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/164154
  • 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/164154
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.

GEORGE MANOUKIAN

Listed Specialty: Internal Medicine
1401 ST. JOSEPH PARKWAY, HOUSTON, TX, 77002-8301

2018 Payments: At a Glance

261

payments

$20,273

payment total

10

companies paid this doctor

Types of Payments

Category Payments Payment Value
Food and Beverage
 232 $10,342
Consulting
 23 $7,425
Travel and Lodging
 6 $2,506

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

 $3,618
QUADRA ASSURA CRT DEFIBRILLATOR

device

 $2,714
FORTIFY ASSURA, ELLIPSE ICD

device

 $2,253
CARDIAC MAPPING SYSTEM

device

 $2,233
MERLIN CONNECTIVITY AND REMOTE

device

 $1,671
QUADRA ALLURE MP RF CRT PACEMKR

device

 $1,161
ASSURITY PACEMAKER

device

 $898
MICRA

device

 $727
CRT-DS

device

 $658
CARTO 3 SYSTEM

device

 $540
WATCHMAN

device

 $520
ENSITE CARDIAC MAPPING SYSTEM

device

 $461
XARELTO

drug

 $281
AGILIS NXT EP INTRODUCER

device

 $267
CARTO SMARTTOUCH

device

 $235
ADVISOR CATHETER

device

 $195
ABLATION THERAPY HARDWARE

device

 $182
EP GUIDING INTRODUCERS

device

 $167
DURATA DEFIBRILLATION ICD LEAD

device

 $156
DXTERITY

device

 $125
† 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/164154

Payment Details

When How Much Related To What For From Third Party Payee
Dec 13, 2018 $1,400 QUADRA ASSURA CRT DEFIBRILLATOR Consulting ABBOTT LABORATORIES
Dec 13, 2018 $1,400 FORTIFY ASSURA, ELLIPSE ICD Consulting ABBOTT LABORATORIES
Dec 13, 2018 $1,050 No Listed Product Travel and Lodging BIOTRONIK INC.
Oct 18, 2018 $540 No Listed Product Travel and Lodging BIOTRONIK INC.
Dec 13, 2018 $350 QUADRA ASSURA CRT DEFIBRILLATOR Consulting ABBOTT LABORATORIES
Dec 20, 2018 $350 QUADRA ALLURE MP RF CRT PACEMKR Consulting ABBOTT LABORATORIES
Dec 13, 2018 $350 FORTIFY ASSURA, ELLIPSE ICD Consulting ABBOTT LABORATORIES
Oct 14, 2018 $314 MICRA Travel and Lodging MEDTRONIC VASCULAR, INC.
Jan 18, 2018 $286 CARDIAC MAPPING SYSTEM Consulting ABBOTT LABORATORIES
Jan 18, 2018 $286 CARDIAC MAPPING SYSTEM Consulting ABBOTT LABORATORIES
Jan 18, 2018 $286 CARDIAC MAPPING SYSTEM Consulting ABBOTT LABORATORIES
Jan 18, 2018 $286 CARDIAC MAPPING SYSTEM Consulting ABBOTT LABORATORIES
Feb 12, 2018 $259 WATCHMAN Travel and Lodging BOSTON SCIENTIFIC CORPORATION
Jan 18, 2018 $215 CARDIAC MAPPING SYSTEM Consulting ABBOTT LABORATORIES
Jan 18, 2018 $215 CARDIAC MAPPING SYSTEM Consulting ABBOTT LABORATORIES
May 31, 2018 $215 QUADRA ASSURA CRT DEFIBRILLATOR Consulting ABBOTT LABORATORIES
May 31, 2018 $215 QUADRA ASSURA CRT DEFIBRILLATOR Consulting ABBOTT LABORATORIES
May 31, 2018 $215 QUADRA ASSURA CRT DEFIBRILLATOR Consulting ABBOTT LABORATORIES
Jan 18, 2018 $215 CARDIAC MAPPING SYSTEM Consulting ABBOTT LABORATORIES
Oct 14, 2018 $213 MICRA Travel and Lodging MEDTRONIC VASCULAR, 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/164154

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.