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/170469
  • 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/170469
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.


MARK SILVER

Listed Specialty: Neurological Surgery
300 N HIGHLAND AVE STE 310, SHERMAN, TX, 75092-7389

2018 Payments: At a Glance

127

payments

$63,609

payment total

6

companies paid this doctor

Types of Payments

Category Payments Payment Value
Consulting
5 $51,000
Travel and Lodging
27 $9,205
Food and Beverage
95 $3,404

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
TRITANIUM

device

$41,730
AERO

device

$32,222
ES2

device

$25,667
SERRATO

device

$13,260
OASYS

device

$13,093
ARIA

device

$600
MULTIPLE PRODUCTS

device

$567
ACCULIF

device

$506
BIO4

device

$232
SPECTRA WAVEWRITER

device

$152
IDENTITI

device

$126
KODIAK

device

$126
EXPAREL

drug

$102
ANCHOR C

device

$93
SPECTRA WAVEWRITER (REFURBISHED)

device

$89
VLIFT

device

$73
GENERAL THERAPIES

device

$63
UNILIF

device

$25
OCTRODE SCS LEADS

device

$21
DBM

device

$18
† 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/170469

Payment Details

When How Much Related To What For From Third Party Payee
Jul 26, 2018 $14,500 AERO Consulting STRYKER CORPORATION RED RIVER NEUROSURGICAL
Aug 16, 2018 $12,500 TRITANIUM ES2 Consulting STRYKER CORPORATION RED RIVER NEUROSURGICAL
Nov 1, 2018 $11,500 AERO ES2 TRITANIUM SERRATO OASYS Consulting STRYKER CORPORATION RED RIVER NEUROSURGICAL
Nov 20, 2018 $9,000 TRITANIUM Consulting STRYKER CORPORATION RED RIVER NEUROSURGICAL
Dec 6, 2018 $3,500 TRITANIUM Consulting STRYKER CORPORATION RED RIVER NEUROSURGICAL
Jul 14, 2018 $1,295 AERO Travel and Lodging STRYKER CORPORATION
Aug 2, 2018 $1,196 AERO Travel and Lodging STRYKER CORPORATION
Nov 7, 2018 $1,187 TRITANIUM Travel and Lodging STRYKER CORPORATION
Dec 6, 2018 $753 TRITANIUM Travel and Lodging STRYKER CORPORATION RED RIVER NEUROSURGICAL
Jul 26, 2018 $739 AERO Travel and Lodging STRYKER CORPORATION RED RIVER NEUROSURGICAL
Oct 5, 2018 $642 AERO ES2 TRITANIUM SERRATO OASYS Travel and Lodging STRYKER CORPORATION
Oct 5, 2018 $485 AERO ES2 TRITANIUM SERRATO OASYS Travel and Lodging STRYKER CORPORATION
Aug 2, 2018 $449 ARIA Travel and Lodging STRYKER CORPORATION
Dec 21, 2018 $349 MULTIPLE PRODUCTS Travel and Lodging ALPHATEC SPINE, INC
Nov 13, 2018 $191 TRITANIUM Travel and Lodging STRYKER CORPORATION
Dec 13, 2018 $186 MULTIPLE PRODUCTS Food and Beverage ALPHATEC SPINE, INC
Nov 13, 2018 $169 TRITANIUM Travel and Lodging STRYKER CORPORATION
Oct 15, 2018 $167 AERO ES2 TRITANIUM SERRATO OASYS Travel and Lodging STRYKER CORPORATION
Oct 15, 2018 $157 AERO ES2 TRITANIUM SERRATO OASYS Travel and Lodging STRYKER CORPORATION
Apr 29, 2018 $149 AERO Food and Beverage STRYKER CORPORATION

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/170469

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.