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/36314
  • 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/36314
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.

ADNAN AFZAL

Listed Specialty: Cardiovascular Disease
100 MEDICAL CENTER BLVD STE 200, CONROE, TX, 77304-2821

2018 Payments: At a Glance

93

payments

$2,769

payment total

20

companies paid this doctor

Types of Payments

Category Payments Payment Value
Food and Beverage
 88 $1,902
Travel and Lodging
 5 $867

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†
HAWKONE

device

 $974
Payments with no listed product

N/A

 $457
ENTRESTO

drug

 $385
REPATHA

drug

 $226
RANEXA

drug

 $117
ELIQUIS

drug

 $113
INGENIA 1.5T R4

device

 $63
KENGREAL

drug

 $57
CORLANOR

drug

 $53
BRILINTA

drug

 $45
FLEXITOUCH

device

 $43
ACTITOUCH

device

 $43
ENTRE

device

 $43
IN.PACT ADMIRAL

device

 $41
PRALUENT

drug

 $40
XARELTO

drug

 $28
LIFEVEST

device

 $24
CLEVIPREX

drug

 $22
TURBOHAWK

device

 $22
VIEWFLEX XTRA ICE CATHETER

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.

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/36314

Payment Details

When How Much Related To What For From Third Party Payee
Oct 18, 2018 $473 HAWKONE Travel and Lodging MEDTRONIC VASCULAR, INC.
May 4, 2018 $184 No Listed Product Food and Beverage BIOTRONIK INC.
Oct 18, 2018 $162 HAWKONE Travel and Lodging MEDTRONIC VASCULAR, INC.
Oct 18, 2018 $138 HAWKONE Travel and Lodging MEDTRONIC VASCULAR, INC.
Aug 13, 2018 $125 ENTRESTO Food and Beverage NOVARTIS PHARMACEUTICALS CORPORATION
Nov 14, 2018 $123 REPATHA Food and Beverage AMGEN INC.
Apr 19, 2018 $117 RANEXA Food and Beverage GILEAD SCIENCES INC
Oct 18, 2018 $107 HAWKONE Food and Beverage MEDTRONIC VASCULAR, INC.
Jul 26, 2018 $68 No Listed Product Food and Beverage BIOTRONIK INC.
May 10, 2018 $63 INGENIA 1.5T R4 Food and Beverage PHILIPS ELECTRONICS NORTH AMERICA CORPORATION
Oct 19, 2018 $54 HAWKONE Travel and Lodging MEDTRONIC VASCULAR, INC.
Nov 29, 2018 $50 No Listed Product Food and Beverage BIOTRONIK INC.
Oct 18, 2018 $40 HAWKONE Travel and Lodging MEDTRONIC VASCULAR, INC.
Apr 30, 2018 $23 ENTRESTO Food and Beverage NOVARTIS PHARMACEUTICALS CORPORATION
Oct 2, 2018 $23 KENGREAL Food and Beverage CHIESI USA, INC.
Feb 7, 2018 $22 CLEVIPREX KENGREAL Food and Beverage CHIESI USA, INC.
Nov 30, 2018 $22 PRALUENT Food and Beverage SANOFI-AVENTIS U.S. LLC
Jun 26, 2018 $21 VIEWFLEX XTRA ICE CATHETER Food and Beverage ABBOTT LABORATORIES
Nov 7, 2018 $20 IN.PACT ADMIRAL Food and Beverage MEDTRONIC VASCULAR, INC.
Aug 2, 2018 $20 No Listed Product Food and Beverage BIOTRONIK 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/36314

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.