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/258355
  • 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/258355
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.

JASON GUEVARA

Listed Specialty: Orthopaedic Surgery
4208 MURDOCKSVILLE RD, WEST END, NC, 27376-8871

2018 Payments: At a Glance

19

payments

$6,254

payment total

11

companies paid this doctor

Types of Payments

Category Payments Payment Value
Consulting
 2 $4,725
Food and Beverage
 16 $1,366
Travel and Lodging
 1 $164

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†
EXPAREL

drug

 $4,078
ATTUNE

device

 $1,022
TSOLUTION ONE SURGICAL SYSTEM

device

 $503
ACCUFILL

device

 $172
REGENETEN

device

 $163
MAKO

device

 $92
SUBCHONDROPLASTY

device

 $58
NAVIO SURGICAL SYSTEM

device

 $44
GENVISC 850

device

 $34
TRIATHLON

device

 $23
DUROLANE

device

 $22
HYALGAN

device

 $22
HYMOVIS

device

 $22
ZILRETTA

drug

 $16
TRIDENT

device

 $5
† 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

All payments are displayed, the largest appearing on top.

When How Much Related To What For From Third Party Payee
Apr 16, 2018 $3,825 EXPAREL Consulting MEDICAL DEVICE BUSINESS SERVICES, INC.
Sep 10, 2018 $900 ATTUNE Consulting DEPUY SYNTHES PRODUCTS LLC
Mar 12, 2018 $503 TSOLUTION ONE SURGICAL SYSTEM Food and Beverage THINK SURGICAL, INC.
Apr 16, 2018 $164 EXPAREL Travel and Lodging MEDICAL DEVICE BUSINESS SERVICES, INC.
Oct 18, 2018 $163 REGENETEN Food and Beverage SMITH & NEPHEW, INC.
Feb 15, 2018 $126 ACCUFILL Food and Beverage ZIMMER BIOMET HOLDINGS, INC.
Mar 6, 2018 $122 ATTUNE Food and Beverage DEPUY SYNTHES SALES INC.
Nov 13, 2018 $92 MAKO Food and Beverage STRYKER CORPORATION
Mar 1, 2018 $89 EXPAREL Food and Beverage MEDICAL DEVICE BUSINESS SERVICES, INC.
Mar 7, 2018 $58 SUBCHONDROPLASTY Food and Beverage ZIMMER BIOMET HOLDINGS, INC.
Mar 8, 2018 $46 ACCUFILL Food and Beverage ZIMMER BIOMET HOLDINGS, INC.
Mar 23, 2018 $44 NAVIO SURGICAL SYSTEM Food and Beverage SMITH & NEPHEW, INC.
Dec 20, 2018 $23 TRIATHLON Food and Beverage STRYKER CORPORATION
May 31, 2018 $22 DUROLANE Food and Beverage BIOVENTUS LLC
Feb 7, 2018 $22 HYALGAN HYMOVIS Food and Beverage FIDIA PHARMA USA INC.
Sep 27, 2018 $19 GENVISC 850 Food and Beverage ORTHOGENRX INC.
Jul 19, 2018 $16 ZILRETTA Food and Beverage FLEXION THERAPEUTICS, INC.
Jul 5, 2018 $16 GENVISC 850 Food and Beverage ORTHOGENRX INC.
Apr 10, 2018 $5 TRIDENT Food and Beverage STRYKER CORPORATION

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.