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/246883
  • 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/246883
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.

WINSTON MARSHALL

Listed Specialty: Interventional Cardiology
5012 S US HIGHWAY 75, SUITE 100, DENISON, TX, 75020-4587

2018 Payments: At a Glance

134

payments

$3,367

payment total

23

companies paid this doctor

Types of Payments

Category Payments Payment Value
Food and Beverage
 129 $2,785
Travel and Lodging
 4 $570
Education
 1 $12

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†
ASAHI FIELDER CORONARY GUIDE WIRE

device

 $773
NC TREK CORONARY CATHETERS

device

 $773
XIENCE V CORONARY STENT SYSTEM

device

 $773
HI-TORQUE CORONARY GUIDE WIRE

device

 $773
IMPELLA

device

 $215
Payments with no listed product

N/A

 $200
ELIQUIS

drug

 $191
CLARIA MRI

device

 $170
ENTRESTO

drug

 $145
XARELTO

drug

 $134
AZURE

device

 $125
CHANTIX

drug

 $107
OPTIS CORONARY IMAGING SYSTEM

device

 $106
PRALUENT

drug

 $102
RESOLUTE

device

 $100
LONHALA MAGNAIR

drug

 $92
RANEXA

drug

 $91
LIFEVEST

device

 $86
YOSPRALA

drug

 $73
ZONTIVITY

drug

 $73
† 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/246883

Payment Details

When How Much Related To What For From Third Party Payee
Nov 8, 2018 $278 ASAHI FIELDER CORONARY GUIDE WIRE HI-TORQUE CORONARY GUIDE WIRE NC TREK CORONARY CATHETERS XIENCE V CORONARY STENT SYSTEM Travel and Lodging ABBOTT LABORATORIES
Oct 8, 2018 $273 ASAHI FIELDER CORONARY GUIDE WIRE HI-TORQUE CORONARY GUIDE WIRE NC TREK CORONARY CATHETERS XIENCE V CORONARY STENT SYSTEM Travel and Lodging ABBOTT LABORATORIES
Nov 14, 2018 $135 IMPELLA Food and Beverage ABIOMED
Nov 8, 2018 $127 ASAHI FIELDER CORONARY GUIDE WIRE HI-TORQUE CORONARY GUIDE WIRE NC TREK CORONARY CATHETERS XIENCE V CORONARY STENT SYSTEM Food and Beverage ABBOTT LABORATORIES
Jun 21, 2018 $92 LONHALA MAGNAIR Food and Beverage SUNOVION PHARMACEUTICALS INC.
Mar 29, 2018 $91 RANEXA Food and Beverage GILEAD SCIENCES INC
Dec 5, 2018 $88 XARELTO Food and Beverage JANSSEN PHARMACEUTICALS, INC
May 23, 2018 $87 PRALUENT Food and Beverage SANOFI-AVENTIS U.S. LLC
Dec 14, 2018 $71 OPTIS CORONARY IMAGING SYSTEM Food and Beverage ABBOTT LABORATORIES
Dec 31, 2018 $55 HI-TORQUE ADVANCE GUIDE WIRE Food and Beverage ABBOTT LABORATORIES
Jul 18, 2018 $39 ASAHI FIELDER CORONARY GUIDE WIRE HI-TORQUE CORONARY GUIDE WIRE NC TREK CORONARY CATHETERS XIENCE V CORONARY STENT SYSTEM Food and Beverage ABBOTT LABORATORIES
Jan 8, 2018 $39 AZURE Food and Beverage MEDTRONIC VASCULAR, INC.
Dec 14, 2018 $36 OPTIS CORONARY IMAGING SYSTEM Food and Beverage ABBOTT LABORATORIES
May 24, 2018 $35 XARELTO Food and Beverage JANSSEN PHARMACEUTICALS, INC
Aug 28, 2018 $29 QUADRA ASSURA CRT DEFIBRILLATOR Food and Beverage ABBOTT LABORATORIES
Sep 6, 2018 $29 CLARIA MRI Food and Beverage MEDTRONIC VASCULAR, INC.
Jun 6, 2018 $29 CLARIA MRI Food and Beverage MEDTRONIC VASCULAR, INC.
Aug 16, 2018 $28 BEVYXXA Food and Beverage PORTOLA PHARMACEUTICALS, INC.
Apr 25, 2018 $28 CLARIA MRI Food and Beverage MEDTRONIC VASCULAR, INC.
Jan 22, 2018 $27 RESOLUTE Food and Beverage MEDTRONIC VASCULAR, 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/246883

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.