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/273900
  • 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/273900
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.

SHIRISH GADGEEL

Listed Specialty: Internal Medicine
4100 JOHN R HWCRC 4TH FL, KARMANOS CANCER CENTER, DETROIT, MI, 48201-2013

2018 Payments: At a Glance

80

payments

$79,938

payment total

16

companies paid this doctor

Types of Payments

Category Payments Payment Value
Consulting
 25 $47,351
Travel and Lodging
 15 $15,901
Promotional Speaking/Other
 11 $15,301
Food and Beverage
 28 $1,364
Education
 1 $20

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†
ALECENSA

drug

 $39,031
Payments with no listed product

N/A

 $18,223
LORBRENA

drug

 $10,210
TECENTRIQ

drug

 $9,770
NON-COVERED PRODUCT

drug

 $9,010
ALUNBRIG

drug

 $3,945
GILOTRIF

drug

 $2,591
TD BENCHMARK IHC/ISH AND SPECIAL STAINS REAGENTS

device

 $2,500
IMFINZI

drug

 $2,399
MEKINIST

drug

 $172
TAFINLAR

drug

 $172
KEYTRUDA

drug

 $105
DARZALEX

drug

 $28
IMBRUVICA

drug

 $28
† 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

When How Much Related To What For From Third Party Payee
Jul 19, 2018 $12,774 ALECENSA Travel and Lodging CHUGAI PHARMACEUTICAL CO., LTD.
Jul 19, 2018 $5,610 ALECENSA Consulting CHUGAI PHARMACEUTICAL CO., LTD.
Feb 23, 2018 $4,800 No Listed Product Consulting ABBVIE, INC.
Jul 9, 2018 $4,550 No Listed Product Consulting E.R. SQUIBB & SONS, L.L.C.
Jun 5, 2018 $4,430 ALECENSA TECENTRIQ NON-COVERED PRODUCT Consulting F. HOFFMANN-LA ROCHE AG
Sep 22, 2018 $4,200 ALECENSA NON-COVERED PRODUCT Consulting GENENTECH USA, INC.
Feb 20, 2018 $4,000 ALECENSA TECENTRIQ Consulting GENENTECH USA, INC.
Nov 12, 2018 $3,600 No Listed Product Consulting TAKEDA PHARMACEUTICALS U.S.A., INC. Meeting & Incentives Worldwide, Inc
Dec 13, 2018 $3,200 LORBRENA Promotional Speaking/Other PFIZER INC.
Aug 2, 2018 $3,200 LORBRENA Promotional Speaking/Other PFIZER INC.
Aug 21, 2018 $2,750 No Listed Product Consulting ASTRAZENECA PHARMACEUTICALS LP
Feb 5, 2018 $2,600 ALUNBRIG Consulting TAKEDA PHARMACEUTICALS U.S.A., INC.
Feb 8, 2018 $2,500 TD BENCHMARK IHC/ISH AND SPECIAL STAINS REAGENTS Promotional Speaking/Other ROCHE DIAGNOSTICS CORPORATION
Jun 30, 2018 $1,837 ALECENSA Consulting F. HOFFMANN-LA ROCHE AG
Mar 31, 2018 $1,637 ALECENSA Consulting F. HOFFMANN-LA ROCHE AG
Feb 28, 2018 $1,326 GILOTRIF Promotional Speaking/Other BOEHRINGER INGELHEIM INTERNATIONAL GMBH
May 2, 2018 $1,265 GILOTRIF Promotional Speaking/Other BOEHRINGER INGELHEIM INTERNATIONAL GMBH
Apr 11, 2018 $1,200 IMFINZI Consulting ASTRAZENECA UK LIMITED
Aug 23, 2018 $1,200 ALUNBRIG Consulting TAKEDA PHARMACEUTICALS U.S.A., INC.
Apr 18, 2018 $940 LORBRENA Promotional Speaking/Other PFIZER 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/273900

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.