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/172155
  • 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/172155
If you spot an error, please let us know at [email protected]

JOSEPH LOMBARDI

Listed Specialty: Orthopaedic Surgery
10 PARSONAGE RD STE 500, EDISON, NJ, 08837-2475

Payments: At a Glance

52

payments

$106,317

payment total

12

companies paid this doctor

Types of Payments

Category Payments Payment Value
Education
14 $68,931
Consulting
5 $24,400
Travel and Lodging
11 $10,540
Nonaccredited Training
1 $1,500
Food and Beverage
21 $946

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
COOK MEDICAL AAA

device

$38,400
AORTIC INTERVENTION - AAA

device

$32,925
COOK MEDICAL THORACIC

device

$10,675
PERIPHERAL INTERVENTION - IAA

device

$9,170
IFUSE IMPLANT

device

$486
CONZIP 100MG

drug

$403
PLAQUE EXCISION

device

$177
MYSTIM

device

$73
CERVICOTHORACIC

device

$45
OTHER

drug

$29
EARLY INTERVENTION

device

$27
THORACOLUMBAR

device

$18
PROCEDURAL SUPPORT AND OTHER

device

$18
PERIPHERAL VASCULAR STENTS

device

$17
VOLTAREN GEL

drug

$15
SPINAL CORD NEUROSTIMULATION

device

$14
MOVANTIK

drug

$14
PLIF

device

$14
ELEVATE

device

$12
SPRIX

drug

$1
† 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.

Payment Details

When How Much Related To What For From Third Party Payee
Nov 2, 2016 $10,000

Cook Medical Thoracic Consulting Cook Incorporated
Nov 21, 2016 $10,000

Cook Medical AAA Education Cook Incorporated
Jul 16, 2015 $10,000

Aortic Intervention - AAA Education

Details: Cook Medical provides clinicians with training on the use of our products and devices, which can be complex and take practice to master. Training ensures that clinicians understand the capabilities and limitations of a product or device before using it on a patient. We provide reasonable and necessary travel, lodging, and meals for physicians who attend or teach at these courses, activities, or events.

Cook Incorporated
Jun 6, 2016 $10,000

Cook Medical AAA Education Cook Incorporated
Nov 18, 2015 $8,000

Aortic Intervention - AAA Education

Details: Cook Medical provides clinicians with training on the use of our products and devices, which can be complex and take practice to master. Training ensures that clinicians understand the capabilities and limitations of a product or device before using it on a patient. We provide reasonable and necessary travel, lodging, and meals for physicians who attend or teach at these courses, activities, or events.

Cook Incorporated
Apr 20, 2015 $7,500

No Listed Product Travel and Lodging

Details: Physicians sometimes need to stay overnight during the course of doing business with Cook Medical, and they are provided or reimbursed for reasonable lodging expenses. The physician could be attending or presenting at an educational presentation or a product training session. They could also be giving feedback on products or advising on trends in medical procedures and treatments. Travel expenses are recorded at the time payment is issued, not the time of travel.

Cook Incorporated
Apr 20, 2015 $6,200

No Listed Product Consulting

Details: This physician was chosen for their expertise and experience to provide consultation to internal Cook employees regarding topics that might include government policy, healthcare economics, translational research, reimbursement requirements, regulatory policy, or legislative initiatives. Cook follows safe harbor rules and pay consultants a fair market value for services provided.

Cook Incorporated
Mar 23, 2016 $5,500

Cook Medical AAA Education Cook Incorporated
Oct 15, 2015 $5,200

PERIPHERAL INTERVENTION - IAA Consulting

Details: This physician was chosen for their expertise and experience to provide consultation to internal Cook employees regarding topics that might include government policy, healthcare economics, translational research, reimbursement requirements, regulatory policy, or legislative initiatives. Cook follows safe harbor rules and pay consultants a fair market value for services provided.

Cook Incorporated
Oct 22, 2014 $5,000

Aortic Intervention - AAA Education

Details: Cook Medical provides clinicians with training on the use of our products and devices, which can be complex and take practice to master. Training ensures that clinicians understand the capabilities and limitations of a product or device before using it on a patient. We provide reasonable and necessary travel, lodging, and meals for physicians who attend or teach at these courses, activities, or events.

Cook Incorporated
Dec 28, 2016 $5,000

Cook Medical AAA Education Cook Incorporated
Oct 28, 2015 $5,000

Aortic Intervention - AAA Education

Details: Cook Medical provides clinicians with training on the use of our products and devices, which can be complex and take practice to master. Training ensures that clinicians understand the capabilities and limitations of a product or device before using it on a patient. We provide reasonable and necessary travel, lodging, and meals for physicians who attend or teach at these courses, activities, or events.

Cook Incorporated
Jan 6, 2016 $5,000

Cook Medical AAA Education Cook Incorporated
Jul 29, 2015 $2,500

Aortic Intervention - AAA Education

Details: Cook Medical provides clinicians with training on the use of our products and devices, which can be complex and take practice to master. Training ensures that clinicians understand the capabilities and limitations of a product or device before using it on a patient. We provide reasonable and necessary travel, lodging, and meals for physicians who attend or teach at these courses, activities, or events.

Cook Incorporated
Jul 13, 2016 $2,500

Cook Medical AAA Education Cook Incorporated
Jul 23, 2015 $1,500

PERIPHERAL INTERVENTION - IAA Nonaccredited Training

Details: Cook Medical provides continuing medical education for physicians and other clinicians. Instructors are chosen for their expertise and experience with product usage in a specific clinical area. These are considered noncertified CME programs.

Cook Incorporated
Nov 12, 2014 $1,500

PERIPHERAL INTERVENTION - IAA Consulting

Details: This physician was chosen for his-her expertise and experience to provide consultation to internal Cook employees regarding topics that might include government policy, healthcare economics, translational research, reimbursement requirements, regulatory policy, or legislative initiatives. We follow safe harbor rules and pay consultants a fair market value for services provided.

Cook Incorporated
Dec 22, 2014 $1,500

Aortic Intervention - AAA Consulting

Details: This physician was chosen for his-her expertise and experience to provide consultation to internal Cook employees regarding topics that might include government policy, healthcare economics, translational research, reimbursement requirements, regulatory policy, or legislative initiatives. We follow safe harbor rules and pay consultants a fair market value for services provided.

Cook Incorporated
Jul 23, 2015 $512

PERIPHERAL INTERVENTION - IAA Travel and Lodging

Details: Physicians sometimes need to stay overnight during the course of doing business with Cook Medical, and they are provided or reimbursed for reasonable lodging expenses. The physician could be attending or presenting at an educational presentation or a product training session. They could also be giving feedback on products or advising on trends in medical procedures and treatments. Travel expenses are recorded at the time payment is issued, not the time of travel.

Cook Incorporated
Mar 6, 2015 $451

iFuse Implant Travel and Lodging SI-BONE, Inc.
Sep 5, 2014 $403

ConZip 100mg Education

Details: Breakfast and learn

Vertical Pharmaceuticals, LLC

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/172155

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].