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/231760
  • 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/231760
If you spot an error, please let us know at drugs@propublica.org.

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.

ALDONA SPIEGEL

Listed Specialty: Plastic and Reconstructive Surgery
6560 FANNIN ST, SUITE 2200, HOUSTON, TX, 77030-2761

2018 Payments: At a Glance

28

payments

$46,977

payment total

11

companies paid this doctor

Types of Payments

Category Payments Payment Value
Consulting
 2 $44,501
Food and Beverage
 22 $1,526
Travel and Lodging
 4 $951

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†
Payments with no listed product

N/A

 $45,495
ALLODERM

device

 $379
AXOGUARD NERVE CONNECTOR

device

 $323
AXOGUARD NERVE PROTECTOR

device

 $323
MEMORYGEL BREAST IMPLANTS

device

 $225
BOTOX

drug

 $122
VSP RECONSTRUCTION

device

 $107
PREVENA

device

 $106
PHASIX

device

 $102
NO RELATED PRODUCT

device

 $50
PICO

device

 $36
BELLADERM

device

 $27
ARTOURA BREAST TISSUE EXPANDER

device

 $7
† 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
Oct 2, 2018 $26,363 No Listed Product Consulting MUSCULOSKELETAL TRANSPLANT FOUNDATION INC.
Oct 30, 2018 $18,138 No Listed Product Consulting MUSCULOSKELETAL TRANSPLANT FOUNDATION INC.
Jan 30, 2018 $449 No Listed Product Travel and Lodging MUSCULOSKELETAL TRANSPLANT FOUNDATION INC. American Express
Feb 20, 2018 $219 No Listed Product Travel and Lodging MUSCULOSKELETAL TRANSPLANT FOUNDATION INC. Class A Transportation LLC
Nov 28, 2018 $205 AXOGUARD NERVE CONNECTOR AXOGUARD NERVE PROTECTOR Food and Beverage AXOGEN
Mar 13, 2018 $193 No Listed Product Travel and Lodging MUSCULOSKELETAL TRANSPLANT FOUNDATION INC. Flyte Tyme Limousine
Jun 8, 2018 $150 ALLODERM Food and Beverage ALLERGAN INC.
Sep 29, 2018 $122 BOTOX Food and Beverage ALLERGAN INC.
Apr 19, 2018 $121 ALLODERM Food and Beverage ALLERGAN INC.
Sep 13, 2018 $114 MEMORYGEL BREAST IMPLANTS Food and Beverage MENTOR WORLDWIDE LLC
Apr 9, 2018 $107 VSP RECONSTRUCTION Food and Beverage STRYKER CORPORATION
Jun 5, 2018 $106 PREVENA Food and Beverage KCI USA, INC
Jun 21, 2018 $102 PHASIX Food and Beverage DAVOL INC.
Mar 28, 2018 $90 AXOGUARD NERVE CONNECTOR AXOGUARD NERVE PROTECTOR Food and Beverage AXOGEN
Feb 20, 2018 $90 No Listed Product Travel and Lodging MUSCULOSKELETAL TRANSPLANT FOUNDATION INC. Class A Transportation LLC
Sep 29, 2018 $89 MEMORYGEL BREAST IMPLANTS Food and Beverage MENTOR WORLDWIDE LLC
Sep 28, 2018 $83 ALLODERM Food and Beverage ALLERGAN INC.
Nov 15, 2018 $50 NO RELATED PRODUCT Food and Beverage BAXTER HEALTHCARE
Apr 9, 2018 $28 AXOGUARD NERVE CONNECTOR AXOGUARD NERVE PROTECTOR Food and Beverage AXOGEN
Sep 29, 2018 $27 BELLADERM Food and Beverage MENTOR WORLDWIDE 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/231760

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 drugs@propublica.org.

This site includes data published by the Centers for Medicare and Medicaid Services on June 28, 2019.