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/190715
  • 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/190715
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.

LOUIS GUZZI

Listed Specialty: Anesthesiology
601 E ROLLINS ST, ORLANDO, FL, 32803-1248

2018 Payments: At a Glance

202

payments

$120,217

payment total

14

companies paid this doctor

Types of Payments

Category Payments Payment Value
Honoraria
 39 $46,970
Nonaccredited Training
 8 $20,700
Promotional Speaking/Other
 8 $17,650
Consulting
 8 $17,280
Travel and Lodging
 38 $11,111
Food and Beverage
 101 $6,506

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†
NEPHROCHECK

device

 $52,819
GIAPREZA

drug

 $15,628
Payments with no listed product

N/A

 $15,601
XIFAXAN

drug

 $10,357
BEVYXXA

drug

 $8,046
LUCEMYRA

drug

 $7,933
RELISTOR

drug

 $4,367
RYANODEX SINGLE USE ONLY - 250ML

drug

 $3,792
CLEARSIGHT SYSTEM

device

 $370
BAXDELA

drug

 $311
IMPELLA

device

 $251
ZERBAXA

drug

 $249
ORBACTIV

drug

 $242
VABOMERE

drug

 $242
MENOCIN

drug

 $242
EV1000 CLINICAL PLATFORM

device

 $222
OFEV

drug

 $122
AVYCAZ

drug

 $85
BIO-MEDICUS

device

 $22
CARDIOHELP

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/190715

Payment Details

When How Much Related To What For From Third Party Payee
Nov 28, 2018 $7,750 NEPHROCHECK Honoraria ASTUTE MEDICAL, INC.
May 18, 2018 $4,000 NEPHROCHECK Honoraria ASTUTE MEDICAL, INC.
Apr 12, 2018 $3,780 RYANODEX SINGLE USE ONLY - 250ML Consulting EAGLE PHARMACEUTICALS, INC.
Mar 23, 2018 $3,600 XIFAXAN Nonaccredited Training SALIX PHARMACEUTICALS, A DIVISION OF BAUSCH HEALTH US, LLC
Oct 18, 2018 $3,600 LUCEMYRA Nonaccredited Training SALIX PHARMACEUTICALS, A DIVISION OF BAUSCH HEALTH US, LLC
Jul 2, 2018 $3,600 XIFAXAN Nonaccredited Training SALIX PHARMACEUTICALS, A DIVISION OF BAUSCH HEALTH US, LLC
Dec 3, 2018 $3,600 LUCEMYRA Nonaccredited Training SALIX PHARMACEUTICALS, A DIVISION OF BAUSCH HEALTH US, LLC
Nov 28, 2018 $3,438 NEPHROCHECK Travel and Lodging ASTUTE MEDICAL, INC.
Oct 17, 2018 $2,940 GIAPREZA Promotional Speaking/Other LA JOLLA PHARMACEUTICAL COMPANY
Jun 28, 2018 $2,940 GIAPREZA Promotional Speaking/Other LA JOLLA PHARMACEUTICAL COMPANY
Oct 4, 2018 $2,940 GIAPREZA Promotional Speaking/Other LA JOLLA PHARMACEUTICAL COMPANY
Oct 23, 2018 $2,940 GIAPREZA Promotional Speaking/Other LA JOLLA PHARMACEUTICAL COMPANY
Jan 10, 2018 $2,850 NEPHROCHECK Honoraria ASTUTE MEDICAL, INC.
Sep 5, 2018 $2,500 NEPHROCHECK Honoraria ASTUTE MEDICAL, INC.
Jul 13, 2018 $2,500 No Listed Product Consulting EDWARDS LIFESCIENCES CORPORATION
Sep 25, 2018 $2,500 NEPHROCHECK Honoraria ASTUTE MEDICAL, INC.
Sep 4, 2018 $2,500 NEPHROCHECK Honoraria ASTUTE MEDICAL, INC.
Feb 8, 2018 $2,500 NEPHROCHECK Honoraria ASTUTE MEDICAL, INC.
Feb 20, 2018 $2,500 NEPHROCHECK Honoraria ASTUTE MEDICAL, INC.
May 30, 2018 $2,500 BEVYXXA Promotional Speaking/Other PORTOLA PHARMACEUTICALS, 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/190715

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.