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/157964
  • 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/157964
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.

LOUIS RAPPOPORT

Listed Specialty: Orthopaedic Surgery of the Spine
640 W MARYLAND AVE, SUITE 3, PHOENIX, AZ, 85013-1398

2018 Payments: At a Glance

220

payments

$86,751

payment total

6

companies paid this doctor

Types of Payments

Category Payments Payment Value
Promotional Speaking/Other
 8 $31,100
Royalty or License
 4 $22,445
Consulting
 5 $15,892
Travel and Lodging
 23 $14,175
Food and Beverage
 180 $3,139

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†
SI-LOK

device

 $25,962
VIACELL

drug

 $22,606
MAGNIFY-S

device

 $9,600
Payments with no listed product

N/A

 $9,375
NEXT GEN SI-LOK

device

 $7,891
EXCELSIUS - GPS

device

 $4,091
LONESTAR CERVICAL STAND ALONE (CSA)

device

 $2,500
PILLAR SA PEEK SPACER SYSTEM

device

 $2,500
SKYHAWK LATERAL INTERBODY FUSION SYSTEM

device

 $2,500
UNITY LUMBOSACRAL FIXATION SYSTEM

device

 $2,500
PILLAR SA PTC SPACER SYSTEM

device

 $2,500
CALIBER

device

 $1,654
CD HORIZON

device

 $742
O-ARM-SPINE

device

 $549
CREO

device

 $387
COALITION

device

 $278
ALTERA

device

 $275
FORZA

drug

 $162
CREO DEGEN

device

 $150
ALL BIOLOGICS

drug

 $143
† 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/157964

Payment Details

When How Much Related To What For From Third Party Payee
Aug 16, 2018 $7,680 No Listed Product Consulting MEDTRONIC USA, INC. Arizona Spine Consultants
Sep 30, 2018 $6,999 VIACELL Royalty or License GLOBUS MEDICAL, INC.
Mar 31, 2018 $6,471 VIACELL Royalty or License GLOBUS MEDICAL, INC.
Jun 2, 2018 $5,600 MAGNIFY-S Promotional Speaking/Other GLOBUS MEDICAL, INC.
Jan 26, 2018 $5,600 NEXT GEN SI-LOK Consulting GLOBUS MEDICAL, INC.
Apr 7, 2018 $5,600 SI-LOK Promotional Speaking/Other GLOBUS MEDICAL, INC.
Jun 30, 2018 $5,464 VIACELL Royalty or License GLOBUS MEDICAL, INC.
May 12, 2018 $4,800 SI-LOK Promotional Speaking/Other GLOBUS MEDICAL, INC.
Jun 2, 2018 $4,000 MAGNIFY-S Promotional Speaking/Other GLOBUS MEDICAL, INC.
Apr 7, 2018 $3,700 SI-LOK Promotional Speaking/Other GLOBUS MEDICAL, INC.
Dec 31, 2018 $3,511 VIACELL Royalty or License GLOBUS MEDICAL, INC.
Aug 11, 2018 $2,800 SI-LOK Promotional Speaking/Other GLOBUS MEDICAL, INC.
Mar 24, 2018 $2,600 SI-LOK Promotional Speaking/Other GLOBUS MEDICAL, INC.
Mar 21, 2018 $2,500 PILLAR SA PEEK SPACER SYSTEM LONESTAR CERVICAL STAND ALONE (CSA) UNITY LUMBOSACRAL FIXATION SYSTEM SKYHAWK LATERAL INTERBODY FUSION SYSTEM PILLAR SA PTC SPACER SYSTEM Travel and Lodging ORTHOFIX MEDICAL, INC.
Jun 2, 2018 $2,094 SI-LOK Travel and Lodging GLOBUS MEDICAL, INC.
May 12, 2018 $2,000 SI-LOK Promotional Speaking/Other GLOBUS MEDICAL, INC.
Jan 26, 2018 $2,000 NEXT GEN SI-LOK Consulting GLOBUS MEDICAL, INC.
Oct 26, 2018 $1,758 EXCELSIUS - GPS Travel and Lodging GLOBUS MEDICAL, INC.
Aug 3, 2018 $1,350 EXCELSIUS - GPS Travel and Lodging GLOBUS MEDICAL, INC.
Aug 16, 2018 $1,259 CALIBER Travel and Lodging GLOBUS MEDICAL, 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/157964

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.