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/156942
  • 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/156942
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.

IOANNIS AVRAMIS

Listed Specialty: Orthopaedic Surgery
1650 W MAGNOLIA AVE, SUITE 210, FORT WORTH, TX, 76104-4009

2018 Payments: At a Glance

75

payments

$48,876

payment total

5

companies paid this doctor

Types of Payments

Category Payments Payment Value
Consulting
 12 $38,513
Travel and Lodging
 26 $7,935
Food and Beverage
 37 $2,429

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†
EXPAREL

drug

 $40,101
EXPEDIUM

device

 $35,264
SYNFIX

device

 $4,402
ACIS

device

 $2,277
Payments with no listed product

N/A

 $1,190
VIPER

device

 $990
SPOTLIGHT

device

 $330
VIVIGEN

device

 $116
BENGAL

device

 $54
BRAINLAB

device

 $43
DEVEX

device

 $39
STIMULAN

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
Mar 28, 2018 $6,320 EXPEDIUM EXPAREL Consulting MEDICAL DEVICE BUSINESS SERVICES, INC.
Jun 22, 2018 $3,950 EXPEDIUM EXPAREL Consulting MEDICAL DEVICE BUSINESS SERVICES, INC.
Jun 22, 2018 $3,950 EXPEDIUM EXPAREL Consulting MEDICAL DEVICE BUSINESS SERVICES, INC.
Mar 7, 2018 $3,555 EXPEDIUM EXPAREL Consulting MEDICAL DEVICE BUSINESS SERVICES, INC.
Jan 30, 2018 $3,160 EXPEDIUM SYNFIX EXPAREL Consulting MEDICAL DEVICE BUSINESS SERVICES, INC.
Jan 30, 2018 $3,160 EXPEDIUM EXPAREL Consulting MEDICAL DEVICE BUSINESS SERVICES, INC.
Oct 4, 2018 $3,160 EXPAREL Consulting MEDICAL DEVICE BUSINESS SERVICES, INC.
Apr 30, 2018 $3,160 EXPEDIUM EXPAREL Consulting MEDICAL DEVICE BUSINESS SERVICES, INC.
Nov 15, 2018 $2,963 EXPAREL Consulting MEDICAL DEVICE BUSINESS SERVICES, INC.
Aug 30, 2018 $2,765 EXPEDIUM EXPAREL Consulting MEDICAL DEVICE BUSINESS SERVICES, INC.
Jun 7, 2018 $1,580 EXPEDIUM EXPAREL Consulting MEDICAL DEVICE BUSINESS SERVICES, INC.
Nov 27, 2018 $790 No Listed Product Consulting DEPUY SYNTHES PRODUCTS LLC
Apr 6, 2018 $710 EXPEDIUM Travel and Lodging MEDICAL DEVICE BUSINESS SERVICES, INC.
Nov 5, 2018 $660 EXPEDIUM Travel and Lodging MEDICAL DEVICE BUSINESS SERVICES, INC.
Sep 24, 2018 $590 ACIS Travel and Lodging MEDICAL DEVICE BUSINESS SERVICES, INC.
Nov 5, 2018 $539 EXPEDIUM Travel and Lodging MEDICAL DEVICE BUSINESS SERVICES, INC.
Apr 6, 2018 $495 EXPEDIUM Travel and Lodging MEDICAL DEVICE BUSINESS SERVICES, INC.
May 24, 2018 $485 ACIS SYNFIX Travel and Lodging MEDICAL DEVICE BUSINESS SERVICES, INC.
Aug 16, 2018 $404 VIPER Travel and Lodging MEDICAL DEVICE BUSINESS SERVICES, INC.
Jun 7, 2018 $396 EXPAREL Travel and Lodging MEDICAL DEVICE BUSINESS SERVICES, 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/156942

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.