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/266146
  • 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/266146
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.

CARLOS PICONE

Listed Specialty: Pulmonary Disease
5530 WISCONSIN AVE, SUITE 930, CHEVY CHASE, MD, 20815-4404

2018 Payments: At a Glance

161

payments

$16,893

payment total

25

companies paid this doctor

Types of Payments

Category Payments Payment Value
Promotional Speaking/Other
 7 $11,910
Food and Beverage
 151 $4,244
Travel and Lodging
 3 $739

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†
XARELTO

drug

 $9,727
Payments with no listed product

N/A

 $2,241
LETAIRIS

drug

 $1,862
SYMBICORT

drug

 $474
FASENRA

drug

 $336
STIOLTO RESPIMAT

drug

 $298
OFEV

drug

 $234
OPSUMIT

drug

 $214
VELETRI EPOPROSTENOL

drug

 $177
VENTAVIS ILOPROST

drug

 $177
ELIQUIS

drug

 $150
NUCALA

drug

 $141
PROAIR

drug

 $132
TUDORZA PRESSAIR

drug

 $126
ANORO

drug

 $122
ESBRIET

drug

 $104
PERFOROMIST

drug

 $91
TRELEGY ELLIPTA

drug

 $70
XOLAIR

drug

 $66
AVYCAZ

drug

 $64
† 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/266146

Payment Details

When How Much Related To What For From Third Party Payee
Dec 12, 2018 $3,055 XARELTO Promotional Speaking/Other JANSSEN PHARMACEUTICALS, INC
Dec 19, 2018 $3,055 XARELTO Promotional Speaking/Other JANSSEN PHARMACEUTICALS, INC
Apr 19, 2018 $2,000 XARELTO Promotional Speaking/Other JANSSEN PHARMACEUTICALS, INC
Feb 5, 2018 $1,750 No Listed Product Promotional Speaking/Other GILEAD SCIENCES INC
Jan 12, 2018 $1,750 LETAIRIS Promotional Speaking/Other GILEAD SCIENCES INC
Apr 21, 2018 $680 XARELTO Travel and Lodging JANSSEN PHARMACEUTICALS, INC
Nov 14, 2018 $150 XARELTO Promotional Speaking/Other JANSSEN PHARMACEUTICALS, INC
Nov 14, 2018 $150 XARELTO Promotional Speaking/Other JANSSEN PHARMACEUTICALS, INC
Jan 17, 2018 $132 PROAIR Food and Beverage TEVA PHARMACEUTICALS USA, INC.
Apr 21, 2018 $125 XARELTO Food and Beverage JANSSEN PHARMACEUTICALS, INC
Feb 21, 2018 $121 No Listed Product Food and Beverage GILEAD SCIENCES INC
Mar 21, 2018 $115 FASENRA Food and Beverage ASTRAZENECA PHARMACEUTICALS LP
Jun 12, 2018 $113 ELIQUIS Food and Beverage E.R. SQUIBB & SONS, L.L.C.
Oct 17, 2018 $112 FASENRA Food and Beverage ASTRAZENECA PHARMACEUTICALS LP
Jan 10, 2018 $112 LETAIRIS Food and Beverage GILEAD SCIENCES INC
Dec 12, 2018 $108 XARELTO Food and Beverage JANSSEN PHARMACEUTICALS, INC
Apr 18, 2018 $106 SYMBICORT Food and Beverage ASTRAZENECA PHARMACEUTICALS LP
Sep 26, 2018 $97 No Listed Product Food and Beverage BOEHRINGER INGELHEIM PHARMACEUTICALS, INC.
Dec 6, 2018 $96 XARELTO Food and Beverage JANSSEN PHARMACEUTICALS, INC
May 16, 2018 $94 OFEV Food and Beverage BOEHRINGER INGELHEIM PHARMACEUTICALS, 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/266146

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.