

 $37,210
LATUDA

drug

 $29,958
INVEGA SUSTENNA

drug

 $23,972
INVEGA TRINZA

drug

 $23,940
BELSOMRA

drug

 $3,628
NAMENDA XR

drug

 $200
NAMZARIC

drug

 $200
HETLIOZ

drug

 $173
NEUROSTAR TMS THERAPY

device

 $144
FANAPT

drug

 $142
MYDAYIS

drug

 $68
† 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/154803

Payment Details

When How Much Related To What For From Third Party Payee
Oct 27, 2018 $20,750 TRINTELLIX Honoraria H. LUNDBECK A S
Apr 11, 2018 $9,800 NUPLAZID Promotional Speaking/Other ACADIA PHARMACEUTICALS INC
Apr 27, 2018 $9,800 NUPLAZID Promotional Speaking/Other ACADIA PHARMACEUTICALS INC
Feb 7, 2018 $8,850 No Listed Product Travel and Lodging H. LUNDBECK A S
Nov 28, 2018 $8,100 NUPLAZID Consulting ACADIA PHARMACEUTICALS INC
Nov 17, 2018 $8,064 ABILIFY MAINTENA REXULTI TRINTELLIX Travel and Lodging H. LUNDBECK A S
May 24, 2018 $7,931 No Listed Product Travel and Lodging H. LUNDBECK A S
Sep 10, 2018 $7,500 ARISTADA Consulting ALKERMES, INC.
Sep 10, 2018 $7,500 ARISTADA Consulting ALKERMES, INC.
Oct 27, 2018 $6,728 TRINTELLIX Travel and Lodging H. LUNDBECK A S
Jan 2, 2018 $6,500 ARISTADA Consulting ALKERMES, INC.
Sep 13, 2018 $6,419 TRINTELLIX Consulting TAKEDA PHARMACEUTICALS U.S.A., INC. The ATP Group, Inc
Sep 10, 2018 $6,300 ARISTADA Consulting ALKERMES, INC.
Aug 14, 2018 $5,400 ARISTADA Promotional Speaking/Other ALKERMES, INC.
Aug 10, 2018 $5,400 ARISTADA Promotional Speaking/Other ALKERMES, INC.
Mar 27, 2018 $5,020 No Listed Product Promotional Speaking/Other ALKERMES, INC.
Apr 7, 2018 $4,713 TRINTELLIX Promotional Speaking/Other TAKEDA PHARMACEUTICALS U.S.A., INC. The ATP Group, Inc
Apr 4, 2018 $4,713 TRINTELLIX Promotional Speaking/Other TAKEDA PHARMACEUTICALS U.S.A., INC.
Apr 7, 2018 $4,713 TRINTELLIX Promotional Speaking/Other TAKEDA PHARMACEUTICALS U.S.A., INC. The ATP Group, Inc
Feb 15, 2018 $4,713 TRINTELLIX Promotional Speaking/Other TAKEDA PHARMACEUTICALS U.S.A., INC. The ATP Group, 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/154803

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.