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/290953
  • 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/290953
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.

PABLO GUALA

Listed Specialty: Interventional Cardiology
4980 W 10TH AVE, SUITE 201, HIALEAH, FL, 33012-3437

2018 Payments: At a Glance

64

payments

$4,585

payment total

17

companies paid this doctor

Types of Payments

Category Payments Payment Value
Food and Beverage
 62 $2,794
Consulting
 1 $1,125
Travel and Lodging
 1 $666

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†
ZONTIVITY

drug

 $1,378
FLAIR

device

 $666
MERLIN CONNECTIVITY AND REMOTE

device

 $293
RESOLUTE

device

 $285
WATCHMAN

device

 $282
REPATHA

drug

 $182
FLUENCY

device

 $178
GRAFIX & STRAVIX

drug

 $174
HI-TORQUE COMMAND GUIDE WIRE

device

 $141
PERIPHERAL ORBITAL ATHERECTOMY SYSTEM

device

 $130
SUPERA PERIPHERAL STENT SYSTEM

device

 $129
YOSPRALA

drug

 $128
CROSSER

device

 $127
TURBO ELITE

device

 $114
IGT_D PERIPHERAL

device

 $99
ENTRESTO

drug

 $85
COOK MEDICAL ANGIOPLASTY

device

 $80
PRALUENT

drug

 $73
XARELTO

drug

 $44
ELIQUIS

drug

 $39
† 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/290953

Payment Details

When How Much Related To What For From Third Party Payee
Apr 3, 2018 $1,125 ZONTIVITY Consulting ARALEZ PHARMACEUTICALS US INC. Sunlite Medical Associates, Inc.
Nov 19, 2018 $666 FLAIR Travel and Lodging BARD PERIPHERAL VASCULAR, INC.
Nov 21, 2018 $178 FLUENCY Food and Beverage BARD PERIPHERAL VASCULAR, INC.
Jun 28, 2018 $174 GRAFIX & STRAVIX Food and Beverage OSIRIS THERAPEUTICS INC.
Aug 23, 2018 $159 MERLIN CONNECTIVITY AND REMOTE Food and Beverage ABBOTT LABORATORIES
Aug 29, 2018 $146 RESOLUTE Food and Beverage MEDTRONIC VASCULAR, INC.
Feb 6, 2018 $141 HI-TORQUE COMMAND GUIDE WIRE Food and Beverage ABBOTT LABORATORIES
Sep 13, 2018 $136 WATCHMAN Food and Beverage BOSTON SCIENTIFIC CORPORATION
Jan 16, 2018 $129 SUPERA PERIPHERAL STENT SYSTEM Food and Beverage ABBOTT LABORATORIES
Feb 6, 2018 $125 ZONTIVITY Food and Beverage ARALEZ PHARMACEUTICALS US INC.
Sep 25, 2018 $122 WATCHMAN Food and Beverage BOSTON SCIENTIFIC CORPORATION
Jun 21, 2018 $117 REPATHA Food and Beverage AMGEN INC.
Mar 14, 2018 $113 CROSSER Food and Beverage BARD PERIPHERAL VASCULAR, INC.
Mar 14, 2018 $86 TURBO ELITE Food and Beverage PHILIPS ELECTRONICS NORTH AMERICA CORPORATION
Dec 20, 2018 $80 COOK MEDICAL ANGIOPLASTY Food and Beverage COOK INCORPORATED
Nov 9, 2018 $71 RESOLUTE Food and Beverage MEDTRONIC VASCULAR, INC.
Apr 14, 2018 $68 RESOLUTE Food and Beverage MEDTRONIC VASCULAR, INC.
Nov 13, 2018 $50 PERIPHERAL ORBITAL ATHERECTOMY SYSTEM Food and Beverage CARDIOVASCULAR SYSTEMS INC.
Mar 20, 2018 $44 MERLIN CONNECTIVITY AND REMOTE Food and Beverage ABBOTT LABORATORIES
Nov 8, 2018 $42 PERIPHERAL ORBITAL ATHERECTOMY SYSTEM Food and Beverage CARDIOVASCULAR SYSTEMS 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/290953

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.