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/356090
  • 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/356090
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.

KRISTOPHER DOWNING

Listed Specialty: Hand Surgery
955 LANE AVE, SUITE 200, CHULA VISTA, CA, 91914-4525

2018 Payments: At a Glance

19

payments

$4,032

payment total

11

companies paid this doctor

Types of Payments

Category Payments Payment Value
Education
 3 $2,974
Food and Beverage
 13 $585
Travel and Lodging
 3 $474

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

 $3,317
HIP ARTHROSCOPY ACCESS & INSTRUMENTATION SET

device

 $306
SIDUS STEM-FREE SHOULDER

device

 $123
INATE

device

 $60
NEUROMATRIX

device

 $50
NVM5

device

 $30
AXOGUARD NERVE CONNECTOR

device

 $26
AXOGUARD NERVE PROTECTOR

device

 $26
ICONIX

device

 $25
AQUAMANTYS

device

 $19
HYDROSET

device

 $19
DUROLANE

device

 $17
BLUEPRINT PSI SYSTEM

device

 $16
XIAFLEX

drug

 $12
EXOGEN

device

 $11
† 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

All payments are displayed, the largest appearing on top.

When How Much Related To What For From Third Party Payee
Jan 8, 2018 $1,927 No Listed Product Education ARTHREX, INC.
Sep 4, 2018 $1,035 No Listed Product Education SPORTSTEK MEDICAL, INC
Feb 15, 2018 $187 No Listed Product Food and Beverage ARTHREX, INC.
Apr 23, 2018 $179 HIP ARTHROSCOPY ACCESS & INSTRUMENTATION SET Travel and Lodging STRYKER CORPORATION
Feb 15, 2018 $167 No Listed Product Travel and Lodging ARTHREX, INC.
May 1, 2018 $127 HIP ARTHROSCOPY ACCESS & INSTRUMENTATION SET Travel and Lodging STRYKER CORPORATION
Apr 18, 2018 $123 SIDUS STEM-FREE SHOULDER Food and Beverage ZIMMER BIOMET HOLDINGS, INC.
Jun 9, 2018 $60 INATE Food and Beverage EXSOMED HOLDING COMPANY LLC
Jan 21, 2018 $50 NEUROMATRIX Food and Beverage STRYKER CORPORATION
Mar 14, 2018 $30 NVM5 Food and Beverage NUVASIVE, INC.
Apr 21, 2018 $25 ICONIX Food and Beverage STRYKER CORPORATION
Mar 1, 2018 $19 AQUAMANTYS Food and Beverage MEDTRONIC USA, INC.
Jan 10, 2018 $19 HYDROSET Food and Beverage STRYKER CORPORATION
Apr 26, 2018 $17 DUROLANE Food and Beverage BIOVENTUS LLC
Jul 30, 2018 $16 BLUEPRINT PSI SYSTEM Food and Beverage WRIGHT MEDICAL TECHNOLOGY, INC.
Sep 13, 2018 $15 AXOGUARD NERVE PROTECTOR AXOGUARD NERVE CONNECTOR Food and Beverage AXOGEN
Aug 3, 2018 $12 XIAFLEX Food and Beverage ENDO PHARMACEUTICALS INC.
Sep 11, 2018 $12 AXOGUARD NERVE PROTECTOR AXOGUARD NERVE CONNECTOR Education AXOGEN
Sep 12, 2018 $11 EXOGEN Food and Beverage BIOVENTUS LLC

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.