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/226425
  • 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/226425
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.


BRIAN ADAMS

Listed Specialty: Hand Surgery
200 HAWKINS DR, IOWA CITY, IA, 52242-1009

2018 Payments: At a Glance

85

payments

$193,315

payment total

8

companies paid this doctor

Types of Payments

Category Payments Payment Value
Royalty or License
20 $146K
Consulting
23 $40,940
Travel and Lodging
14 $3,533
Food and Beverage
27 $1,879
Promotional Speaking/Other
1 $795

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
FREEDOM WRIST

device

$132K
TITAN-SHOULDER

device

$23,812
PYRO MCP

device

$22,749
EXTERNAL FIXATION SYSTEM

device

$18,437
CARPALFIX

device

$18,296
XMCP

device

$18,296
SIMPLICITI

device

$14,451
DRUJ-DISTAL RADIAN ULNAR JOINT

device

$13,324
BLUEPRINT PSI SYSTEM

device

$6,066
PT-PARTIALLY THREADED

device

$3,373
UNI2

device

$3,236
Payments with no listed product

N/A

$2,313
REVERSE SHOULDER

device

$615
TSSM - TOTAL SHOULDER SYSTEM METAL

device

$611
PERFORM GLENOID

device

$168
VARIAX

device

$150
PRO-DENSE

device

$139
EXOGEN

device

$20
XIAFLEX

drug

$16
EBI BONE HEALING SYSTEM

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
Feb 23, 2018 $29,844 FREEDOM WRIST Royalty or License INTEGRA LIFESCIENCES CORPORATION
Aug 17, 2018 $27,760 FREEDOM WRIST Royalty or License INTEGRA LIFESCIENCES CORPORATION
Feb 23, 2018 $26,087 FREEDOM WRIST Royalty or License INTEGRA LIFESCIENCES CORPORATION
Nov 26, 2018 $24,249 FREEDOM WRIST Royalty or License INTEGRA LIFESCIENCES CORPORATION
May 25, 2018 $5,308 XMCP CARPALFIX Royalty or License EXTREMITY MEDICAL
Aug 27, 2018 $4,767 XMCP CARPALFIX Royalty or License EXTREMITY MEDICAL
Aug 24, 2018 $4,500 FREEDOM WRIST TITAN-SHOULDER EXTERNAL FIXATION SYSTEM PYRO MCP Consulting INTEGRA LIFESCIENCES CORPORATION
Nov 29, 2018 $4,186 XMCP CARPALFIX Royalty or License EXTREMITY MEDICAL
Feb 23, 2018 $4,043 DRUJ-DISTAL RADIAN ULNAR JOINT Royalty or License INTEGRA LIFESCIENCES CORPORATION
Jan 31, 2018 $4,035 XMCP CARPALFIX Royalty or License EXTREMITY MEDICAL
Aug 24, 2018 $4,000 FREEDOM WRIST TITAN-SHOULDER EXTERNAL FIXATION SYSTEM PYRO MCP Consulting INTEGRA LIFESCIENCES CORPORATION
Dec 21, 2018 $3,500 SIMPLICITI Consulting WRIGHT MEDICAL TECHNOLOGY, INC.
Feb 23, 2018 $3,488 DRUJ-DISTAL RADIAN ULNAR JOINT Royalty or License INTEGRA LIFESCIENCES CORPORATION
Aug 24, 2018 $3,250 FREEDOM WRIST TITAN-SHOULDER EXTERNAL FIXATION SYSTEM PYRO MCP Consulting INTEGRA LIFESCIENCES CORPORATION
Aug 17, 2018 $3,136 DRUJ-DISTAL RADIAN ULNAR JOINT Royalty or License INTEGRA LIFESCIENCES CORPORATION
Jan 12, 2018 $2,785 FREEDOM WRIST TITAN-SHOULDER PYRO MCP Consulting INTEGRA LIFESCIENCES CORPORATION
May 28, 2018 $2,750 SIMPLICITI Consulting WRIGHT MEDICAL TECHNOLOGY, INC.
Nov 26, 2018 $2,658 DRUJ-DISTAL RADIAN ULNAR JOINT Royalty or License INTEGRA LIFESCIENCES CORPORATION
Dec 21, 2018 $2,000 SIMPLICITI Consulting WRIGHT MEDICAL TECHNOLOGY, INC.
May 28, 2018 $2,000 SIMPLICITI Consulting WRIGHT MEDICAL TECHNOLOGY, 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/226425

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.