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/275390
  • 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/275390
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.

ALFRED GUIRGUIS

Listed Specialty: Gynecologic Oncology
6700 W 95TH ST, SUITE 330, OAK LAWN, IL, 60453-2199

2018 Payments: At a Glance

47

payments

$28,786

payment total

10

companies paid this doctor

Types of Payments

Category Payments Payment Value
Promotional Speaking/Other
 7 $25,875
Travel and Lodging
 6 $1,665
Food and Beverage
 34 $1,246

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†
FLOSEAL

drug

 $15,880
TISSEEL

drug

 $15,879
LYNPARZA

drug

 $11,926
SURGICAL CARE - FLOSEAL

drug

 $417
SURGICAL CARE - TISSEEL

drug

 $417
AVASTIN

drug

 $177
Payments with no listed product

N/A

 $138
DA VINCI SURGICAL SYSTEM

device

 $88
KEYTRUDA

drug

 $59
RUBRACA

drug

 $34
INJECTAFER

drug

 $31
ZEJULA

drug

 $21
NEULASTA

drug

 $14
EMEND

drug

 $5
† 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
Mar 16, 2018 $6,600 FLOSEAL TISSEEL Promotional Speaking/Other BAXTER HEALTHCARE
May 21, 2018 $3,700 LYNPARZA Promotional Speaking/Other ASTRAZENECA PHARMACEUTICALS LP
Nov 7, 2018 $3,700 LYNPARZA Promotional Speaking/Other ASTRAZENECA PHARMACEUTICALS LP
Mar 16, 2018 $3,300 FLOSEAL TISSEEL Promotional Speaking/Other BAXTER HEALTHCARE
Sep 13, 2018 $3,300 FLOSEAL TISSEEL Promotional Speaking/Other BAXTER HEALTHCARE
Oct 31, 2018 $2,800 LYNPARZA Promotional Speaking/Other ASTRAZENECA PHARMACEUTICALS LP
Sep 13, 2018 $2,475 FLOSEAL TISSEEL Promotional Speaking/Other BAXTER HEALTHCARE
Oct 23, 2018 $647 LYNPARZA Travel and Lodging ASTRAZENECA PHARMACEUTICALS LP
Sep 26, 2018 $627 LYNPARZA Travel and Lodging ASTRAZENECA PHARMACEUTICALS LP
Jan 31, 2018 $183 SURGICAL CARE - TISSEEL SURGICAL CARE - FLOSEAL Travel and Lodging BAXTER HEALTHCARE
Jun 18, 2018 $138 No Listed Product Food and Beverage PLASMA SURGICAL, INC.
Jan 31, 2018 $132 SURGICAL CARE - TISSEEL SURGICAL CARE - FLOSEAL Travel and Lodging BAXTER HEALTHCARE
Mar 14, 2018 $125 LYNPARZA Food and Beverage ASTRAZENECA PHARMACEUTICALS LP
Oct 23, 2018 $125 LYNPARZA Food and Beverage ASTRAZENECA PHARMACEUTICALS LP
Jan 31, 2018 $103 SURGICAL CARE - TISSEEL SURGICAL CARE - FLOSEAL Food and Beverage BAXTER HEALTHCARE
Aug 14, 2018 $102 FLOSEAL TISSEEL Food and Beverage BAXTER HEALTHCARE
Sep 26, 2018 $95 LYNPARZA Food and Beverage ASTRAZENECA PHARMACEUTICALS LP
Oct 11, 2018 $88 AVASTIN Food and Beverage GENENTECH USA, INC.
Mar 20, 2018 $88 DA VINCI SURGICAL SYSTEM Food and Beverage INTUITIVE SURGICAL, INC.
Mar 16, 2018 $54 FLOSEAL TISSEEL Travel and Lodging BAXTER HEALTHCARE

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/275390

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.