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/212513
  • 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/212513
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.

JACOB LAMB

Listed Specialty: Podiatrist, Foot & Ankle Surgery
2315 DOUGHERTY FERRY RD, SUITE 110, SAINT LOUIS, MO, 63122-3383

2018 Payments: At a Glance

42

payments

$1,775

payment total

11

companies paid this doctor

Types of Payments

Category Payments Payment Value
Food and Beverage
 42 $1,775

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†
FIXOS

device

 $285
ANCHORAGE

device

 $233
VARIAX

device

 $218
APLIGRAF

drug

 $175
PICO

device

 $131
AMNIOEXCEL

device

 $127
BILAYER WOUND MATRIX BWM

device

 $127
FLOWABLE

device

 $127
IDRT

device

 $127
INTEGRA WOUND MATRIX IWM

device

 $127
ACCUFILL

device

 $122
HYALOMATRIX WOUND DEVICE

device

 $119
SCP BONE SUBSTITUTE

device

 $115
LINVATEC ARTHROSCOPY

device

 $107
CERAMENT BONE VOID FILLER

device

 $100
EXT-EXTREMILOCK FOOT

device

 $93
DISTAL EXTREMITIES IMPLANTS SOFT TISSUE FIBERTAK

device

 $88
Payments with no listed product

N/A

 $56
HOFFMANN

device

 $49
NEOX

drug

 $43
† 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/212513

Payment Details

When How Much Related To What For From Third Party Payee
Jun 12, 2018 $149 ANCHORAGE VARIAX FIXOS Food and Beverage STRYKER CORPORATION
Jun 4, 2018 $131 PICO Food and Beverage SMITH & NEPHEW, INC.
Aug 28, 2018 $127 BILAYER WOUND MATRIX BWM INTEGRA WOUND MATRIX IWM AMNIOEXCEL IDRT FLOWABLE Food and Beverage INTEGRA LIFESCIENCES CORPORATION
Apr 19, 2018 $125 FIXOS Food and Beverage STRYKER CORPORATION
Jan 18, 2018 $122 ACCUFILL Food and Beverage ZIMMER BIOMET HOLDINGS, INC.
Mar 26, 2018 $119 HYALOMATRIX WOUND DEVICE Food and Beverage MEDLINE INDUSTRIES, INC.
Aug 24, 2018 $115 SCP BONE SUBSTITUTE Food and Beverage ZIMMER BIOMET HOLDINGS, INC.
Nov 29, 2018 $107 LINVATEC ARTHROSCOPY Food and Beverage LINVATEC CORPORATION
Feb 21, 2018 $100 CERAMENT BONE VOID FILLER Food and Beverage ZIMMER BIOMET HOLDINGS, INC.
Mar 16, 2018 $93 EXT-EXTREMILOCK FOOT Food and Beverage OSTEOMED LLC
Nov 12, 2018 $88 DISTAL EXTREMITIES IMPLANTS SOFT TISSUE FIBERTAK Food and Beverage ARTHREX, INC.
Apr 20, 2018 $49 HOFFMANN VARIAX ANCHORAGE Food and Beverage STRYKER CORPORATION
Feb 13, 2018 $43 NEOX CLARIX Food and Beverage AMNIOX MEDICAL, INC.
Oct 4, 2018 $41 SALTO TALARIS TOTAL ANKLE PROSTHESIS CADENCE ANKLE REPLACEMENT SYSTEM HALLU-LOCK PANTA NAIL TOTAL FOOT SYSTEM Food and Beverage INTEGRA LIFESCIENCES CORPORATION
Aug 24, 2018 $34 ANCHORAGE Food and Beverage STRYKER CORPORATION
Jan 15, 2018 $28 No Listed Product Food and Beverage ELITE ORTHOPEDICS, LLC
Apr 18, 2018 $23 ASNIS Food and Beverage STRYKER CORPORATION
Feb 7, 2018 $21 AUTOFIX Food and Beverage STRYKER CORPORATION
Apr 19, 2018 $20 NEW PRODUCT DEVELOPMENT SMART TOE STAR VARIAX Food and Beverage STRYKER CORPORATION
Oct 2, 2018 $17 No Listed Product Food and Beverage ELITE ORTHOPEDICS, 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/212513

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.