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/326023
  • 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/326023
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.

JOHN FAHRBACH

Listed Specialty: Neurological Surgery
180 PARK CLUB LANE, SUITE 100, WILLIAMSVILLE, NY, 14221

2018 Payments: At a Glance

122

payments

$11,404

payment total

12

companies paid this doctor

Types of Payments

Category Payments Payment Value
Promotional Speaking/Other
 1 $5,258
Food and Beverage
 115 $3,413
Travel and Lodging
 6 $2,733

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†
CLYDESDALE

device

 $6,407
CD HORIZON

device

 $1,311
ES2

device

 $766
PROCLAIM FAMILY OF SCS IPGS

device

 $756
AERO

device

 $617
TRITANIUM

device

 $617
SHILLA

device

 $587
ARTIC-L

device

 $310
SENZA SPINAL CORD STIMULATION SYSTEM

device

 $221
MAZORX - RENAISSANCE

device

 $160
NONE

device

 $150
PRODIGY FAMILY OF SCS IPGS

device

 $138
SCS IPGS

device

 $130
SLIMTIP LEAD DRG LEAD

device

 $94
MOBI-C

device

 $87
PENTA SCS LEADS

device

 $78
PROLIFT

device

 $61
NEUROMODULATION DSPSBLS AND ACCS

device

 $41
AXIUM INS DRG IPG

device

 $37
Payments with no listed product

N/A

 $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.

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/326023

Payment Details

When How Much Related To What For From Third Party Payee
Dec 6, 2018 $5,258 CLYDESDALE Promotional Speaking/Other MEDTRONIC USA, INC. John G Fahrbach Md Pllc
Sep 13, 2018 $638 CD HORIZON Travel and Lodging MEDTRONIC USA, INC.
Mar 1, 2018 $617 TRITANIUM AERO ES2 Travel and Lodging STRYKER CORPORATION FLYTE TYME WORLDWIDE
Sep 13, 2018 $587 SHILLA Travel and Lodging MEDTRONIC USA, INC.
Oct 18, 2018 $335 CLYDESDALE Travel and Lodging MEDTRONIC USA, INC.
Sep 14, 2018 $310 ARTIC-L Food and Beverage MEDTRONIC USA, INC.
Oct 20, 2018 $285 CLYDESDALE Travel and Lodging MEDTRONIC USA, INC.
Oct 20, 2018 $272 CLYDESDALE Travel and Lodging MEDTRONIC USA, INC.
Sep 13, 2018 $236 CD HORIZON Food and Beverage MEDTRONIC USA, INC.
Oct 19, 2018 $160 MAZORX - RENAISSANCE Food and Beverage MEDTRONIC USA, INC.
Aug 3, 2018 $150 NONE ES2 Food and Beverage STRYKER CORPORATION
Aug 30, 2018 $129 PROCLAIM FAMILY OF SCS IPGS Food and Beverage ABBOTT LABORATORIES
Feb 5, 2018 $122 SENZA SPINAL CORD STIMULATION SYSTEM Food and Beverage NEVRO CORP.
Sep 13, 2018 $117 CLYDESDALE Food and Beverage MEDTRONIC USA, INC.
Sep 13, 2018 $102 CD HORIZON Food and Beverage MEDTRONIC USA, INC.
May 29, 2018 $94 SLIMTIP LEAD DRG LEAD Food and Beverage ABBOTT LABORATORIES
Jul 2, 2018 $92 PROCLAIM FAMILY OF SCS IPGS Food and Beverage ABBOTT LABORATORIES
Feb 6, 2018 $87 MOBI-C Food and Beverage ZIMMER BIOMET HOLDINGS, INC.
Jun 27, 2018 $81 CD HORIZON Food and Beverage MEDTRONIC USA, INC.
Sep 13, 2018 $74 CD HORIZON Food and Beverage MEDTRONIC 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/326023

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.