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/288321
  • 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/288321
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.

ANNE WINKLER

Listed Specialty: Rheumatology
121 CAHILL RD, SUITE 205, BRANSON, MO, 65616-2036

2018 Payments: At a Glance

564

payments

$347,507

payment total

19

companies paid this doctor

Types of Payments

Category Payments Payment Value
Promotional Speaking/Other
 119 $242K
Travel and Lodging
 169 $51,573
Consulting
 20 $43,901
Food and Beverage
 255 $9,955
Education
 1 $79

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†
KEVZARA

drug

 $85,015
Payments with no listed product

N/A

 $62,533
XELJANZ

drug

 $53,372
COSENTYX

drug

 $51,161
SIMPONI ARIA

drug

 $29,129
STELARA

drug

 $18,895
OTEZLA

drug

 $17,114
HUMIRA

drug

 $15,983
TALTZ

drug

 $14,649
ACTEMRA

drug

 $11,288
ORENCIA

drug

 $3,154
ERELZI

drug

 $3,030
DIOVAN

drug

 $1,491
REMICADE

drug

 $770
KRYSTEXXA

drug

 $123
RITUXAN

drug

 $87
RHEUMATOID ARTHRITIS DISEASE

drug

 $68
ENBREL

drug

 $60
BENLYSTA

drug

 $34
OPSUMIT

drug

 $22
† 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/288321

Payment Details

When How Much Related To What For From Third Party Payee
Jul 20, 2018 $7,050 COSENTYX Consulting NOVARTIS PHARMACEUTICALS CORPORATION WINKLER MEDICAL PRACTICE
Jun 29, 2018 $5,535 COSENTYX Consulting NOVARTIS PHARMACEUTICALS CORPORATION WINKLER MEDICAL PRACTICE
Nov 30, 2018 $4,535 COSENTYX Consulting NOVARTIS PHARMACEUTICALS CORPORATION WINKLER MEDICAL PRACTICE
Jan 6, 2018 $4,518 OTEZLA Consulting CELGENE CORPORATION
Feb 24, 2018 $4,040 No Listed Product Promotional Speaking/Other NOVARTIS PHARMACEUTICALS CORPORATION WINKLER MEDICAL PRACTICE LLC
Apr 13, 2018 $4,040 COSENTYX Promotional Speaking/Other NOVARTIS PHARMACEUTICALS CORPORATION
Jun 14, 2018 $4,040 COSENTYX Promotional Speaking/Other NOVARTIS PHARMACEUTICALS CORPORATION WINKLER MEDICAL PRACTICE LLC
Mar 1, 2018 $4,040 COSENTYX Promotional Speaking/Other NOVARTIS PHARMACEUTICALS CORPORATION WINKLER MEDICAL PRACTICE LLC
Oct 24, 2018 $3,588 OTEZLA Promotional Speaking/Other CELGENE CORPORATION
Sep 19, 2018 $3,588 OTEZLA Promotional Speaking/Other CELGENE CORPORATION
Oct 5, 2018 $3,500 SIMPONI ARIA Promotional Speaking/Other JANSSEN SCIENTIFIC AFFAIRS, LLC Winkler Medical Practice LLC
Apr 19, 2018 $3,500 SIMPONI ARIA Promotional Speaking/Other JANSSEN SCIENTIFIC AFFAIRS, LLC Winkler Medical Practice LLC
Aug 20, 2018 $3,500 STELARA SIMPONI ARIA Promotional Speaking/Other JANSSEN SCIENTIFIC AFFAIRS, LLC Winkler medical Practice LLC
Mar 8, 2018 $3,500 STELARA SIMPONI ARIA Promotional Speaking/Other JANSSEN SCIENTIFIC AFFAIRS, LLC Winkler Medical Practice, LLC
Nov 6, 2018 $3,500 STELARA SIMPONI ARIA Promotional Speaking/Other JANSSEN SCIENTIFIC AFFAIRS, LLC Winkler Medical Practice, LLC
Aug 8, 2018 $3,500 STELARA SIMPONI ARIA Promotional Speaking/Other JANSSEN SCIENTIFIC AFFAIRS, LLC Winkler Medical Practice LLC
Jul 10, 2018 $3,454 KEVZARA Promotional Speaking/Other GENZYME CORPORATION Winkler Medical Practice LLC
Oct 15, 2018 $3,454 KEVZARA Promotional Speaking/Other GENZYME CORPORATION Winkler Medical Practice LLC
May 8, 2018 $3,440 ACTEMRA Promotional Speaking/Other GENENTECH USA, INC.
Sep 11, 2018 $3,440 ACTEMRA Promotional Speaking/Other GENENTECH USA, 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/288321

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.