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/163220
  • 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/163220
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.

ASHISH NANDA

Listed Specialty: Neurology
ONE HOSPITAL DRIVE, COLUMBIA, MO, 65212-0001

2018 Payments: At a Glance

47

payments

$15,261

payment total

9

companies paid this doctor

Types of Payments

Category Payments Payment Value
Promotional Speaking/Other
 4 $10,610
Travel and Lodging
 10 $2,732
Food and Beverage
 33 $1,920

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†
ACTIVASE

drug

 $6,153
Payments with no listed product

N/A

 $5,590
PENUMBRA SMART COIL

device

 $1,475
PENUMBRA SYSTEM

device

 $1,201
POD

device

 $185
SOFIA

device

 $135
XARELTO

drug

 $123
PULSERIDER

device

 $119
TRUFILL

device

 $119
LVIS

device

 $118
LVIS JR.

device

 $118
SCEPTER C BALLOON CATHETER

device

 $118
SCEPTER XC BALLOON CATHETER

device

 $118
ATLAS

device

 $113
EXCELSIOR

device

 $113
SYNCHRO

device

 $113
TARGET

device

 $113
TREVO

device

 $113
PERCLOSE PROGLIDE SUTURE MEDIATED CLOSURE SYSTEM

device

 $67
3D REVASCULARIZATION

device

 $56
† 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/163220

Payment Details

When How Much Related To What For From Third Party Payee
Feb 28, 2018 $2,720 ACTIVASE Promotional Speaking/Other GENENTECH USA, INC.
Mar 15, 2018 $2,720 No Listed Product Promotional Speaking/Other GENENTECH USA, INC.
May 29, 2018 $2,720 No Listed Product Promotional Speaking/Other GENENTECH USA, INC.
Apr 21, 2018 $2,450 ACTIVASE Promotional Speaking/Other GENENTECH USA, INC.
Apr 4, 2018 $598 PENUMBRA SMART COIL Travel and Lodging PENUMBRA, INC.
Jan 19, 2018 $583 PENUMBRA SYSTEM Travel and Lodging PENUMBRA, INC.
Apr 21, 2018 $382 ACTIVASE Travel and Lodging GENENTECH USA, INC.
Jan 31, 2018 $295 PENUMBRA SYSTEM Travel and Lodging PENUMBRA, INC.
Apr 21, 2018 $242 ACTIVASE Travel and Lodging GENENTECH USA, INC.
Apr 21, 2018 $229 ACTIVASE Food and Beverage GENENTECH USA, INC.
Mar 7, 2018 $153 POD Food and Beverage PENUMBRA, INC.
Mar 11, 2018 $143 PENUMBRA SMART COIL Travel and Lodging PENUMBRA, INC.
Mar 8, 2018 $133 PENUMBRA SMART COIL Travel and Lodging PENUMBRA, INC.
Mar 8, 2018 $133 PENUMBRA SMART COIL Travel and Lodging PENUMBRA, INC.
May 29, 2018 $125 No Listed Product Food and Beverage GENENTECH USA, INC.
Oct 27, 2018 $124 PENUMBRA SYSTEM Food and Beverage PENUMBRA, INC.
Sep 11, 2018 $123 XARELTO Food and Beverage JANSSEN PHARMACEUTICALS, INC
Feb 6, 2018 $121 PENUMBRA SMART COIL Food and Beverage PENUMBRA, INC.
Oct 10, 2018 $119 PULSERIDER TRUFILL Food and Beverage MEDICAL DEVICE BUSINESS SERVICES, INC.
May 31, 2018 $118 LVIS LVIS JR. SCEPTER C BALLOON CATHETER SCEPTER XC BALLOON CATHETER SOFIA Travel and Lodging MICROVENTION, 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/163220

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.