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/157238
  • 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/157238
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.

ROBERT LAPRADE

Listed Specialty: Orthopaedic Surgery
181 W MEADOW DR, #400, VAIL, CO, 81657-5242

2018 Payments: At a Glance

74

payments

$112,845

payment total

5

companies paid this doctor

Types of Payments

Category Payments Payment Value
Promotional Speaking/Other
 10 $68,800
Royalty or License
 8 $17,082
Consulting
 7 $13,025
Travel and Lodging
 16 $11,822
Food and Beverage
 33 $2,115

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†
BIOSURE REGENESORB

device

 $35,839
TRUNAV

device

 $35,839
ENDOBUTTON

device

 $30,630
ULTRABUTTON

device

 $29,064
MENISCAL ROOT REPAIR SYSTEM

device

 $22,874
ACUFEX

device

 $17,265
FAST-FIX 360

device

 $12,483
Payments with no listed product

N/A

 $12,113
BIOSURE

device

 $8,040
PINPOINT SYSTEM

device

 $3,320
ACUFEX DIRECTOR

device

 $2,702
AMBIENT HIPVAC

device

 $2,613
ELITE HIP INSTRUMENTS

device

 $2,613
FIRSTPASS MINI

device

 $2,523
ACL REDUX

device

 $1,660
ARTHRO-PIERCE

device

 $1,660
BIORCI

device

 $1,660
DYONICS POWERMIN/MINI BLADES

device

 $825
WEREWOLF SYSTEM

device

 $825
KNEE & HIP INSTRUMENTS OTHER INSTRUMENTS OTHER

device

 $772
† 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/157238

Payment Details

When How Much Related To What For From Third Party Payee
Jul 20, 2018 $22,000 BIOSURE REGENESORB TRUNAV Promotional Speaking/Other SMITH & NEPHEW, INC.
Jul 5, 2018 $18,700 ENDOBUTTON ULTRABUTTON Promotional Speaking/Other SMITH & NEPHEW, INC.
Jul 20, 2018 $13,200 BIOSURE REGENESORB TRUNAV Promotional Speaking/Other SMITH & NEPHEW, INC.
Apr 3, 2018 $8,026 ENDOBUTTON Travel and Lodging SMITH & NEPHEW, INC.
Aug 29, 2018 $4,675 No Listed Product Consulting SMITH & NEPHEW, INC.
Dec 3, 2018 $4,671 ACUFEX MENISCAL ROOT REPAIR SYSTEM Royalty or License SMITH & NEPHEW, INC.
Jun 1, 2018 $3,704 ACUFEX MENISCAL ROOT REPAIR SYSTEM Royalty or License SMITH & NEPHEW, INC.
Sep 11, 2018 $3,697 ACUFEX MENISCAL ROOT REPAIR SYSTEM Royalty or License SMITH & NEPHEW, INC.
Feb 28, 2018 $3,534 ACUFEX MENISCAL ROOT REPAIR SYSTEM Royalty or License SMITH & NEPHEW, INC.
Dec 10, 2018 $3,320 BIOSURE ENDOBUTTON FAST-FIX 360 ULTRABUTTON Promotional Speaking/Other SMITH & NEPHEW, INC.
May 9, 2018 $3,163 FAST-FIX 360 ULTRABUTTON Promotional Speaking/Other SMITH & NEPHEW, INC.
Apr 26, 2018 $2,613 ELITE HIP INSTRUMENTS AMBIENT HIPVAC Promotional Speaking/Other SMITH & NEPHEW, INC.
Oct 1, 2018 $2,475 FAST-FIX 360 MENISCAL ROOT REPAIR SYSTEM FIRSTPASS MINI Consulting SMITH & NEPHEW, INC.
Jul 24, 2018 $1,660 ACL REDUX ACUFEX ACUFEX DIRECTOR BIORCI ARTHRO-PIERCE Promotional Speaking/Other SMITH & NEPHEW, INC.
Sep 28, 2018 $1,660 BIOSURE FAST-FIX 360 PINPOINT SYSTEM MENISCAL ROOT REPAIR SYSTEM ULTRABUTTON Promotional Speaking/Other SMITH & NEPHEW, INC.
Jun 5, 2018 $1,660 BIOSURE FAST-FIX 360 PINPOINT SYSTEM MENISCAL ROOT REPAIR SYSTEM ULTRABUTTON Promotional Speaking/Other SMITH & NEPHEW, INC.
May 2, 2018 $1,650 No Listed Product Consulting SMITH & NEPHEW, INC.
Mar 7, 2018 $1,650 No Listed Product Consulting SMITH & NEPHEW, INC.
Apr 26, 2018 $1,200 No Listed Product Consulting ARTHREX, INC.
Jun 30, 2018 $1,080 No Listed Product Travel and Lodging SMITH & NEPHEW, 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/157238

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.