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/201346
  • 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/201346
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 TERRAMANI

Listed Specialty: Vascular Surgery
8860 CENTER DR, 450, LA MESA, CA, 91942-3068

2018 Payments: At a Glance

73

payments

$100,176

payment total

12

companies paid this doctor

Types of Payments

Category Payments Payment Value
Promotional Speaking/Other
7 $33,770
Consulting
14 $31,260
Royalty or License
2 $20,000
Nonaccredited Training
5 $10,000
Travel and Lodging
14 $3,821
Food and Beverage
31 $1,324

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
ALIF

device

$30,000
SYNFIX

device

$17,272
ACTIVL ARTIFICIAL DISC

device

$13,821
MAGNIFY-S

device

$12,977
CHESAPEAKE INTERBODY SYSTEM

device

$7,667
RISE

device

$3,976
GENERAL K2M PRODUCT DISCUSSION

device

$3,750
ALTERA

device

$2,800
ANTERIOR TO PSOAS

device

$2,000
XLIF

device

$2,000
ADVANCED PRODUCT DEVELOPMENT

device

$1,800
ALEUTIAN INTERBODY SYSTEMS

device

$938
MARS

device

$600
CREO MIS

device

$141
TACHOSIL

drug

$125
XARELTO

drug

$81
CD HORIZON

device

$70
EXCELSIUS - GPS

device

$46
VENASEAL

device

$27
VARITHENA

drug

$25
† 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/201346

Payment Details

When How Much Related To What For From Third Party Payee
Jun 15, 2018 $13,070 ACTIVL ARTIFICIAL DISC Promotional Speaking/Other AESCULAP IMPLANT SYSTEMS, LLC
Sep 17, 2018 $12,005 SYNFIX Consulting MEDICAL DEVICE BUSINESS SERVICES, INC. T3 SOLUTIONS
Sep 27, 2018 $10,000 ALIF Royalty or License NUVASIVE, INC. T3 Solutions
Dec 20, 2018 $10,000 ALIF Royalty or License NUVASIVE, INC. T3 Solutions
Nov 10, 2018 $6,400 MAGNIFY-S Promotional Speaking/Other GLOBUS MEDICAL, INC.
Jul 24, 2018 $5,325 CHESAPEAKE INTERBODY SYSTEM Consulting K2M, INC. T3 Solutions
Nov 10, 2018 $5,000 MAGNIFY-S Promotional Speaking/Other GLOBUS MEDICAL, INC.
Nov 17, 2018 $3,900 RISE Promotional Speaking/Other GLOBUS MEDICAL, INC.
Jan 19, 2018 $2,800 ALTERA Promotional Speaking/Other GLOBUS MEDICAL, INC.
Jun 14, 2018 $2,400 ALIF Nonaccredited Training NUVASIVE, INC. T3 Solutions
Jun 14, 2018 $2,400 ALIF Nonaccredited Training NUVASIVE, INC. T3 Solutions
Oct 11, 2018 $2,060 SYNFIX Consulting MEDICAL DEVICE BUSINESS SERVICES, INC. T3 SOLUTIONS
Apr 18, 2018 $2,000 ANTERIOR TO PSOAS Promotional Speaking/Other GLOBUS MEDICAL, INC.
Jan 23, 2018 $2,000 ALIF Nonaccredited Training NUVASIVE, INC. T3 Solutions
Oct 11, 2018 $2,000 XLIF Nonaccredited Training NUVASIVE, INC. T3 Solutions
Feb 27, 2018 $1,800 ADVANCED PRODUCT DEVELOPMENT Consulting K2M, INC. T3 Solutions
Nov 6, 2018 $1,600 ALIF Consulting NUVASIVE, INC. T3 Solutions
Nov 10, 2018 $1,577 MAGNIFY-S Travel and Lodging GLOBUS MEDICAL, INC.
Sep 20, 2018 $1,500 GENERAL K2M PRODUCT DISCUSSION Consulting K2M, INC. T3 Medical, LLC
Oct 23, 2018 $1,500 GENERAL K2M PRODUCT DISCUSSION Consulting K2M, INC. T3 Solutions

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/201346

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.