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/341432
  • 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/341432
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.

THOMAS SANGIOVANNI

Listed Specialty: Foot and Ankle Surgery
1150 CAMPO SANO AVE, SUITE 200, CORAL GABLES, FL, 33146-1174

2018 Payments: At a Glance

44

payments

$269,171

payment total

5

companies paid this doctor

Types of Payments

Category Payments Payment Value
Royalty or License
 11 $221K
Consulting
 6 $38,452
Education
 10 $5,053
Honoraria
 1 $1,800
Travel and Lodging
 1 $1,798
Food and Beverage
 15 $1,130

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†
FOOT AND ANKLE IMPLANTS

device

 $234K
MAX LOCK

device

 $24,660
HEMICAP MTP RESURFACING

device

 $4,498
ACCUFILL

device

 $2,144
TIMBERLINE

device

 $1,173
TAPERLOC

device

 $913
AVENUE L

device

 $662
MOBI-C

device

 $662
INFINITY

device

 $474
COMPREHENSIVE SHOULDER

device

 $357
PHANTOM NAIL

device

 $239
HEMICAP (DEVELOPMENT)

device

 $183
LCP PLATES & SCREWS

device

 $148
VIVIGEN

device

 $148
G7

device

 $139
PRO3

device

 $115
PROMO

device

 $109
GORILLA PLATE

device

 $88
PRESERVE

drug

 $86
MICA

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.

Payment Details

When How Much Related To What For From Third Party Payee
May 1, 2018 $59,737 FOOT AND ANKLE IMPLANTS Royalty or License PARAGON 28, INC.
Feb 1, 2018 $57,919 FOOT AND ANKLE IMPLANTS Royalty or License PARAGON 28, INC.
Nov 2, 2018 $34,325 FOOT AND ANKLE IMPLANTS Royalty or License PARAGON 28, INC.
Feb 1, 2018 $31,242 FOOT AND ANKLE IMPLANTS Royalty or License PARAGON 28, INC.
Nov 2, 2018 $20,910 FOOT AND ANKLE IMPLANTS Royalty or License PARAGON 28, INC.
Feb 9, 2018 $19,479 FOOT AND ANKLE IMPLANTS Consulting PARAGON 28, INC.
Apr 27, 2018 $7,235 MAX LOCK Consulting WRIGHT MEDICAL TECHNOLOGY, INC.
Jan 30, 2018 $5,888 MAX LOCK Consulting WRIGHT MEDICAL TECHNOLOGY, INC.
Oct 29, 2018 $5,834 MAX LOCK Royalty or License WRIGHT MEDICAL TECHNOLOGY, INC.
Jul 27, 2018 $5,702 MAX LOCK Royalty or License WRIGHT MEDICAL TECHNOLOGY, INC.
Oct 31, 2018 $3,300 FOOT AND ANKLE IMPLANTS Consulting PARAGON 28, INC.
Nov 2, 2018 $2,290 FOOT AND ANKLE IMPLANTS Royalty or License PARAGON 28, INC.
Nov 10, 2018 $2,021 ACCUFILL Education ZIMMER BIOMET HOLDINGS, INC.
Jul 30, 2018 $1,800 HEMICAP MTP RESURFACING Honoraria ARTHROSURFACE INCORPORATED
Jul 15, 2018 $1,798 HEMICAP MTP RESURFACING Travel and Lodging ARTHROSURFACE INCORPORATED
May 9, 2018 $1,650 FOOT AND ANKLE IMPLANTS Consulting PARAGON 28, INC.
Nov 2, 2018 $1,147 FOOT AND ANKLE IMPLANTS Royalty or License PARAGON 28, INC.
Feb 1, 2018 $995 FOOT AND ANKLE IMPLANTS Royalty or License PARAGON 28, INC.
Oct 26, 2018 $913 TAPERLOC Education ZIMMER BIOMET HOLDINGS, INC.
Oct 29, 2018 $900 HEMICAP MTP RESURFACING Consulting ARTHROSURFACE 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/341432

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.