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/18317
  • 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/18317
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.

RICARDO ALVAREZ

Listed Specialty: Endocrinology, Diabetes & Metabolism
1905 7TH AVE, COLUMBUS, GA, 31901-1563

2018 Payments: At a Glance

100

payments

$6,480

payment total

19

companies paid this doctor

Types of Payments

Category Payments Payment Value
Consulting
 1 $3,500
Food and Beverage
 94 $1,560
Travel and Lodging
 3 $1,402
Education
 2 $18

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†
IXEMPRA

drug

 $4,992
INVOKANA

drug

 $302
FARXIGA

drug

 $195
BYDUREON

drug

 $136
LENVIMA

drug

 $125
JANUVIA

drug

 $115
STEGLATRO

drug

 $115
NATPARA

drug

 $88
SOLIQUA

drug

 $84
TOUJEO

drug

 $82
TYMLOS

drug

 $67
JARDIANCE

drug

 $60
INVOKAMET

drug

 $48
REPATHA

drug

 $43
FORTEO

drug

 $30
OZEMPIC

drug

 $30
PRALUENT

drug

 $28
XARELTO

drug

 $27
BELSOMRA

drug

 $26
FREESTYLE LIBRE BLOOD GLUCOSE FLASH MONITORING SYSTEM

device

 $24
† 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/18317

Payment Details

When How Much Related To What For From Third Party Payee
Mar 7, 2018 $3,500 IXEMPRA Consulting R-PHARM US LLC
Mar 7, 2018 $1,137 IXEMPRA Travel and Lodging R-PHARM US LLC
Mar 7, 2018 $194 IXEMPRA Travel and Lodging R-PHARM US LLC
Dec 3, 2018 $125 LENVIMA Food and Beverage EISAI INC.
Nov 29, 2018 $96 INVOKANA Food and Beverage JANSSEN PHARMACEUTICALS, INC
Mar 7, 2018 $72 IXEMPRA Travel and Lodging R-PHARM US LLC
Mar 7, 2018 $69 IXEMPRA Food and Beverage R-PHARM US LLC
Jan 23, 2018 $53 BYDUREON FARXIGA Food and Beverage ASTRAZENECA PHARMACEUTICALS LP
Aug 29, 2018 $25 JARDIANCE Food and Beverage BOEHRINGER INGELHEIM PHARMACEUTICALS, INC.
Mar 22, 2018 $24 FREESTYLE LIBRE BLOOD GLUCOSE FLASH MONITORING SYSTEM Food and Beverage ABBOTT LABORATORIES
Jun 20, 2018 $22 FARXIGA Food and Beverage ASTRAZENECA PHARMACEUTICALS LP
Mar 13, 2018 $20 TOUJEO Food and Beverage SANOFI-AVENTIS U.S. LLC
Jun 2, 2018 $20 IXEMPRA Food and Beverage R-PHARM US LLC
Apr 17, 2018 $20 SOLIQUA Food and Beverage SANOFI-AVENTIS U.S. LLC
Feb 6, 2018 $20 SOLIQUA Food and Beverage SANOFI-AVENTIS U.S. LLC
Jun 6, 2018 $20 SOLIQUA Food and Beverage SANOFI-AVENTIS U.S. LLC
Sep 26, 2018 $19 KORLYM Food and Beverage CORCEPT THERAPEUTICS
Oct 10, 2018 $19 FARXIGA Food and Beverage ASTRAZENECA PHARMACEUTICALS LP
Apr 13, 2018 $19 FARXIGA Food and Beverage ASTRAZENECA PHARMACEUTICALS LP
Jan 3, 2018 $19 TOUJEO Food and Beverage SANOFI-AVENTIS U.S. 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/18317

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.