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/174667
  • 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/174667
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.


THOMAS CHANG

Listed Specialty: Podiatrist, Foot & Ankle Surgery
208 CONCOURSE BOULEVARD, SUITE 1, SANTA ROSA, CA, 95403-8210

2018 Payments: At a Glance

100

payments

$404,745

payment total

13

companies paid this doctor

Types of Payments

Category Payments Payment Value
Royalty or License
17 $314K
Consulting
13 $72,444
Travel and Lodging
25 $8,705
Promotional Speaking/Other
1 $6,975
Food and Beverage
41 $2,753
Education
3 $327

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
FOOT AND ANKLE IMPLANTS

device

$213K
Payments with no listed product

N/A

$134K
VARIAX

device

$29,048
ANCHORAGE

device

$19,148
STAR

device

$18,759
HOFFMANN

device

$18,410
CARTIVA

device

$16,485
EXOGEN

device

$7,828
BME NITINOL CONTINUOUS COMPRESSION IMPLANTS

device

$1,427
GORILLA PLATING SYSTEM

device

$724
MONSTER SCREW SYSTEM

device

$724
PHANTOM LAPIDUS NAIL

device

$724
PROMO

device

$724
TRIATHLON

device

$252
PHANTOM NAIL

device

$120
BIO4

device

$99
EASY CLIP

device

$99
ACCULIF

device

$95
TITAN WEDGES

drug

$88
LAPIDUS SYSTEM

device

$87
† 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/174667

Payment Details

When How Much Related To What For From Third Party Payee
May 1, 2018 $51,383 FOOT AND ANKLE IMPLANTS Royalty or License PARAGON 28, INC.
Aug 2, 2018 $31,093 No Listed Product Royalty or License DEPUY SYNTHES PRODUCTS LLC
May 2, 2018 $30,284 No Listed Product Royalty or License DEPUY SYNTHES PRODUCTS LLC
Nov 2, 2018 $30,061 FOOT AND ANKLE IMPLANTS Royalty or License PARAGON 28, INC.
Nov 7, 2018 $29,870 No Listed Product Royalty or License DEPUY SYNTHES PRODUCTS LLC
Aug 1, 2018 $28,764 FOOT AND ANKLE IMPLANTS Royalty or License PARAGON 28, INC.
Jan 29, 2018 $28,425 No Listed Product Royalty or License DEPUY SYNTHES PRODUCTS LLC
Feb 1, 2018 $26,128 FOOT AND ANKLE IMPLANTS Royalty or License PARAGON 28, INC.
Nov 2, 2018 $17,016 FOOT AND ANKLE IMPLANTS Royalty or License PARAGON 28, INC.
Nov 8, 2018 $17,000 ANCHORAGE VARIAX STAR HOFFMANN Consulting STRYKER CORPORATION
Dec 20, 2018 $16,343 FOOT AND ANKLE IMPLANTS Consulting PARAGON 28, INC.
Aug 1, 2018 $16,276 FOOT AND ANKLE IMPLANTS Royalty or License PARAGON 28, INC.
Feb 1, 2018 $13,977 FOOT AND ANKLE IMPLANTS Royalty or License PARAGON 28, INC.
Sep 20, 2018 $9,000 VARIAX Consulting STRYKER CORPORATION
Nov 26, 2018 $6,975 EXOGEN Promotional Speaking/Other BIOVENTUS LLC
Jan 30, 2018 $5,250 CARTIVA Consulting CARTIVA, INC.
Mar 7, 2018 $5,087 CARTIVA Consulting CARTIVA, INC.
Nov 2, 2018 $4,191 FOOT AND ANKLE IMPLANTS Royalty or License PARAGON 28, INC.
Feb 23, 2018 $4,004 No Listed Product Consulting MEDICAL DEVICE BUSINESS SERVICES, INC.
Aug 1, 2018 $3,427 FOOT AND ANKLE IMPLANTS Royalty or License PARAGON 28, 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/174667

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.