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/284963
  • 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/284963
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.

PETER HIGHLANDER

Listed Specialty: Podiatrist, Foot & Ankle Surgery
3373 COMMERCE PKWY, SUITE 2, WOOSTER, OH, 44691-7130

2018 Payments: At a Glance

31

payments

$14,035

payment total

4

companies paid this doctor

Types of Payments

Category Payments Payment Value
Consulting
 4 $3,683
Promotional Speaking/Other
 2 $3,200
Travel and Lodging
 8 $3,054
Nonaccredited Training
 1 $2,000
Education
 1 $1,497
Food and Beverage
 15 $601

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†
CADENCE ANKLE REPLACEMENT SYSTEM

device

 $5,375
SALTO TALARIS TOTAL ANKLE PROSTHESIS

device

 $5,375
TOTAL FOOT SYSTEM

device

 $5,375
EXT-OTHER

device

 $4,993
PANTA NAIL

device

 $3,640
EXT-EXTREMILOCK FOOT

device

 $2,044
EXT-EXTREMILOCK ANKLE

device

 $2,000
EXT-HEADLESS SCREW

device

 $2,000
EXT-EXTREMIFIX MIDSIZE/LARGE

device

 $2,000
EXT-STAPLE

device

 $2,000
Payments with no listed product

N/A

 $1,497
HALLU-LOCK

device

 $185
MTP PLATING

device

 $99
AMNIOEXCEL

device

 $28
BILAYER WOUND MATRIX BWM

device

 $28
FLOWABLE

device

 $28
IDRT

device

 $28
INTEGRA WOUND MATRIX IWM

device

 $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
May 8, 2018 $3,680 EXT-OTHER Consulting OSTEOMED LLC
Dec 21, 2018 $2,200 SALTO TALARIS TOTAL ANKLE PROSTHESIS PANTA NAIL TOTAL FOOT SYSTEM CADENCE ANKLE REPLACEMENT SYSTEM Promotional Speaking/Other INTEGRA LIFESCIENCES CORPORATION
Feb 12, 2018 $2,000 EXT-HEADLESS SCREW EXT-EXTREMILOCK FOOT EXT-EXTREMILOCK ANKLE EXT-STAPLE EXT-EXTREMIFIX MIDSIZE/LARGE Nonaccredited Training OSTEOMED LLC
Aug 22, 2018 $1,497 No Listed Product Education CDC MEDICAL LLC
Dec 21, 2018 $1,000 SALTO TALARIS TOTAL ANKLE PROSTHESIS PANTA NAIL TOTAL FOOT SYSTEM CADENCE ANKLE REPLACEMENT SYSTEM Promotional Speaking/Other INTEGRA LIFESCIENCES CORPORATION
Oct 30, 2018 $948 SALTO TALARIS TOTAL ANKLE PROSTHESIS TOTAL FOOT SYSTEM CADENCE ANKLE REPLACEMENT SYSTEM Travel and Lodging INTEGRA LIFESCIENCES CORPORATION
Mar 29, 2018 $905 EXT-OTHER Travel and Lodging OSTEOMED LLC
Aug 21, 2018 $711 SALTO TALARIS TOTAL ANKLE PROSTHESIS TOTAL FOOT SYSTEM CADENCE ANKLE REPLACEMENT SYSTEM Travel and Lodging INTEGRA LIFESCIENCES CORPORATION
Apr 14, 2018 $175 EXT-OTHER Travel and Lodging OSTEOMED LLC
Dec 21, 2018 $121 SALTO TALARIS TOTAL ANKLE PROSTHESIS PANTA NAIL TOTAL FOOT SYSTEM CADENCE ANKLE REPLACEMENT SYSTEM Travel and Lodging INTEGRA LIFESCIENCES CORPORATION
Apr 14, 2018 $118 EXT-OTHER Travel and Lodging OSTEOMED LLC
Apr 14, 2018 $85 EXT-OTHER Food and Beverage OSTEOMED LLC
Aug 29, 2018 $78 SALTO TALARIS TOTAL ANKLE PROSTHESIS CADENCE ANKLE REPLACEMENT SYSTEM HALLU-LOCK PANTA NAIL TOTAL FOOT SYSTEM Food and Beverage INTEGRA LIFESCIENCES CORPORATION
Dec 21, 2018 $77 SALTO TALARIS TOTAL ANKLE PROSTHESIS PANTA NAIL TOTAL FOOT SYSTEM CADENCE ANKLE REPLACEMENT SYSTEM Food and Beverage INTEGRA LIFESCIENCES CORPORATION
Dec 21, 2018 $57 SALTO TALARIS TOTAL ANKLE PROSTHESIS PANTA NAIL TOTAL FOOT SYSTEM CADENCE ANKLE REPLACEMENT SYSTEM Food and Beverage INTEGRA LIFESCIENCES CORPORATION
Nov 15, 2018 $50 MTP PLATING Food and Beverage PARAGON 28, INC.
Nov 15, 2018 $50 MTP PLATING Food and Beverage PARAGON 28, INC.
Oct 30, 2018 $39 SALTO TALARIS TOTAL ANKLE PROSTHESIS TOTAL FOOT SYSTEM CADENCE ANKLE REPLACEMENT SYSTEM Travel and Lodging INTEGRA LIFESCIENCES CORPORATION
Aug 21, 2018 $38 SALTO TALARIS TOTAL ANKLE PROSTHESIS TOTAL FOOT SYSTEM CADENCE ANKLE REPLACEMENT SYSTEM Travel and Lodging INTEGRA LIFESCIENCES CORPORATION
Feb 8, 2018 $28 BILAYER WOUND MATRIX BWM INTEGRA WOUND MATRIX IWM AMNIOEXCEL IDRT FLOWABLE Food and Beverage INTEGRA LIFESCIENCES CORPORATION

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/284963

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.