Dollars for Docs: Talk With Your Doctor

https://projects.propublica.org/docdollars/
You can print this page and show it your doctor.

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 2016. The disclosure of these payments is required under the Physician Payment 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 to 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: <a href='https://propub.li/participate-d4d'>propub.li/participate-d4d</a>

Preparing for Your Conversation

If you decide you'd like to talk to your doctor about this, please keep in mind:

  • Many healthcare 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/160012
  • Some doctors are happy to discuss this information with you. Others might not be. The best approach is to ask questions and to <strong>not</strong> 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/160012
If you spot an error, please let us know at [email protected]

CARLOS GUANCHE

Listed Specialty: Sports Medicine
6815 NOBLE AVE, VAN NUYS, CA, 91405-3796

Payments: At a Glance

77

payments

$109,361

payment total

12

companies paid this doctor

Types of Payments

Category Payments Payment Value
Consulting
10 $34,598
Promotional Speaking/Other
5 $33,650
Travel and Lodging
25 $29,246
Royalty or License
2 $6,576
Food and Beverage
32 $2,566
Honoraria
2 $2,500
Education
1 $225

Drugs & Devices

Totals listed below account for all payments from August 2013 to December 2016 that mention this product. 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
SPORTS MEDICINE

device

$30,195
RECON KNEES

device

$29,781
OTHER RECON

device

$21,554
RECON HIPS

device

$21,116
OTHER

device

$17,992
KNEE & HIP INSTRUMENTS HIP INSTRUMENTS

device

$6,576
KNEE & HIP IMPLANTS HIP PUSHLOCKS

device

$6,576
SPORTS MED HIP

device

$4,253
TITAN-SHOULDER

device

$4,000
HEMICAP SHOULDER

device

$2,550
SPORTS MED SHOULDER

device

$987
SPORTS MED KNEE

device

$957
SPORTS MED SMALL JOINT

device

$877
ORTHOPEDIC SURGERY AND SURGICAL VISUALIZATION

device

$672
SHOULDER - SMJT

device

$309
TOTAL SHOULDER

device

$225
HIPS

device

$210
NON-COVERED PRODUCT

device

$130
GLOBAL

device

$125
SURGICAL PLANNING AND NAVIGATION RADIATION TREATMENT PLANNING AND POSITIONING

device

$85
NANOFACTOR

device

$74
† 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/160012

Payment Details

When How Much Related To What For From Third Party Payee
Dec 5, 2013 $19,200

Recon Knees Recon Hips Other Recon Promotional Speaking/Other Smith & Nephew, Inc.
Feb 3, 2014 $14,998

Sports Medicine Consulting DePuy Orthopaedics Inc.
Jan 18, 2014 $9,325

OTHER Travel and Lodging

Details: RELATED TO PRODUCT TRAINING ACTIVITY

DePuy Orthopaedics Inc.
Jan 12, 2014 $8,668

OTHER Travel and Lodging

Details: RELATED TO PRODUCT TRAINING ACTIVITY

DePuy Orthopaedics Inc.
Oct 27, 2016 $8,100

No Listed Product Promotional Speaking/Other Arthrex, Inc. CARLOS ALBERTO GUANCHE
Nov 19, 2013 $6,432

Recon Knees Travel and Lodging Smith & Nephew, Inc.
Aug 15, 2016 $6,177

KNEE & HIP IMPLANTS HIP PUSHLOCKS KNEE & HIP INSTRUMENTS HIP INSTRUMENTS Royalty or License Arthrex, Inc. CARLOS ALBERTO GUANCHE
Apr 1, 2016 $4,000

Titan-Shoulder Consulting Ascension Orthopedics, Inc.
Jun 19, 2014 $3,200

Sports Medicine Consulting DePuy Orthopaedics Inc.
Dec 3, 2013 $2,798

Sports Medicine Consulting DePuy Orthopaedics Inc.
Oct 27, 2016 $2,550

No Listed Product Promotional Speaking/Other Arthrex, Inc. CARLOS ALBERTO GUANCHE
Oct 17, 2013 $2,200

Recon Knees Other Recon Promotional Speaking/Other Smith & Nephew, Inc.
Oct 30, 2013 $2,000

Sports Medicine Consulting DePuy Orthopaedics Inc.
Dec 3, 2013 $1,602

Sports Medicine Consulting DePuy Orthopaedics Inc.
Oct 4, 2013 $1,600

Sports Medicine Consulting DePuy Orthopaedics Inc.
Jan 23, 2014 $1,600

Sports Med Hip Consulting Smith & Nephew, Inc.
Sep 26, 2013 $1,600

Sports Med Hip Promotional Speaking/Other Smith & Nephew, Inc.
Jan 14, 2014 $1,600

Sports Medicine Consulting DePuy Orthopaedics Inc.
Jun 11, 2014 $1,500

HemiCAP Shoulder Honoraria Arthrosurface Incorporated
Oct 27, 2016 $1,200

No Listed Product Consulting Arthrex, Inc. CARLOS ALBERTO GUANCHE
Aug 10, 2016 $1,000

HemiCAP Shoulder Honoraria Arthrosurface Incorporated

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/160012

Note: We have made some effort to normalize the data and eliminate duplicates, but 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].