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/175317
  • 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/175317
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.

DANIEL SPOMAR

Listed Specialty: Neurological Surgery
8051 S EMERSON AVE, STE. 300, INDIANAPOLIS, IN, 46237-8600

2018 Payments: At a Glance

28

payments

$9,153

payment total

2

companies paid this doctor

Types of Payments

Category Payments Payment Value
Consulting
 1 $6,075
Travel and Lodging
 4 $2,157
Food and Beverage
 23 $920

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†
CD HORIZON

device

 $7,464
CREO

device

 $1,082
PRESTIGE

device

 $265
MAZORX - RENAISSANCE

device

 $119
EXCELSIUS - GPS

device

 $99
MIDAS REX

device

 $21
DIVERGENCE

device

 $19
ELSA

device

 $18
PIVOX OBLIQUE LATERAL SPINAL SYSTEM

device

 $15
ASSURE

device

 $14
CREO DEGEN

device

 $13
DIVERGENCE-L

device

 $9
INFINITY OCT SYSTEM

device

 $8
STEALTHSTATION

device

 $8
† 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
Jul 11, 2018 $6,075 CD HORIZON Consulting MEDTRONIC USA, INC.
Apr 27, 2018 $1,082 CREO Travel and Lodging GLOBUS MEDICAL, INC.
Apr 26, 2018 $695 CD HORIZON Travel and Lodging MEDTRONIC USA, INC.
Apr 26, 2018 $210 CD HORIZON Travel and Lodging MEDTRONIC USA, INC.
Apr 26, 2018 $170 CD HORIZON Travel and Lodging MEDTRONIC USA, INC.
Jul 25, 2018 $151 CD HORIZON Food and Beverage MEDTRONIC USA, INC.
Apr 3, 2018 $140 PRESTIGE Food and Beverage MEDTRONIC USA, INC.
Apr 26, 2018 $128 CD HORIZON Food and Beverage MEDTRONIC USA, INC.
Apr 30, 2018 $125 PRESTIGE Food and Beverage MEDTRONIC USA, INC.
Apr 29, 2018 $81 EXCELSIUS - GPS Food and Beverage GLOBUS MEDICAL, INC.
Sep 25, 2018 $34 MAZORX - RENAISSANCE Food and Beverage MEDTRONIC USA, INC.
Jun 14, 2018 $32 MAZORX - RENAISSANCE Food and Beverage MEDTRONIC USA, INC.
May 1, 2018 $28 MAZORX - RENAISSANCE Food and Beverage MEDTRONIC USA, INC.
Apr 27, 2018 $21 CD HORIZON Food and Beverage MEDTRONIC USA, INC.
Sep 4, 2018 $19 DIVERGENCE Food and Beverage MEDTRONIC USA, INC.
Dec 18, 2018 $18 ELSA Food and Beverage GLOBUS MEDICAL, INC.
Oct 23, 2018 $17 EXCELSIUS - GPS Food and Beverage GLOBUS MEDICAL, INC.
Jun 5, 2018 $15 PIVOX OBLIQUE LATERAL SPINAL SYSTEM Food and Beverage MEDTRONIC USA, INC.
Jun 14, 2018 $14 MAZORX - RENAISSANCE Food and Beverage MEDTRONIC USA, INC.
Jun 26, 2018 $14 ASSURE Food and Beverage GLOBUS MEDICAL, 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/175317

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.