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/264678
  • 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/264678
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.

FABIAN RAMOS

Listed Specialty: Interventional Pain Medicine
100 3RD AVE W, SUITE 110, BRADENTON, FL, 34205-8638

2018 Payments: At a Glance

90

payments

$2,187

payment total

24

companies paid this doctor

Types of Payments

Category Payments Payment Value
Food and Beverage
 86 $1,493
Travel and Lodging
 3 $679
Gift
 1 $15

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†
MILD DEVICE KIT

device

 $706
SENZA SPINAL CORD STIMULATION SYSTEM

device

 $456
PRODISC C

device

 $183
LYRICA

drug

 $181
EMBEDA

drug

 $162
FLECTOR PATCH

drug

 $147
XTAMPZA

drug

 $96
AIMOVIG

drug

 $89
SYNCHROMED

device

 $66
MORPHABOND ER

drug

 $63
GRALISE

drug

 $53
ZILRETTA

drug

 $48
HORIZANT

drug

 $33
CAMBIA

drug

 $30
NUCYNTA

drug

 $25
BUNAVAIL

drug

 $24
EVZIO

drug

 $24
LUCEMYRA

drug

 $22
RELISTOR

drug

 $22
Payments with no listed product

N/A

 $21
† 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/264678

Payment Details

When How Much Related To What For From Third Party Payee
Oct 4, 2018 $478 MILD DEVICE KIT Travel and Lodging VERTOS MEDICAL, INC.
May 19, 2018 $183 PRODISC C Food and Beverage CENTINEL SPINE, LLC
Oct 30, 2018 $180 MILD DEVICE KIT Travel and Lodging VERTOS MEDICAL, INC.
Jan 11, 2018 $150 SENZA SPINAL CORD STIMULATION SYSTEM Food and Beverage NEVRO CORP.
Mar 6, 2018 $108 SENZA SPINAL CORD STIMULATION SYSTEM Food and Beverage NEVRO CORP.
Jan 11, 2018 $66 SYNCHROMED Food and Beverage MEDTRONIC USA, INC.
Jun 28, 2018 $24 GRALISE Food and Beverage DEPOMED, INC.
Nov 30, 2018 $22 LUCEMYRA RELISTOR Food and Beverage SALIX PHARMACEUTICALS, A DIVISION OF BAUSCH HEALTH US, LLC
Dec 18, 2018 $22 AIMOVIG Food and Beverage NOVARTIS PHARMACEUTICALS CORPORATION
May 8, 2018 $21 ZILRETTA Food and Beverage FLEXION THERAPEUTICS, INC.
Aug 9, 2018 $21 LYRICA EMBEDA FLECTOR PATCH Food and Beverage PFIZER INC.
Jan 18, 2018 $20 LYRICA EMBEDA FLECTOR PATCH Food and Beverage PFIZER INC.
Oct 29, 2018 $20 MILD DEVICE KIT Travel and Lodging VERTOS MEDICAL, INC.
Jun 21, 2018 $20 HORIZANT Food and Beverage ARBOR PHARMACEUTICALS, INC.
Feb 9, 2018 $20 MORPHABOND ER Food and Beverage DAIICHI SANKYO INC.
Oct 12, 2018 $20 ALGOVITA Food and Beverage NUVECTRA CORPORATION
Jun 5, 2018 $19 SENZA SPINAL CORD STIMULATION SYSTEM Food and Beverage NEVRO CORP.
Jan 30, 2018 $19 CAMBIA GRALISE Food and Beverage DEPOMED, INC.
Sep 18, 2018 $18 ZOHYDRO ER Food and Beverage PERNIX THERAPEUTICS HOLDINGS, INC.
May 31, 2018 $18 AIMOVIG Food and Beverage AMGEN 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/264678

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.