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/36490
  • 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/36490
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.

MARK-RALLY PE

Listed Specialty: Urology
4060 FOURTH AVE, SUITE 310, SAN DIEGO, CA, 92103

2018 Payments: At a Glance

52

payments

$9,828

payment total

15

companies paid this doctor

Types of Payments

Category Payments Payment Value
Nonaccredited Training
 2 $7,175
Food and Beverage
 49 $1,653
Consulting
 1 $1,000

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†
COOK MEDICAL ACCESSORIES

device

 $4,025
COOK MEDICAL NEEDLES

device

 $3,150
THIOLA

drug

 $1,000
COOK MEDICAL UROLOGY

device

 $297
GREENLIGHT

device

 $166
Payments with no listed product

N/A

 $160
XTANDI

drug

 $159
FIRMAGON

drug

 $133
NOCTIVA

drug

 $131
COOK MEDICAL LASERS

device

 $116
LUPRON

drug

 $106
MYRBETRIQ

drug

 $93
COOK MEDICAL NCIRCLE

device

 $87
ANDROGEL

drug

 $66
TITAN

device

 $60
ADVANCE

device

 $46
MAGIC3

device

 $35
VESICARE

drug

 $27
COOK MEDICAL SURGICAL

device

 $24
ROCHESTER MAGIC3

device

 $20
† 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/36490

Payment Details

When How Much Related To What For From Third Party Payee
May 24, 2018 $4,025 COOK MEDICAL ACCESSORIES Nonaccredited Training COOK INCORPORATED
Nov 2, 2018 $3,150 COOK MEDICAL NEEDLES Nonaccredited Training COOK INCORPORATED
Apr 12, 2018 $1,000 THIOLA Consulting RETROPHIN, INC.
Jun 14, 2018 $160 No Listed Product Food and Beverage C. R. BARD, INC. & SUBSIDIARIES
May 18, 2018 $149 GREENLIGHT Food and Beverage BOSTON SCIENTIFIC CORPORATION
Feb 22, 2018 $133 FIRMAGON Food and Beverage FERRING PHARMACEUTICALS INC.
Oct 15, 2018 $128 COOK MEDICAL UROLOGY Food and Beverage COOK INCORPORATED
Apr 16, 2018 $117 COOK MEDICAL UROLOGY Food and Beverage COOK INCORPORATED
May 20, 2018 $116 COOK MEDICAL LASERS Food and Beverage COOK MEDICAL LLC
Nov 14, 2018 $101 NOCTIVA Food and Beverage AVADEL SPECIALTY PHARMACEUTICALS, LLC
Dec 20, 2018 $87 COOK MEDICAL NCIRCLE Food and Beverage COOK INCORPORATED
Jul 3, 2018 $60 TITAN Food and Beverage COLOPLAST CORP
May 11, 2018 $35 MAGIC3 Food and Beverage ROCHESTER MEDICAL CORPORATION
Feb 22, 2018 $24 LUPRON Food and Beverage ABBVIE, INC.
Mar 9, 2018 $24 ADVANCE Food and Beverage BOSTON SCIENTIFIC CORPORATION
Apr 17, 2018 $24 COOK MEDICAL SURGICAL Food and Beverage COOK INCORPORATED
Dec 3, 2018 $24 XTANDI Food and Beverage ASTELLAS PHARMA US INC
May 17, 2018 $23 LUPRON Food and Beverage ABBVIE, INC.
Jul 12, 2018 $22 ADVANCE Food and Beverage BOSTON SCIENTIFIC CORPORATION
Oct 12, 2018 $22 COOK MEDICAL UROLOGY Food and Beverage COOK INCORPORATED

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/36490

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.