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/354633
  • 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/354633
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.


ORRIN TROUM

Listed Specialty: Rheumatology
2336 SANTA MONICA BLVD, STE 207, SANTA MONICA, CA, 90404-2095

2018 Payments: At a Glance

569

payments

$322,950

payment total

30

companies paid this doctor

Types of Payments

Category Payments Payment Value
Promotional Speaking/Other
52 $126K
Honoraria
27 $83,014
Consulting
20 $68,746
Travel and Lodging
102 $33,022
Food and Beverage
365 $12,557
Education
3 $84

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
KRYSTEXXA

drug

$72,567
Payments with no listed product

N/A

$58,930
COSENTYX

drug

$47,445
ENBREL

drug

$46,781
ORENCIA

drug

$21,497
RAYOS

drug

$15,696
OTEZLA

drug

$14,956
XELJANZ

drug

$11,422
KEVZARA

drug

$10,716
HUMIRA

drug

$9,061
ERELZI

drug

$6,679
NO PRODUCT DISCUSSED

drug

$4,440
DIOVAN

drug

$1,519
TALTZ

drug

$361
PROLIA

drug

$345
STELARA

drug

$329
SIMPONI ARIA

drug

$225
TYMLOS

drug

$204
RASUVO

drug

$174
ACTHAR

drug

$174
† 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/354633

Payment Details

When How Much Related To What For From Third Party Payee
Oct 15, 2018 $17,981 No Listed Product Promotional Speaking/Other CELGENE CORPORATION
Jun 11, 2018 $8,875 ENBREL Consulting PFIZER INTERNATIONAL LLC
Jul 20, 2018 $8,490 COSENTYX Consulting NOVARTIS PHARMACEUTICALS CORPORATION ORRIN M TROUM MD
May 11, 2018 $8,100 KRYSTEXXA Honoraria HORIZON PHARMA PLC
May 17, 2018 $7,020 KRYSTEXXA Honoraria HORIZON PHARMA PLC
Jul 26, 2018 $7,020 KRYSTEXXA Honoraria HORIZON PHARMA PLC
May 9, 2018 $6,825 No Listed Product Consulting LILLY USA, LLC
Jun 29, 2018 $6,543 COSENTYX Consulting NOVARTIS PHARMACEUTICALS CORPORATION ORRIN M TROUM MD
Nov 30, 2018 $6,543 COSENTYX Consulting NOVARTIS PHARMACEUTICALS CORPORATION ORRIN M TROUM MD
Oct 19, 2018 $5,841 ERELZI Consulting SANDOZ INC.
Jul 14, 2018 $5,358 OTEZLA Promotional Speaking/Other CELGENE CORPORATION
Apr 13, 2018 $4,444 KEVZARA Promotional Speaking/Other GENZYME CORPORATION
Feb 24, 2018 $4,320 KRYSTEXXA Honoraria HORIZON PHARMA PLC
Mar 20, 2018 $4,320 KRYSTEXXA Honoraria HORIZON PHARMA PLC
Jan 29, 2018 $4,320 KRYSTEXXA Honoraria HORIZON PHARMA PLC
Sep 7, 2018 $4,069 NO PRODUCT DISCUSSED Consulting GENZYME CORPORATION
Jul 19, 2018 $4,050 ORENCIA Consulting E.R. SQUIBB & SONS, L.L.C.
Jun 21, 2018 $4,040 COSENTYX Promotional Speaking/Other NOVARTIS PHARMACEUTICALS CORPORATION
Apr 20, 2018 $3,240 KRYSTEXXA Honoraria HORIZON PHARMA PLC
Jan 18, 2018 $3,240 KRYSTEXXA Honoraria HORIZON PHARMA PLC

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/354633

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.