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/35123
  • 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/35123
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.


PAYAM RAFAT

Listed Specialty: Podiatrist
107 WEST 4TH STREET, MOUNT VERNON NEIGHBORHOOD HEALTH CTR, MOUNT VERNON, NY, 10550

2018 Payments: At a Glance

32

payments

$4,725

payment total

12

companies paid this doctor

Types of Payments

Category Payments Payment Value
Travel and Lodging
9 $3,282
Food and Beverage
23 $1,443

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
Payments with no listed product

N/A

$1,460
HEMICAP MTP RESURFACING

device

$1,163
EXTERNAL FIXATION SYSTEM

device

$460
FREEDOM WRIST

device

$460
TITAN-SHOULDER

device

$460
BILAYER WOUND MATRIX BWM

device

$258
FLOWABLE

device

$258
INTEGRA WOUND MATRIX IWM

device

$258
SUPERA PERIPHERAL STENT SYSTEM

device

$223
TRUELOK

drug

$200
SANTYL

drug

$163
MIRODERM

device

$151
ACCUFILL

device

$150
KRYSTEXXA

drug

$125
BAXDELA

drug

$124
EXOGEN

device

$115
MINIRAIL SYSTEM

device

$97
OSCAR3

device

$97
PENNIG DYNAMIC WRIST FIXATOR

device

$97
PORD DEVICE

device

$97
† 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/35123

Payment Details

When How Much Related To What For From Third Party Payee
Aug 23, 2018 $1,460 No Listed Product Travel and Lodging KERECIS LIMITED
Sep 17, 2018 $600 HEMICAP MTP RESURFACING Travel and Lodging ARTHROSURFACE INCORPORATED A Step Ahead Foot Care PC
Sep 28, 2018 $408 HEMICAP MTP RESURFACING Travel and Lodging ARTHROSURFACE INCORPORATED
Apr 11, 2018 $249 BILAYER WOUND MATRIX BWM FLOWABLE INTEGRA WOUND MATRIX IWM Travel and Lodging INTEGRA LIFESCIENCES CORPORATION
May 18, 2018 $230 FREEDOM WRIST TITAN-SHOULDER EXTERNAL FIXATION SYSTEM Travel and Lodging INTEGRA LIFESCIENCES CORPORATION
Jun 27, 2018 $200 TRUELOK Travel and Lodging ORTHOFIX MEDICAL, INC.
May 18, 2018 $167 FREEDOM WRIST TITAN-SHOULDER EXTERNAL FIXATION SYSTEM Food and Beverage INTEGRA LIFESCIENCES CORPORATION
Feb 10, 2018 $150 ACCUFILL Food and Beverage ZIMMER BIOMET HOLDINGS, INC.
Sep 25, 2018 $125 KRYSTEXXA Food and Beverage HORIZON PHARMA PLC
Jun 16, 2018 $123 SUPERA PERIPHERAL STENT SYSTEM Food and Beverage ABBOTT LABORATORIES
Jan 19, 2018 $120 SANTYL Food and Beverage SMITH & NEPHEW, INC.
Mar 28, 2018 $115 EXOGEN Food and Beverage BIOVENTUS LLC
Nov 3, 2018 $110 MIRODERM Food and Beverage MIROMATRIX MEDICAL INC.
Nov 1, 2018 $97 PORD DEVICE MINIRAIL SYSTEM OSCAR3 XCALIBER ARTICULATED ANKLE FIXATOR PENNIG DYNAMIC WRIST FIXATOR Travel and Lodging ORTHOFIX MEDICAL, INC.
Aug 8, 2018 $95 BAXDELA Food and Beverage MELINTA THERAPEUTICS, INC.
Sep 29, 2018 $68 HEMICAP MTP RESURFACING Food and Beverage ARTHROSURFACE INCORPORATED
Dec 8, 2018 $50 SUPERA PERIPHERAL STENT SYSTEM Food and Beverage ABBOTT LABORATORIES
Dec 8, 2018 $50 SUPERA PERIPHERAL STENT SYSTEM Food and Beverage ABBOTT LABORATORIES
Sep 29, 2018 $46 HEMICAP MTP RESURFACING Food and Beverage ARTHROSURFACE INCORPORATED
Jan 29, 2018 $36 ANCHORAGE Food and Beverage STRYKER CORPORATION

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/35123

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.