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/1597
  • 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/1597
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.

JUSTIN FLEMING

Listed Specialty: Podiatrist, Primary Podiatric Medicine
3110 GRANT AVE, PHILADELPHIA, PA, 19114-2542

2018 Payments: At a Glance

161

payments

$215,665

payment total

5

companies paid this doctor

Types of Payments

Category Payments Payment Value
Promotional Speaking/Other
 48 $139K
Consulting
 34 $43,361
Royalty or License
 4 $16,430
Travel and Lodging
 41 $13,504
Food and Beverage
 32 $2,217
Education
 2 $704

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

 $184K
DISTAL EXTREMITIES IMPLANTS HINDFOOT & ANKLE ANKLE FRACTURE

device

 $16,635
ANCHORAGE

device

 $9,986
VARIAX

device

 $9,932
ASNIS

device

 $9,867
DISTAL EXTREMITIES IMPLANTS IB LIGAMENT AUGMENTATION OTHER

device

 $1,716
DISTAL EXTREMITIES IMPLANTS ANCHORS SWIVELOCKS

device

 $1,216
DISTAL EXTREMITIES IMPLANTS COMPRESSION SCREWS METAL COMPRESSION SCREWS

device

 $939
DISTAL EXTREMITIES IMPLANTS MIDFOOT PLATES & SCREWS BIOSYNC WEDGES

device

 $400
STAR

device

 $400
INFINITY

device

 $355
INBONE

device

 $352
DISTAL EXTREMITIES IMPLANTS FRACTURE MANAGEMENT ANKLE FRACTURE

device

 $239
AUGMENT

device

 $136
DISTAL EXTREMITIES IMPLANTS HINDFOOT & ANKLE ACHILLES

device

 $58
BME NITINOL CONTINUOUS COMPRESSION IMPLANTS

device

 $43
VA-LCP PLATES & SCREWS

device

 $43
DISTAL EXTREMITIES IMPLANTS FOREFOOT PLATES & SCREWS PLANTAR PLATE

device

 $34
DISTAL EXTREMITIES INSTRUMENTS FRACTURE MANAGEMENT SMALL FRAGMENT

device

 $27
BIO4

device

 $24
† 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
Jan 25, 2018 $18,950 No Listed Product Promotional Speaking/Other ARTHREX, INC.
Apr 26, 2018 $16,100 No Listed Product Promotional Speaking/Other ARTHREX, INC. JUSTIN FLEMING CONSULTING LLC
Oct 25, 2018 $14,900 No Listed Product Promotional Speaking/Other ARTHREX, INC. JUSTIN FLEMING CONSULTING LLC
Jul 26, 2018 $11,900 No Listed Product Promotional Speaking/Other ARTHREX, INC. JUSTIN FLEMING CONSULTING LLC
Apr 26, 2018 $9,800 No Listed Product Promotional Speaking/Other ARTHREX, INC. JUSTIN FLEMING CONSULTING LLC
Jul 26, 2018 $9,600 No Listed Product Promotional Speaking/Other ARTHREX, INC. JUSTIN FLEMING CONSULTING LLC
Jan 25, 2018 $9,400 No Listed Product Promotional Speaking/Other ARTHREX, INC.
Jan 25, 2018 $8,800 No Listed Product Consulting ARTHREX, INC.
Jan 25, 2018 $8,200 ANCHORAGE VARIAX ASNIS Consulting STRYKER CORPORATION
Jan 25, 2018 $6,400 No Listed Product Promotional Speaking/Other ARTHREX, INC.
Oct 25, 2018 $6,300 No Listed Product Consulting ARTHREX, INC. JUSTIN FLEMING CONSULTING LLC
Apr 26, 2018 $5,700 No Listed Product Promotional Speaking/Other ARTHREX, INC. JUSTIN FLEMING CONSULTING LLC
Apr 26, 2018 $5,400 No Listed Product Promotional Speaking/Other ARTHREX, INC. JUSTIN FLEMING CONSULTING LLC
Aug 15, 2018 $5,240 DISTAL EXTREMITIES IMPLANTS HINDFOOT & ANKLE ANKLE FRACTURE Royalty or License ARTHREX, INC. JUSTIN FLEMING CONSULTING LLC
Jan 25, 2018 $5,200 No Listed Product Promotional Speaking/Other ARTHREX, INC.
Nov 15, 2018 $4,660 DISTAL EXTREMITIES IMPLANTS HINDFOOT & ANKLE ANKLE FRACTURE Royalty or License ARTHREX, INC. JUSTIN FLEMING CONSULTING LLC
Apr 26, 2018 $4,500 No Listed Product Promotional Speaking/Other ARTHREX, INC. JUSTIN FLEMING CONSULTING LLC
Jul 26, 2018 $3,800 No Listed Product Promotional Speaking/Other ARTHREX, INC. JUSTIN FLEMING CONSULTING LLC
May 15, 2018 $3,540 DISTAL EXTREMITIES IMPLANTS HINDFOOT & ANKLE ANKLE FRACTURE Royalty or License ARTHREX, INC. JUSTIN FLEMING CONSULTING LLC
Jul 26, 2018 $3,500 No Listed Product Promotional Speaking/Other ARTHREX, INC. JUSTIN FLEMING CONSULTING LLC

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/1597

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.