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/156773
  • 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/156773
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.

LAURENCE EPSTEIN

Listed Specialty: Clinical Cardiac Electrophysiology
75 FRANCIS ST, BRIGHAM AND WOMENS HOSPITAL CARDIOVASCULAR DIVISION, BOSTON, MA, 02115-6110

2018 Payments: At a Glance

89

payments

$84,512

payment total

4

companies paid this doctor

Types of Payments

Category Payments Payment Value
Consulting
 22 $51,725
Promotional Speaking/Other
 7 $22,500
Travel and Lodging
 31 $8,904
Food and Beverage
 29 $1,383

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

 $22,560
CLINICAL TRIAL PRODUCT

device

 $13,830
SYNERGY

device

 $10,775
BRIDGE

device

 $9,059
CARDIOMEMS HF SYSTEM

device

 $8,386
CVX-300

device

 $7,200
MICRA

device

 $6,172
TURBO ELITE

device

 $2,500
MERLIN CONNECTIVITY AND REMOTE

device

 $1,838
IGT DEVICE UNDIVIDED

device

 $1,558
CARDIOINSIGHT

device

 $327
TYRX

device

 $135
CLARIA MRI

device

 $119
ACCOLADE

device

 $34
RESONATE

device

 $20
† 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
Sep 28, 2018 $8,000 BRIDGE Consulting PHILIPS ELECTRONICS NORTH AMERICA CORPORATION
Feb 8, 2018 $7,200 CVX-300 Consulting PHILIPS ELECTRONICS NORTH AMERICA CORPORATION
Apr 18, 2018 $3,800 CLINICAL TRIAL PRODUCT Consulting BOSTON SCIENTIFIC CORPORATION BAIM INSTITUTE FOR CLINICAL RESEARCH
Jun 20, 2018 $3,740 SYNERGY Consulting BOSTON SCIENTIFIC CORPORATION BAIM INSTITUTE FOR CLINICAL RESEARCH
Apr 5, 2018 $3,568 CARDIOMEMS HF SYSTEM Consulting ABBOTT LABORATORIES
Jul 19, 2018 $3,500 No Listed Product Promotional Speaking/Other MEDTRONIC VASCULAR, INC.
Apr 18, 2018 $3,500 No Listed Product Promotional Speaking/Other MEDTRONIC VASCULAR, INC.
Aug 10, 2018 $3,500 No Listed Product Promotional Speaking/Other MEDTRONIC VASCULAR, INC.
Nov 19, 2018 $3,500 No Listed Product Promotional Speaking/Other MEDTRONIC VASCULAR, INC.
Mar 8, 2018 $3,500 No Listed Product Promotional Speaking/Other MEDTRONIC VASCULAR, INC.
Nov 12, 2018 $3,500 No Listed Product Promotional Speaking/Other MEDTRONIC VASCULAR, INC.
May 17, 2018 $3,060 SYNERGY Consulting BOSTON SCIENTIFIC CORPORATION BAIM INSTITUTE FOR CLINICAL RESEARCH
Sep 5, 2018 $3,040 SYNERGY Consulting BOSTON SCIENTIFIC CORPORATION BAIM INSTITUTE FOR CLINICAL RESEARCH
Jan 26, 2018 $2,805 CLINICAL TRIAL PRODUCT Consulting BOSTON SCIENTIFIC CORPORATION BAIM INSTITUTE FOR CLINICAL RESEARCH
Jan 2, 2018 $2,500 TURBO ELITE Consulting PHILIPS ELECTRONICS NORTH AMERICA CORPORATION
Apr 5, 2018 $2,230 CARDIOMEMS HF SYSTEM Consulting ABBOTT LABORATORIES
Aug 8, 2018 $1,955 CLINICAL TRIAL PRODUCT Consulting BOSTON SCIENTIFIC CORPORATION BAIM INSTITUTE FOR CLINICAL RESEARCH
Apr 5, 2018 $1,784 CARDIOMEMS HF SYSTEM Consulting ABBOTT LABORATORIES
Nov 30, 2018 $1,500 MICRA Promotional Speaking/Other MEDTRONIC VASCULAR, INC.
Oct 24, 2018 $1,360 CLINICAL TRIAL PRODUCT Consulting BOSTON SCIENTIFIC CORPORATION BAIM INSTITUTE FOR CLINICAL RESEARCH

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/156773

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.