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/318885
  • 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/318885
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.

RICHARD MANCH

Listed Specialty: Hepatology
500 W THOMAS RD, SUITE 900, PHOENIX, AZ, 85013-4224

2018 Payments: At a Glance

190

payments

$102,885

payment total

14

companies paid this doctor

Types of Payments

Category Payments Payment Value
Promotional Speaking/Other
 24 $59,120
Consulting
 4 $14,539
Travel and Lodging
 53 $10,875
Honoraria
 6 $7,000
Nonaccredited Training
 2 $6,400
Food and Beverage
 101 $4,951

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†
MAVYRET

drug

 $38,839
Payments with no listed product

N/A

 $20,873
OCALIVA

drug

 $19,052
LENVIMA

drug

 $6,172
EPCLUSA

drug

 $4,912
STIVARGA

drug

 $4,180
CABOMETYX

drug

 $3,994
DOPTELET

drug

 $2,822
WAKO HCC BIOMARKER(S) DCP AND AFP-L3

device

 $1,671
SIR-SPHERES MICROSPHERES

device

 $174
XIFAXAN

drug

 $64
NONE

drug

 $53
HARVONI

drug

 $51
NEXAVAR

drug

 $46
RELISTOR

drug

 $30
MOVIPREP

drug

 $18
ZEPATIER

drug

 $17
OPDIVO

drug

 $12
† 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
Dec 26, 2018 $4,670 No Listed Product Consulting GILEAD SCIENCES INC R.A. Manch and Associates, Inc.
Oct 2, 2018 $4,200 LENVIMA Promotional Speaking/Other EISAI INC.
Oct 12, 2018 $4,000 OCALIVA Honoraria INTERCEPT PHARMACEUTICALS, INC.
May 21, 2018 $3,920 STIVARGA Promotional Speaking/Other BAYER HEALTHCARE PHARMACEUTICALS INC. R.a. Manch And Assoc. Inc.
May 23, 2018 $3,520 OCALIVA Consulting INTERCEPT PHARMACEUTICALS, INC.
Jan 19, 2018 $3,200 No Listed Product Promotional Speaking/Other KADMON PHARMACEUTICALS LLC R.A. Manch and Associates, Inc.
Nov 1, 2018 $3,200 OCALIVA Nonaccredited Training INTERCEPT PHARMACEUTICALS, INC.
Dec 13, 2018 $3,200 OCALIVA Nonaccredited Training INTERCEPT PHARMACEUTICALS, INC.
Oct 8, 2018 $3,199 No Listed Product Consulting GILEAD SCIENCES INC
Nov 7, 2018 $3,150 MAVYRET Promotional Speaking/Other ABBVIE, INC. R A Manch and Associate Inc
Sep 14, 2018 $3,150 MAVYRET Promotional Speaking/Other ABBVIE, INC. R A Manch and Associate Inc
Dec 21, 2018 $3,150 MAVYRET Promotional Speaking/Other ABBVIE, INC. R A Manch and Associate Inc
Dec 20, 2018 $3,150 MAVYRET Consulting ABBVIE, INC. R A Manch and Associate Inc
Dec 11, 2018 $3,150 MAVYRET Promotional Speaking/Other ABBVIE, INC. R A Manch and Associate Inc
Nov 9, 2018 $3,150 MAVYRET Promotional Speaking/Other ABBVIE, INC. R A Manch and Associate Inc
Mar 2, 2018 $3,000 CABOMETYX Promotional Speaking/Other EXELIXIS INC.
Jun 9, 2018 $3,000 EPCLUSA Promotional Speaking/Other GILEAD SCIENCES INC R.A. Manch and Associates, Inc.
May 18, 2018 $2,500 No Listed Product Promotional Speaking/Other GILEAD SCIENCES INC R.A. Manch and Associates, Inc.
Dec 6, 2018 $2,500 No Listed Product Promotional Speaking/Other GILEAD SCIENCES INC R.A. Manch and Associates, Inc.
Dec 21, 2018 $2,250 MAVYRET Promotional Speaking/Other ABBVIE, INC. R A Manch and Associate 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/318885

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.