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/349993
  • 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/349993
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.

LUIS DUARTE

Listed Specialty: Neurological Surgery
120 E BEAUREGARD AVE, SAN ANGELO, TX, 76903-5919

2018 Payments: At a Glance

28

payments

$139,306

payment total

10

companies paid this doctor

Types of Payments

Category Payments Payment Value
Royalty or License
 12 $136K
Food and Beverage
 15 $1,585
Travel and Lodging
 1 $1,515

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†
CONCORDE

device

 $89,696
STREAMLINE MIS SPINAL FIXATION SYSTEM

device

 $34,000
SAVANNAH T MIS

device

 $8,621
Payments with no listed product

N/A

 $5,101
TRAUMA

device

 $1,515
TITAN ENDOSKELETON

device

 $117
TITAN NANOLOCK

device

 $117
EXCELSIUS - GPS

device

 $89
OCTRODE SCS LEADS

device

 $50
NEUROMODULATION DSPSBLS AND ACCS

device

 $39
CAVUX CERVICAL CAGE

device

 $29
DTRAX SPINAL SYSTEM

device

 $29
ALLY BONE SCREW

device

 $29
BIOLOGIX ALLOGRAFT BONE

device

 $29
INFINITY DBS PULSE GENERATORS

device

 $28
PROCLAIM FAMILY OF SCS IPGS

device

 $21
† 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
Feb 13, 2018 $26,179 CONCORDE Royalty or License DEPUY SYNTHES PRODUCTS LLC
May 14, 2018 $24,627 CONCORDE Royalty or License DEPUY SYNTHES PRODUCTS LLC
Aug 17, 2018 $23,059 CONCORDE Royalty or License DEPUY SYNTHES PRODUCTS LLC
Dec 7, 2018 $15,831 CONCORDE Royalty or License DEPUY SYNTHES PRODUCTS LLC
Jan 16, 2018 $10,004 STREAMLINE MIS SPINAL FIXATION SYSTEM Royalty or License RTI SURGICAL, INC. Bezaah Inc
Aug 14, 2018 $8,512 STREAMLINE MIS SPINAL FIXATION SYSTEM Royalty or License RTI SURGICAL, INC. Bezaah Inc
Nov 15, 2018 $7,979 STREAMLINE MIS SPINAL FIXATION SYSTEM Royalty or License RTI SURGICAL, INC. Bezaah Inc
May 15, 2018 $7,505 STREAMLINE MIS SPINAL FIXATION SYSTEM Royalty or License RTI SURGICAL, INC. Bezaah Inc
Mar 1, 2018 $4,435 SAVANNAH T MIS Royalty or License AMENDIA, INC.
May 31, 2018 $4,186 SAVANNAH T MIS Royalty or License AMENDIA, INC.
Nov 29, 2018 $2,286 No Listed Product Royalty or License AMENDIA, INC.
Aug 31, 2018 $1,602 No Listed Product Royalty or License AMENDIA, INC.
Apr 19, 2018 $1,515 TRAUMA Travel and Lodging GLOBUS MEDICAL, INC.
Dec 8, 2018 $735 No Listed Product Food and Beverage SPINAL ELEMENTS, INC.
Jul 8, 2018 $299 No Listed Product Food and Beverage SPINAL ELEMENTS, INC.
Apr 29, 2018 $117 TITAN ENDOSKELETON TITAN NANOLOCK Food and Beverage TITAN SPINE, LLC
Apr 29, 2018 $89 EXCELSIUS - GPS Food and Beverage GLOBUS MEDICAL, INC.
Jul 8, 2018 $75 No Listed Product Food and Beverage AMENDIA, INC.
Nov 13, 2018 $53 No Listed Product Food and Beverage OSSEUS FUSION SYSTEMS, LLC
Oct 9, 2018 $44 No Listed Product Food and Beverage ULRICH MEDICAL 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/349993

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.