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/297911
  • 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/297911
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.

PAUL SETHI

Listed Specialty: Orthopaedic Surgery
6 GREENWICH OFFICE PARK, GREENWICH, CT, 06831-5151

2018 Payments: At a Glance

161

payments

$226,449

payment total

10

companies paid this doctor

Types of Payments

Category Payments Payment Value
Promotional Speaking/Other
 19 $102K
Consulting
 28 $97,981
Travel and Lodging
 64 $22,538
Food and Beverage
 46 $4,324
Royalty or License
 4 $50

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

 $114K
EXPAREL

drug

 $80,704
ZILRETTA

drug

 $20,085
SHOULDER IMPLANTS OTHER CLAVICLE FRACTURE

device

 $4,378
HEALIX

device

 $3,461
DISTAL EXTREMITIES IMPLANTS FOREFOOT PLATES & SCREWS MTP

device

 $1,740
ATTUNE

device

 $1,546
BONE MARROW ASPIRATE CONCENTRATE SYSTEM

device

 $212
SMARTPREP MULTICELLULAR PROCESSING SYSTEM

device

 $212
ALLOGRAFT

device

 $125
DENOVO

device

 $125
SCP BONE SUBSTITUTE

device

 $125
RIGIDLOOP

device

 $120
TRUESPAN

device

 $120
VAPR

device

 $120
EUFLEXXA

device

 $64
KNEE & HIP INSTRUMENTS ACLPCL DISPOSABLES OTHER

device

 $50
UROLIFT

device

 $42
SHOULDER IMPLANTS BICEPS REPAIR BUTTON FIXATION

device

 $38
ON-Q PUMP AND ACCESSORIES

device

 $34
† 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
Jul 26, 2018 $18,560 No Listed Product Promotional Speaking/Other ARTHREX, INC.
Apr 26, 2018 $15,370 No Listed Product Promotional Speaking/Other ARTHREX, INC.
Nov 13, 2018 $14,600 EXPAREL Consulting PACIRA PHARMACEUTICALS INCORPORATED
Jul 26, 2018 $13,195 No Listed Product Promotional Speaking/Other ARTHREX, INC.
Jul 26, 2018 $11,310 No Listed Product Promotional Speaking/Other ARTHREX, INC.
Jan 25, 2018 $11,020 No Listed Product Promotional Speaking/Other ARTHREX, INC.
Jan 25, 2018 $8,990 No Listed Product Promotional Speaking/Other ARTHREX, INC.
Jul 4, 2018 $8,391 EXPAREL Consulting MEDICAL DEVICE BUSINESS SERVICES, INC.
Apr 26, 2018 $7,975 No Listed Product Promotional Speaking/Other ARTHREX, INC.
Jul 26, 2018 $7,250 No Listed Product Promotional Speaking/Other ARTHREX, INC.
Oct 19, 2018 $5,950 ZILRETTA Consulting FLEXION THERAPEUTICS, INC.
Apr 23, 2018 $5,872 EXPAREL Consulting MEDICAL DEVICE BUSINESS SERVICES, INC.
Sep 20, 2018 $5,110 EXPAREL Consulting MEDICAL DEVICE BUSINESS SERVICES, INC.
Sep 26, 2018 $5,110 EXPAREL Consulting MEDICAL DEVICE BUSINESS SERVICES, INC.
Dec 4, 2018 $4,900 ZILRETTA Consulting FLEXION THERAPEUTICS, INC.
Apr 26, 2018 $4,640 No Listed Product Consulting ARTHREX, INC.
Aug 13, 2018 $4,380 EXPAREL Consulting MEDICAL DEVICE BUSINESS SERVICES, INC.
Jul 4, 2018 $4,380 EXPAREL Consulting MEDICAL DEVICE BUSINESS SERVICES, INC.
Sep 27, 2018 $4,350 SHOULDER IMPLANTS OTHER CLAVICLE FRACTURE Consulting ARTHREX, INC.
Aug 22, 2018 $4,320 EXPAREL Consulting PACIRA PHARMACEUTICALS INCORPORATED

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/297911

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.