Dollars for Docs: Talk With Your Doctor

https://projects.propublica.org/docdollars/
You can print this page and show it your doctor.

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 2016. The disclosure of these payments is required under the Physician Payment 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 to 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: <a href='https://propub.li/participate-d4d'>propub.li/participate-d4d</a>

Preparing for Your Conversation

If you decide you'd like to talk to your doctor about this, please keep in mind:

  • Many healthcare 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/310870
  • Some doctors are happy to discuss this information with you. Others might not be. The best approach is to ask questions and to <strong>not</strong> 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/310870
If you spot an error, please let us know at [email protected]

JAMES THRASHER

Listed Specialty: Internal Medicine
500 S UNIVERSITY AVE, SUITE 615, LITTLE ROCK, AR, 72205-5302

Payments: At a Glance

872

payments

$425,826

payment total

31

companies paid this doctor

Types of Payments

Category Payments Payment Value
Promotional Speaking/Other
177 $353K
Travel and Lodging
172 $43,219
Food and Beverage
510 $17,730
Consulting
7 $11,399
Nonaccredited Training
1 $100
Education
5 $13

Drugs & Devices

Totals listed below account for all payments from August 2013 to December 2016 that mention this product. 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
INVOKANA

drug

$117K
BYDUREON

drug

$52,217
CONTINUOUS GLUCOSE MONITOR

device

$49,093
TOUJEO

drug

$47,249
INSULIN PUMP

device

$34,833
ENLITE SENSOR

device

$28,159
FARXIGA

drug

$17,504
TRADJENTA

drug

$15,274
MINIMED 630G

device

$14,223
MINIMED 530G

device

$12,117
JARDIANCE

drug

$10,360
GLYXAMBI

drug

$8,464
DIABETES MANAGEMENT SOFTWARE - CARELINK

device

$6,778
LANTUS

drug

$1,799
OTHER

drug

$1,728
APIDRA

drug

$1,685
MINIMED PARADIGM REVEL

device

$1,575
MINIMED CONNECT

device

$1,308
VICTOZA

drug

$362
SOLIQUA

drug

$328
DEXCOM G4 PLATINUM

device

$319
† 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/310870

Payment Details

When How Much Related To What For From Third Party Payee
Oct 9, 2015 $9,000

Insulin pump Promotional Speaking/Other Medtronic MiniMed, Inc.
Jun 1, 2016 $7,800

Enlite Sensor Promotional Speaking/Other Medtronic MiniMed, Inc. Practice Management Svc
Nov 23, 2016 $7,050

Minimed 630G Promotional Speaking/Other Medtronic MiniMed, Inc. Practice Management Svc
Jun 7, 2016 $6,900

Enlite Sensor Promotional Speaking/Other Medtronic MiniMed, Inc. Practice Management Svc
Sep 21, 2016 $6,900

Minimed 530G Promotional Speaking/Other Medtronic MiniMed, Inc. Practice Management Svc
Dec 6, 2016 $6,900

Minimed 630G Promotional Speaking/Other Medtronic MiniMed, Inc. Practice Management Svc
Aug 5, 2016 $6,900

Enlite Sensor Promotional Speaking/Other Medtronic MiniMed, Inc. Practice Management Svc
Sep 12, 2014 $6,000

Continuous Glucose Monitor Promotional Speaking/Other Medtronic MiniMed, Inc.
Sep 12, 2014 $6,000

Continuous Glucose Monitor Promotional Speaking/Other Medtronic MiniMed, Inc.
Jun 7, 2016 $6,000

Enlite Sensor Promotional Speaking/Other Medtronic MiniMed, Inc. Practice Management Svc
Apr 2, 2015 $5,700

Insulin pump Promotional Speaking/Other Medtronic MiniMed, Inc.
Jul 10, 2015 $5,700

Insulin pump Promotional Speaking/Other Medtronic MiniMed, Inc.
Dec 31, 2014 $5,413

No Listed Product Consulting SANOFI-AVENTIS U.S. LLC
Feb 3, 2015 $5,250

Continuous Glucose Monitor Promotional Speaking/Other Medtronic MiniMed, Inc.
Jun 10, 2014 $4,800

Continuous Glucose Monitor Promotional Speaking/Other Medtronic MiniMed, Inc.
Apr 15, 2015 $4,718

TRADJENTA Promotional Speaking/Other

Details: Transfer of value reported under this transaction represents publication support services and does not reflect any actual monetary transfer of value to the physician.

Boehringer Ingelheim Pharmaceuticals, Inc.
Oct 17, 2013 $4,500

Continuous Glucose Monitor Promotional Speaking/Other Medtronic MiniMed, Inc.
Apr 10, 2014 $4,500

Continuous Glucose Monitor Promotional Speaking/Other Medtronic MiniMed, Inc.
Oct 17, 2013 $4,200

Insulin pump Promotional Speaking/Other Medtronic MiniMed, Inc.
Apr 8, 2015 $3,700

BYDUREON Promotional Speaking/Other

Details: Speaker Fee

AstraZeneca Pharmaceuticals LP
May 30, 2016 $3,700

FARXIGA Promotional Speaking/Other

Details: Speaker Fee

AstraZeneca Pharmaceuticals LP

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/310870

Note: We have made some effort to normalize the data and eliminate duplicates, but 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].