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/269698
  • 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/269698
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.

RAFAEL RUGGIERI

Listed Specialty: Surgery
2160 EWING CRAWFIS CIR, SUITE B, BELLEFONTAINE, OH, 43311-9042

2018 Payments: At a Glance

52

payments

$5,425

payment total

15

companies paid this doctor

Types of Payments

Category Payments Payment Value
Travel and Lodging
 12 $2,883
Food and Beverage
 39 $1,542
Education
 1 $1,000

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†
DA VINCI SURGICAL SYSTEM

device

 $2,389
3DMAX

device

 $1,186
VERSAJET II

device

 $935
ALLEVYN

device

 $593
ALLEVYN LIFE

device

 $593
RENASYS

device

 $593
Payments with no listed product

N/A

 $468
PHASIX

device

 $124
CYRAMZA

drug

 $66
BRIDION

drug

 $48
ENTEREG

drug

 $48
VERZENIO

drug

 $42
TACKER

device

 $28
REPATHA

drug

 $27
VIAFLOW

drug

 $25
NORTHERA

drug

 $22
JARDIANCE

drug

 $21
PRADAXA

drug

 $21
PRAXBIND

drug

 $21
PROLENE PRODUCTS

device

 $20
† 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/269698

Payment Details

When How Much Related To What For From Third Party Payee
Nov 13, 2018 $1,000 DA VINCI SURGICAL SYSTEM Education INTUITIVE SURGICAL, INC.
Aug 31, 2018 $554 3DMAX Travel and Lodging DAVOL INC.
Oct 24, 2018 $554 DA VINCI SURGICAL SYSTEM Travel and Lodging INTUITIVE SURGICAL, INC.
Oct 31, 2018 $472 3DMAX Travel and Lodging DAVOL INC.
Apr 20, 2018 $342 VERSAJET II Travel and Lodging SMITH & NEPHEW, INC.
Apr 20, 2018 $247 ALLEVYN RENASYS VERSAJET II ALLEVYN LIFE Travel and Lodging SMITH & NEPHEW, INC.
Oct 23, 2018 $204 No Listed Product Food and Beverage DAVOL INC.
Nov 30, 2018 $204 No Listed Product Food and Beverage DAVOL INC.
Nov 13, 2018 $170 DA VINCI SURGICAL SYSTEM Travel and Lodging INTUITIVE SURGICAL, INC.
Nov 5, 2018 $167 DA VINCI SURGICAL SYSTEM Travel and Lodging INTUITIVE SURGICAL, INC.
Oct 31, 2018 $160 3DMAX Food and Beverage DAVOL INC.
Apr 20, 2018 $147 ALLEVYN RENASYS VERSAJET II ALLEVYN LIFE Travel and Lodging SMITH & NEPHEW, INC.
Apr 26, 2018 $124 PHASIX Food and Beverage DAVOL INC.
Apr 20, 2018 $116 ALLEVYN RENASYS VERSAJET II ALLEVYN LIFE Food and Beverage SMITH & NEPHEW, INC.
Nov 13, 2018 $98 DA VINCI SURGICAL SYSTEM Travel and Lodging INTUITIVE SURGICAL, INC.
Nov 14, 2018 $98 DA VINCI SURGICAL SYSTEM Travel and Lodging INTUITIVE SURGICAL, INC.
Apr 21, 2018 $83 ALLEVYN RENASYS VERSAJET II ALLEVYN LIFE Food and Beverage SMITH & NEPHEW, INC.
Nov 21, 2018 $74 DA VINCI SURGICAL SYSTEM Food and Beverage INTUITIVE SURGICAL, INC.
Dec 18, 2018 $71 DA VINCI SURGICAL SYSTEM Food and Beverage INTUITIVE SURGICAL, INC.
Jan 25, 2018 $25 VIAFLOW Food and Beverage WRIGHT MEDICAL TECHNOLOGY, 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/269698

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.