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/165563
  • 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/165563
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.


JEFFREY CARR

Listed Specialty: Interventional Cardiology
1783 TROUP HWY, TYLER, TX, 75701-5869

2018 Payments: At a Glance

123

payments

$133,079

payment total

20

companies paid this doctor

Types of Payments

Category Payments Payment Value
Ownership or Investment Interest
1 $58,000
Royalty or License
1 $31,644
Promotional Speaking/Other
6 $24,800
Consulting
3 $9,000
Food and Beverage
101 $3,572
Nonaccredited Training
1 $3,000
Travel and Lodging
9 $2,900
Entertainment
1 $163

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

$58,904
VENASEAL

device

$34,964
CLOSUREFAST

device

$22,504
IN.PACT ADMIRAL

device

$6,362
IVUS SYSTEMS

device

$5,679
CORONARY ORBITAL ATHERECTOMY SYSTEM

device

$3,034
IGT_D PERIPHERAL

device

$309
IMAGE GUIDED THERAPY DEVICES _ CORONARY

device

$194
HAWKONE

device

$136
ENTRESTO

drug

$135
GENERAL ATHERECTOMY

device

$113
IMAGE GUIDED THERAPY DEVICES _ THERAPY

device

$96
VIABAHN ENDOPROSTHESIS

device

$87
PERCLOSE PROGLIDE SUTURE MEDIATED CLOSURE SYSTEM

device

$76
PROSTAR XL SURGICAL SYSTEM

device

$76
STARCLOSE SE VASCULAR CLOSURE SYSTEM

device

$76
RESOLUTE

device

$73
PRALUENT

drug

$61
BRILINTA

drug

$44
ELIQUIS

drug

$39
† 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/165563

Payment Details

When How Much Related To What For From Third Party Payee
Apr 11, 2018 $58,000 No Listed Product Ownership or Investment Interest VENCLOSE INC.
Sep 1, 2018 $31,644 VENASEAL Royalty or License MEDTRONIC VASCULAR, INC.
Mar 15, 2018 $6,400 CLOSUREFAST Promotional Speaking/Other MEDTRONIC VASCULAR, INC.
Mar 15, 2018 $5,600 CLOSUREFAST Promotional Speaking/Other MEDTRONIC VASCULAR, INC.
May 1, 2018 $4,200 IVUS SYSTEMS Consulting PHILIPS ELECTRONICS NORTH AMERICA CORPORATION
Jul 13, 2018 $4,000 IN.PACT ADMIRAL Consulting MEDTRONIC VASCULAR, INC.
Mar 1, 2018 $3,200 CLOSUREFAST Promotional Speaking/Other MEDTRONIC VASCULAR, INC.
Jun 13, 2018 $3,200 VENASEAL Promotional Speaking/Other MEDTRONIC VASCULAR, INC.
Aug 23, 2018 $3,200 CLOSUREFAST Promotional Speaking/Other MEDTRONIC VASCULAR, INC.
Dec 18, 2018 $3,200 CLOSUREFAST Promotional Speaking/Other MEDTRONIC VASCULAR, INC.
Mar 22, 2018 $3,000 CORONARY ORBITAL ATHERECTOMY SYSTEM Nonaccredited Training CARDIOVASCULAR SYSTEMS INC.
Sep 19, 2018 $800 IVUS SYSTEMS Consulting PHILIPS ELECTRONICS NORTH AMERICA CORPORATION
Mar 8, 2018 $679 IVUS SYSTEMS Travel and Lodging PHILIPS ELECTRONICS NORTH AMERICA CORPORATION
Jun 18, 2018 $435 IN.PACT ADMIRAL Travel and Lodging MEDTRONIC VASCULAR, INC.
Jun 17, 2018 $418 IN.PACT ADMIRAL Travel and Lodging MEDTRONIC VASCULAR, INC.
Jun 18, 2018 $375 IN.PACT ADMIRAL Travel and Lodging MEDTRONIC VASCULAR, INC.
Mar 10, 2018 $343 CLOSUREFAST Travel and Lodging MEDTRONIC VASCULAR, INC.
Jun 18, 2018 $225 IN.PACT ADMIRAL Travel and Lodging MEDTRONIC VASCULAR, INC.
Nov 6, 2018 $217 No Listed Product Food and Beverage CARDIOVASCULAR SYSTEMS INC.
Jun 19, 2018 $208 IN.PACT ADMIRAL 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/165563

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.