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/41806
  • 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/41806
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.

SANDEEP TALWAR

Listed Specialty: Clinical Cardiac Electrophysiology
300 N GRAHAM ST, SUITE 320, PORTLAND, OR, 97227-1683

2018 Payments: At a Glance

66

payments

$7,342

payment total

7

companies paid this doctor

Types of Payments

Category Payments Payment Value
Travel and Lodging
 13 $4,451
Food and Beverage
 53 $2,890

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†
WATCHMAN

device

 $3,210
MICRA

device

 $1,251
GENERAL THERAPIES

device

 $1,136
Payments with no listed product

N/A

 $376
VIGILANT

device

 $256
CARDIAC MAPPING SYSTEM

device

 $144
GENERAL VASCULAR INTERVENTION

device

 $140
RELIANCE 4FRONT

device

 $122
CARTO 3 SYSTEM

device

 $113
CONFIDENSE

device

 $113
SQRX PULSE GENERATOR

device

 $100
RESOLUTE

device

 $90
ENSITE CARDIAC MAPPING SYSTEM

device

 $71
ELIQUIS

drug

 $67
AMPLIA MRI

device

 $51
CARDIOMEMS HF SYSTEM

device

 $48
CHANTIX

drug

 $47
CRT-PS

device

 $34
XARELTO

drug

 $25
HEARTMATE 3 LEFT VENTRICULAR DEV

device

 $22
† 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/41806

Payment Details

When How Much Related To What For From Third Party Payee
Nov 14, 2018 $1,183 WATCHMAN Travel and Lodging BOSTON SCIENTIFIC CORPORATION
Jun 3, 2018 $675 GENERAL THERAPIES Travel and Lodging BOSTON SCIENTIFIC CORPORATION
Feb 9, 2018 $607 MICRA Travel and Lodging MEDTRONIC VASCULAR, INC.
Jun 22, 2018 $507 WATCHMAN Travel and Lodging BOSTON SCIENTIFIC CORPORATION
Oct 23, 2018 $433 WATCHMAN Travel and Lodging BOSTON SCIENTIFIC CORPORATION
Sep 10, 2018 $290 WATCHMAN Travel and Lodging BOSTON SCIENTIFIC CORPORATION
Jun 23, 2018 $243 WATCHMAN Food and Beverage BOSTON SCIENTIFIC CORPORATION
Feb 9, 2018 $175 MICRA Travel and Lodging MEDTRONIC VASCULAR, INC.
Jun 3, 2018 $172 GENERAL THERAPIES Travel and Lodging BOSTON SCIENTIFIC CORPORATION
Sep 11, 2018 $159 WATCHMAN Food and Beverage BOSTON SCIENTIFIC CORPORATION
Jun 4, 2018 $158 GENERAL THERAPIES Travel and Lodging BOSTON SCIENTIFIC CORPORATION
Feb 9, 2018 $149 MICRA Food and Beverage MEDTRONIC VASCULAR, INC.
Feb 9, 2018 $146 MICRA Travel and Lodging MEDTRONIC VASCULAR, INC.
Jan 31, 2018 $144 CARDIAC MAPPING SYSTEM Food and Beverage ABBOTT LABORATORIES
Jun 3, 2018 $140 GENERAL VASCULAR INTERVENTION Food and Beverage BOSTON SCIENTIFIC CORPORATION
Nov 28, 2018 $122 RELIANCE 4FRONT Food and Beverage BOSTON SCIENTIFIC CORPORATION
Nov 1, 2018 $120 No Listed Product Food and Beverage BIOTRONIK INC.
Jan 3, 2018 $117 VIGILANT Food and Beverage BOSTON SCIENTIFIC CORPORATION
Jul 16, 2018 $116 MICRA Food and Beverage MEDTRONIC VASCULAR, INC.
Dec 28, 2018 $113 CARTO 3 SYSTEM CONFIDENSE Food and Beverage BIOSENSE WEBSTER, 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/41806

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.