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/217267
  • 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/217267
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.

JOHN LAGOUTARIS

Listed Specialty: Podiatrist, Foot Surgery
300 KINGSLEY LAKE DR, STE. 402, SAINT AUGUSTINE, FL, 32092-3037

2018 Payments: At a Glance

86

payments

$2,679

payment total

15

companies paid this doctor

Types of Payments

Category Payments Payment Value
Food and Beverage
 80 $2,048
Travel and Lodging
 6 $632

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†
CADENCE ANKLE REPLACEMENT SYSTEM

device

 $487
SALTO TALARIS TOTAL ANKLE PROSTHESIS

device

 $487
BILAYER WOUND MATRIX BWM

device

 $485
FLOWABLE

device

 $485
INTEGRA WOUND MATRIX IWM

device

 $485
IDRT

device

 $449
BIOVANCE

drug

 $301
KRYSTEXXA

drug

 $258
AMNIOEXCEL

device

 $221
RAYOS

drug

 $219
Payments with no listed product

N/A

 $193
PRIMATRIX

device

 $180
TCC-EZ

device

 $180
PERIPHERAL ORBITAL ATHERECTOMY SYSTEM

device

 $99
OMNIGRAFT

device

 $99
LUTONIX

device

 $93
PANTA NAIL

device

 $90
TOTAL FOOT SYSTEM

device

 $90
NON APPLICABLE

device

 $89
MEDIHONEY

device

 $78
† 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/217267

Payment Details

When How Much Related To What For From Third Party Payee
Jun 17, 2018 $379 BILAYER WOUND MATRIX BWM IDRT FLOWABLE INTEGRA WOUND MATRIX IWM Travel and Lodging INTEGRA LIFESCIENCES CORPORATION
Jul 20, 2018 $140 SALTO TALARIS TOTAL ANKLE PROSTHESIS CADENCE ANKLE REPLACEMENT SYSTEM Travel and Lodging INTEGRA LIFESCIENCES CORPORATION
Jul 20, 2018 $139 SALTO TALARIS TOTAL ANKLE PROSTHESIS CADENCE ANKLE REPLACEMENT SYSTEM Food and Beverage INTEGRA LIFESCIENCES CORPORATION
Dec 6, 2018 $125 KRYSTEXXA Food and Beverage HORIZON PHARMA PLC
Mar 20, 2018 $124 RAYOS Food and Beverage HORIZON PHARMA PLC
Mar 29, 2018 $102 BIOVANCE Food and Beverage ALLIQUA BIOMEDICAL, INC.
Mar 29, 2018 $102 BIOVANCE Food and Beverage ALLIQUA BIOMEDICAL, INC.
Jun 26, 2018 $99 PERIPHERAL ORBITAL ATHERECTOMY SYSTEM Food and Beverage CARDIOVASCULAR SYSTEMS INC.
Mar 7, 2018 $95 No Listed Product Food and Beverage TEAM 1, LLC
Feb 23, 2018 $73 TRUE Food and Beverage BARD PERIPHERAL VASCULAR, INC.
Jan 5, 2018 $69 PRIMATRIX NON APPLICABLE TCC-EZ AMNIOEXCEL Food and Beverage TEI MEDICAL INC.
Jun 25, 2018 $66 BIOVANCE Food and Beverage CELULARITY FUNCTIONAL REGENERATION, LLC
Jul 21, 2018 $59 SALTO TALARIS TOTAL ANKLE PROSTHESIS CADENCE ANKLE REPLACEMENT SYSTEM Travel and Lodging INTEGRA LIFESCIENCES CORPORATION
Feb 13, 2018 $51 LUTONIX Food and Beverage BARD PERIPHERAL VASCULAR, INC.
Aug 30, 2018 $50 KRYSTEXXA Food and Beverage HORIZON PHARMA PLC
Oct 15, 2018 $49 OMNIGRAFT PRIMATRIX MEDIHONEY TCC-EZ AMNIOEXCEL Food and Beverage INTEGRA LIFESCIENCES CORPORATION
Oct 15, 2018 $46 BILAYER WOUND MATRIX BWM INTEGRA WOUND MATRIX IWM AMNIOEXCEL IDRT FLOWABLE Food and Beverage INTEGRA LIFESCIENCES CORPORATION
May 3, 2018 $43 LIFESTENT Food and Beverage BARD PERIPHERAL VASCULAR, INC.
Jun 11, 2018 $40 GRAFIX & STRAVIX Food and Beverage OSIRIS THERAPEUTICS INC.
Jul 21, 2018 $36 SALTO TALARIS TOTAL ANKLE PROSTHESIS CADENCE ANKLE REPLACEMENT SYSTEM Food and Beverage INTEGRA LIFESCIENCES CORPORATION

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/217267

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.