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/214157
  • 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/214157
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.

HENRY SMALL

Listed Specialty: Orthopaedic Surgery
1517 THOMPSON RD, RICHMOND, TX, 77469-4932

2018 Payments: At a Glance

67

payments

$3,499

payment total

18

companies paid this doctor

Types of Payments

Category Payments Payment Value
Food and Beverage
 60 $2,002
Travel and Lodging
 7 $1,496

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†
IFUSE IMPLANT

device

 $1,207
ACCUFILL

device

 $760
ALGOVITA

device

 $225
MI-EYE

device

 $203
MAKO

device

 $181
INTERFUSE

device

 $176
CAVUX CERVICAL CAGE

device

 $143
DTRAX SPINAL SYSTEM

device

 $143
ALLY BONE SCREW

device

 $143
BIOLOGIX ALLOGRAFT BONE

device

 $143
BIOWICK

device

 $112
FORTEO

drug

 $74
TYMLOS

drug

 $66
EVZIO

drug

 $61
BIOMET SPINALPAK

device

 $42
PICO

device

 $39
BIXCUT

device

 $32
ARYMO ER

drug

 $31
RELISTOR

drug

 $21
COFLEX

device

 $21
† 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/214157

Payment Details

When How Much Related To What For From Third Party Payee
Oct 22, 2018 $527 IFUSE IMPLANT Travel and Lodging SI-BONE, INC.
Apr 6, 2018 $485 ACCUFILL Travel and Lodging ZIMMER BIOMET HOLDINGS, INC.
Nov 17, 2018 $249 IFUSE IMPLANT Travel and Lodging SI-BONE, INC.
Mar 8, 2018 $173 MI-EYE Food and Beverage TRICE MEDICAL, INC.
Apr 13, 2018 $170 ACCUFILL Travel and Lodging ZIMMER BIOMET HOLDINGS, INC. HENRY N. SMALL, M.D., P.A.
Nov 17, 2018 $138 IFUSE IMPLANT Food and Beverage SI-BONE, INC.
Aug 29, 2018 $123 ALGOVITA Food and Beverage NUVECTRA CORPORATION
Mar 29, 2018 $115 CAVUX CERVICAL CAGE DTRAX SPINAL SYSTEM ALLY BONE SCREW BIOLOGIX ALLOGRAFT BONE Food and Beverage PROVIDENCE MEDICAL TECHNOLOGY, INC.
Apr 7, 2018 $112 BIOWICK Food and Beverage ZIMMER BIOMET HOLDINGS, INC.
Mar 29, 2018 $88 INTERFUSE Food and Beverage VERTEBRAL TECHNOLOGIES, INC.
Nov 18, 2018 $79 IFUSE IMPLANT Food and Beverage SI-BONE, INC.
Dec 12, 2018 $56 ALGOVITA Food and Beverage NUVECTRA CORPORATION
May 18, 2018 $47 INTERFUSE Food and Beverage VERTEBRAL TECHNOLOGIES, INC.
Jul 28, 2018 $41 INTERFUSE Food and Beverage VERTEBRAL TECHNOLOGIES, INC.
May 17, 2018 $40 MAKO Food and Beverage STRYKER CORPORATION
Mar 24, 2018 $37 MAKO Food and Beverage STRYKER CORPORATION
Nov 16, 2018 $36 IFUSE IMPLANT Food and Beverage SI-BONE, INC.
Jan 23, 2018 $36 MAKO Food and Beverage STRYKER CORPORATION
Apr 10, 2018 $35 ACCUFILL Food and Beverage ZIMMER BIOMET HOLDINGS, INC. HENRY N. SMALL, M.D., P.A.
Apr 6, 2018 $34 ACCUFILL Travel and Lodging ZIMMER BIOMET HOLDINGS, 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/214157

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.