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/273012
  • 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/273012
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.

RAYSHAD OSHTORY

Listed Specialty: Orthopaedic Surgery
2320 SUTTER STREET, SUITE 201, SAN FRANCISCO, CA, 94115

2018 Payments: At a Glance

162

payments

$86,525

payment total

9

companies paid this doctor

Types of Payments

Category Payments Payment Value
Travel and Lodging
 62 $24,627
Promotional Speaking/Other
 6 $23,638
Ownership or Investment Interest
 1 $12,370
Consulting
 2 $11,475
Nonaccredited Training
 4 $8,850
Food and Beverage
 87 $5,566

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†
RISE-L

device

 $20,613
XLIF

device

 $13,542
Payments with no listed product

N/A

 $13,173
ELSA

device

 $11,579
CREO

device

 $8,084
QUARTEX

device

 $7,993
ELSA ATP

device

 $3,110
CALIBER

device

 $2,100
MULTIPLE PRODUCTS

device

 $1,645
KODIAK

device

 $675
MAGEC

device

 $596
ALIF

device

 $499
COALITION

device

 $319
SAFEOP

device

 $275
X-CORE

device

 $272
KODIAK MIS

device

 $244
ARCHON

device

 $233
LLIF

device

 $190
HELIX

device

 $182
PROPEL

device

 $172
† 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/273012

Payment Details

When How Much Related To What For From Third Party Payee
Feb 2, 2018 $12,370 No Listed Product Ownership or Investment Interest SAN FRANCISCO SURGICAL SERVICES, LLC Izosh Holdings, LLC
Sep 3, 2018 $9,986 RISE-L Travel and Lodging GLOBUS MEDICAL, INC.
Jun 15, 2018 $6,800 ELSA Consulting GLOBUS MEDICAL, INC.
Sep 7, 2018 $5,738 RISE-L Promotional Speaking/Other GLOBUS MEDICAL, INC.
Jun 15, 2018 $4,675 ELSA Consulting GLOBUS MEDICAL, INC.
Sep 7, 2018 $4,250 RISE-L Promotional Speaking/Other GLOBUS MEDICAL, INC.
Feb 24, 2018 $3,850 QUARTEX Promotional Speaking/Other GLOBUS MEDICAL, INC.
Feb 24, 2018 $3,500 QUARTEX Promotional Speaking/Other GLOBUS MEDICAL, INC.
May 19, 2018 $3,500 CREO Promotional Speaking/Other GLOBUS MEDICAL, INC.
Apr 24, 2018 $3,400 XLIF Nonaccredited Training NUVASIVE, INC. Rayshad Oshtory MD, Inc.
Jun 14, 2018 $2,934 ELSA ATP Travel and Lodging GLOBUS MEDICAL, INC.
May 19, 2018 $2,800 CREO Promotional Speaking/Other GLOBUS MEDICAL, INC.
Oct 23, 2018 $2,125 XLIF Nonaccredited Training NUVASIVE, INC. Rayshad Oshtory MD, Inc.
Jan 16, 2018 $2,000 XLIF Nonaccredited Training NUVASIVE, INC. Rayshad Oshtory MD, Inc.
Aug 17, 2018 $1,680 CALIBER Travel and Lodging GLOBUS MEDICAL, INC.
May 19, 2018 $1,671 CREO Travel and Lodging GLOBUS MEDICAL, INC.
Oct 23, 2018 $1,325 XLIF Nonaccredited Training NUVASIVE, INC. Rayshad Oshtory MD, Inc.
Jan 16, 2018 $596 XLIF MAGEC Travel and Lodging NUVASIVE, INC.
Sep 6, 2018 $575 RISE-L Travel and Lodging GLOBUS MEDICAL, INC.
Jan 11, 2018 $486 XLIF Travel and Lodging NUVASIVE, 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/273012

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.