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/329216
  • 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/329216
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 DALFINO

Listed Specialty: Neurological Surgery
43 NEW SCOTLAND AVE, MAIL CODE 10, ALBANY, NY, 12208-3412

2018 Payments: At a Glance

62

payments

$7,046

payment total

10

companies paid this doctor

Types of Payments

Category Payments Payment Value
Travel and Lodging
 15 $5,530
Food and Beverage
 47 $1,516

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†
PHIL

device

 $4,806
MOBI-C

device

 $938
WEB

device

 $331
PENUMBRA SYSTEM

device

 $218
LVIS JR.

device

 $198
3D REVASCULARIZATION

device

 $180
FRED

device

 $130
CASPER

device

 $101
SOLITAIRE

device

 $79
MAZORX - RENAISSANCE

device

 $69
SENZA SPINAL CORD STIMULATION SYSTEM

device

 $65
HEADWAY MICROCATHETER

device

 $29
SCEPTER C BALLOON CATHETER

device

 $29
TRAXCESS GUIDEWIRE AND DOCKING WIRE

device

 $29
GENERAL PAIN MANAGEMENT

device

 $28
TREVO

device

 $23
SYNCHROMED

device

 $20
COOK MEDICAL INTRODUCERS

device

 $19
TARGET

device

 $18
COVIDIEN-ACCESS

device

 $15
† 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/329216

Payment Details

When How Much Related To What For From Third Party Payee
Mar 16, 2018 $2,474 PHIL Travel and Lodging MICROVENTION, INC.
Mar 17, 2018 $815 PHIL Travel and Lodging MICROVENTION, INC.
Oct 12, 2018 $556 MOBI-C Travel and Lodging ZIMMER BIOMET HOLDINGS, INC.
Jul 17, 2018 $508 PHIL Travel and Lodging MICROVENTION, INC.
Sep 20, 2018 $292 PHIL Travel and Lodging MICROVENTION, INC.
Sep 20, 2018 $232 PHIL Travel and Lodging MICROVENTION, INC.
Aug 28, 2018 $199 PENUMBRA SYSTEM Food and Beverage PENUMBRA, INC.
Dec 3, 2018 $191 WEB Travel and Lodging MICROVENTION, INC.
May 3, 2018 $162 3D REVASCULARIZATION Food and Beverage PENUMBRA, INC.
Oct 13, 2018 $142 MOBI-C Travel and Lodging ZIMMER BIOMET HOLDINGS, INC.
Sep 10, 2018 $135 LVIS JR. Food and Beverage MICROVENTION, INC.
Jun 5, 2018 $105 MOBI-C Food and Beverage ZIMMER BIOMET HOLDINGS, INC.
Aug 13, 2018 $95 PHIL Travel and Lodging MICROVENTION, INC.
Mar 19, 2018 $78 PHIL Food and Beverage MICROVENTION, INC.
Aug 13, 2018 $73 PHIL Travel and Lodging MICROVENTION, INC.
Oct 22, 2018 $72 WEB Food and Beverage MICROVENTION, INC.
Mar 22, 2018 $71 PHIL CASPER FRED Food and Beverage MICROVENTION, INC.
Mar 20, 2018 $70 PHIL Food and Beverage MICROVENTION, INC.
May 17, 2018 $65 SENZA SPINAL CORD STIMULATION SYSTEM Food and Beverage NEVRO CORP.
Sep 20, 2018 $35 PHIL Travel and Lodging MICROVENTION, 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/329216

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.