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/213770
  • 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/213770
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.

SPENCER MELBY

Listed Specialty: Surgery
4921 PARKVIEW PL, STE 8A, SAINT LOUIS, MO, 63110-1032

2018 Payments: At a Glance

19

payments

$3,310

payment total

8

companies paid this doctor

Types of Payments

Category Payments Payment Value
Food and Beverage
 17 $1,760
Education
 1 $800
Consulting
 1 $750

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†
AORTIC TISSUE VALVE - PERCEVAL

device

 $800
NONE

device

 $750
ON-X

device

 $667
MITRA CLIP SYSTEM

device

 $434
BIOGLUE

device

 $200
INSPIRIS RESILIA AORTIC VALVE

device

 $168
MYOCARDIAL PROTECTION SYSTEM

device

 $168
EDWARDS SAPIEN 3 TRANSCATHETER HEART VALVE

device

 $145
MOSAIC

device

 $105
MITRAL RING - MEMO 3D RECHORD

device

 $30
NEW PRODUCT DEVELOPMENT

device

 $24
COR KNOT

device

 $20
PHOTOFIX

device

 $8
† 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

All payments are displayed, the largest appearing on top.

When How Much Related To What For From Third Party Payee
Jun 19, 2018 $800 AORTIC TISSUE VALVE - PERCEVAL Education LIVANOVA USA, INC.
May 10, 2018 $750 NONE Consulting STRYKER CORPORATION
Jan 29, 2018 $246 ON-X Food and Beverage CRYOLIFE, INC.
Apr 10, 2018 $173 BIOGLUE ON-X Food and Beverage CRYOLIFE, INC.
Nov 28, 2018 $168 INSPIRIS RESILIA AORTIC VALVE Food and Beverage EDWARDS LIFESCIENCES CORPORATION
May 8, 2018 $150 MITRA CLIP SYSTEM Food and Beverage ABBOTT LABORATORIES
Oct 24, 2018 $145 EDWARDS SAPIEN 3 TRANSCATHETER HEART VALVE Food and Beverage EDWARDS LIFESCIENCES CORPORATION
Dec 4, 2018 $142 MITRA CLIP SYSTEM Food and Beverage ABBOTT LABORATORIES
Dec 4, 2018 $142 MITRA CLIP SYSTEM Food and Beverage ABBOTT LABORATORIES
Apr 30, 2018 $120 ON-X Food and Beverage CRYOLIFE, INC.
Sep 11, 2018 $105 MOSAIC Food and Beverage MEDTRONIC VASCULAR, INC.
Sep 13, 2018 $100 ON-X Food and Beverage CRYOLIFE, INC.
May 25, 2018 $88 MYOCARDIAL PROTECTION SYSTEM Food and Beverage QUEST MEDICAL INC.
Nov 3, 2018 $80 MYOCARDIAL PROTECTION SYSTEM Food and Beverage QUEST MEDICAL INC.
May 1, 2018 $30 MITRAL RING - MEMO 3D RECHORD Food and Beverage LIVANOVA USA, INC.
Jan 29, 2018 $24 NEW PRODUCT DEVELOPMENT Food and Beverage STRYKER CORPORATION
Apr 24, 2018 $20 COR KNOT Food and Beverage LSI SOLUTIONS INC
Jul 27, 2018 $19 BIOGLUE ON-X Food and Beverage CRYOLIFE, INC.
Oct 6, 2018 $8 BIOGLUE ON-X PHOTOFIX Food and Beverage CRYOLIFE, INC.

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.