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/201431
  • 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/201431
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.


ARMAN KIRAKOSIAN

Listed Specialty: Podiatrist, Foot & Ankle Surgery
560 JENEVEIN AVE, SAN BRUNO, CA, 94066-4408

2018 Payments: At a Glance

34

payments

$5,011

payment total

9

companies paid this doctor

Types of Payments

Category Payments Payment Value
Consulting
1 $2,750
Food and Beverage
32 $1,431
Travel and Lodging
1 $830

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
FLEXITOUCH

device

$3,958
ACTITOUCH

device

$3,958
ENTRE

device

$3,958
GRAFIX & STRAVIX

drug

$557
Payments with no listed product

N/A

$156
AUGMENT

device

$126
KERYDIN

drug

$66
ALLOMATRIX

device

$49
AMNIOEXCEL

device

$31
IDRT

device

$31
OMNIGRAFT

device

$31
PRIMATRIX

device

$31
TCC-EZ

device

$31
SANTYL

drug

$27
EXOGEN

device

$18
PHALINX

device

$12
CHARLOTTE

device

$11
† 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 20, 2018 $2,750 FLEXITOUCH ACTITOUCH ENTRE Consulting TACTILE SYSTEMS TECHNOLOGY INC
Sep 20, 2018 $830 FLEXITOUCH ACTITOUCH ENTRE Travel and Lodging TACTILE SYSTEMS TECHNOLOGY INC
May 8, 2018 $134 No Listed Product Food and Beverage MUSCULOSKELETAL TRANSPLANT FOUNDATION INC. American Express
Jun 22, 2018 $126 AUGMENT Food and Beverage WRIGHT MEDICAL TECHNOLOGY, INC.
Oct 11, 2018 $100 GRAFIX & STRAVIX Food and Beverage OSIRIS THERAPEUTICS INC.
Oct 18, 2018 $99 GRAFIX & STRAVIX Food and Beverage OSIRIS THERAPEUTICS INC.
Sep 10, 2018 $97 FLEXITOUCH ACTITOUCH ENTRE Food and Beverage TACTILE SYSTEMS TECHNOLOGY INC
Dec 13, 2018 $84 GRAFIX & STRAVIX Food and Beverage OSIRIS THERAPEUTICS INC.
Nov 8, 2018 $84 GRAFIX & STRAVIX Food and Beverage OSIRIS THERAPEUTICS INC.
Oct 18, 2018 $78 GRAFIX & STRAVIX Food and Beverage OSIRIS THERAPEUTICS INC.
Oct 17, 2018 $70 GRAFIX & STRAVIX Food and Beverage OSIRIS THERAPEUTICS INC.
Apr 20, 2018 $68 FLEXITOUCH ACTITOUCH ENTRE Food and Beverage TACTILE SYSTEMS TECHNOLOGY INC
Nov 19, 2018 $43 ALLOMATRIX Food and Beverage WRIGHT MEDICAL TECHNOLOGY, INC.
Jun 23, 2018 $40 FLEXITOUCH ACTITOUCH ENTRE Food and Beverage TACTILE SYSTEMS TECHNOLOGY INC
Oct 26, 2018 $40 FLEXITOUCH ACTITOUCH ENTRE Food and Beverage TACTILE SYSTEMS TECHNOLOGY INC
Dec 10, 2018 $31 FLEXITOUCH ACTITOUCH ENTRE Food and Beverage TACTILE SYSTEMS TECHNOLOGY INC
May 9, 2018 $31 AMNIOEXCEL TCC-EZ PRIMATRIX IDRT OMNIGRAFT Food and Beverage DERMA SCIENCES, INC.
Nov 20, 2018 $29 GRAFIX & STRAVIX Food and Beverage OSIRIS THERAPEUTICS INC.
Jun 21, 2018 $28 FLEXITOUCH ACTITOUCH ENTRE Food and Beverage TACTILE SYSTEMS TECHNOLOGY INC
May 24, 2018 $25 KERYDIN Food and Beverage SANDOZ 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/201431

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.