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/286703
  • 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/286703
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.


BORIS ZELLE

Listed Specialty: Orthopaedic Trauma
4502 MEDICAL DR, SAN ANTONIO, TX, 78229-4402

2018 Payments: At a Glance

27

payments

$14,681

payment total

8

companies paid this doctor

Types of Payments

Category Payments Payment Value
Accredited Training
2 $6,500
Travel and Lodging
9 $5,928
Food and Beverage
15 $1,352
Education
1 $901

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
Payments with no listed product

N/A

$12,651
TRAUMA

device

$873
BME NITINOL CONTINUOUS COMPRESSION IMPLANTS

device

$249
PROXIMAL FEMORAL NAIL

device

$220
A3

device

$148
OFIRMEV

drug

$125
VA-LCP PLATES & SCREWS

device

$125
IM NAILS

device

$124
TFN ADVANCED

device

$124
EVOS

device

$120
META TAN

device

$120
EX NAILS

device

$110
INSTRUMENTS

device

$110
LCP PLATES & SCREWS

device

$110
TRIGEN META-NAIL

device

$108
CONQUEST FN

device

$34
HOFFMANN

device

$25
SPINE

device

$15
TRIGEN INTERTAN

device

$3
† 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
Aug 16, 2018 $4,000 No Listed Product Accredited Training SYNTHES GMBH
Nov 1, 2018 $2,500 No Listed Product Accredited Training SYNTHES GMBH
Aug 16, 2018 $1,448 No Listed Product Travel and Lodging SYNTHES GMBH
Nov 1, 2018 $1,326 No Listed Product Travel and Lodging SYNTHES GMBH
Jan 13, 2018 $1,323 No Listed Product Travel and Lodging SYNTHES GMBH
Feb 5, 2018 $901 No Listed Product Education ARTHREX, INC.
Sep 25, 2018 $873 TRAUMA Travel and Lodging GLOBUS MEDICAL, INC.
Feb 5, 2018 $542 No Listed Product Travel and Lodging MEDINC OF TEXAS
Sep 26, 2018 $202 PROXIMAL FEMORAL NAIL Travel and Lodging GLOBUS MEDICAL, INC.
Feb 5, 2018 $174 No Listed Product Travel and Lodging MEDINC OF TEXAS
Jan 13, 2018 $154 No Listed Product Food and Beverage SYNTHES GMBH
Feb 26, 2018 $148 A3 Food and Beverage STRYKER CORPORATION
Mar 26, 2018 $125 OFIRMEV Food and Beverage MALLINCKRODT LLC
Oct 18, 2018 $125 BME NITINOL CONTINUOUS COMPRESSION IMPLANTS VA-LCP PLATES & SCREWS Food and Beverage DEPUY SYNTHES SALES INC.
Aug 7, 2018 $124 TFN ADVANCED BME NITINOL CONTINUOUS COMPRESSION IMPLANTS IM NAILS Food and Beverage DEPUY SYNTHES SALES INC.
Feb 20, 2018 $120 EVOS META TAN Food and Beverage SMITH & NEPHEW, INC.
Nov 1, 2018 $118 No Listed Product Food and Beverage SYNTHES GMBH
Aug 16, 2018 $113 No Listed Product Food and Beverage SYNTHES GMBH
Aug 18, 2018 $110 EX NAILS INSTRUMENTS LCP PLATES & SCREWS Food and Beverage DEPUY SYNTHES SALES INC.
Apr 2, 2018 $108 TRIGEN META-NAIL Food and Beverage SMITH & NEPHEW, 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/286703

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.