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/195462
  • 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/195462
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.

JOHN KOSKO

Listed Specialty: Foot and Ankle Surgery
3688 VETERANS MEMORIAL DR, SUITE 200, HATTIESBURG, MS, 39401-8246

2018 Payments: At a Glance

30

payments

$18,269

payment total

4

companies paid this doctor

Types of Payments

Category Payments Payment Value
Consulting
 9 $11,118
Education
 2 $3,109
Royalty or License
 4 $2,240
Food and Beverage
 12 $1,026
Travel and Lodging
 3 $775

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†
INFINITY

device

 $6,741
AUGMENT

device

 $4,888
Payments with no listed product

N/A

 $4,254
INBONE

device

 $2,256
SALVATION

device

 $78
HEMICAP MTP RESURFACING

device

 $20
MIS INSTRUMENTATION

device

 $17
OFIRMEV

drug

 $14
† 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
Sep 19, 2018 $2,070 INFINITY Consulting WRIGHT MEDICAL TECHNOLOGY, INC.
Mar 22, 2018 $1,840 AUGMENT Consulting WRIGHT MEDICAL TECHNOLOGY, INC.
Sep 19, 2018 $1,840 INFINITY Consulting WRIGHT MEDICAL TECHNOLOGY, INC.
Mar 22, 2018 $1,840 AUGMENT Consulting WRIGHT MEDICAL TECHNOLOGY, INC.
Sep 7, 2018 $1,685 No Listed Product Education ARTHREX, INC.
Sep 8, 2018 $1,424 No Listed Product Education ARTHREX, INC.
Sep 19, 2018 $998 INFINITY Consulting WRIGHT MEDICAL TECHNOLOGY, INC.
Aug 30, 2018 $920 INBONE Royalty or License WRIGHT MEDICAL TECHNOLOGY, INC.
Aug 30, 2018 $920 INBONE Royalty or License WRIGHT MEDICAL TECHNOLOGY, INC.
Sep 19, 2018 $920 INFINITY Consulting WRIGHT MEDICAL TECHNOLOGY, INC.
Sep 19, 2018 $690 INFINITY Consulting WRIGHT MEDICAL TECHNOLOGY, INC.
Mar 22, 2018 $690 AUGMENT Consulting WRIGHT MEDICAL TECHNOLOGY, INC.
Nov 14, 2018 $628 No Listed Product Travel and Lodging ARTHREX, INC.
Nov 14, 2018 $517 No Listed Product Food and Beverage ARTHREX, INC.
Mar 22, 2018 $230 AUGMENT Consulting WRIGHT MEDICAL TECHNOLOGY, INC.
Aug 30, 2018 $230 INBONE Royalty or License WRIGHT MEDICAL TECHNOLOGY, INC.
Aug 30, 2018 $170 INBONE Royalty or License WRIGHT MEDICAL TECHNOLOGY, INC.
Mar 8, 2018 $141 AUGMENT Food and Beverage WRIGHT MEDICAL TECHNOLOGY, INC.
Mar 22, 2018 $121 AUGMENT Travel and Lodging WRIGHT MEDICAL TECHNOLOGY, INC.
Jun 20, 2018 $93 INFINITY Food and Beverage WRIGHT MEDICAL TECHNOLOGY, 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/195462

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.