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/42588
  • 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/42588
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.

FELIX GUZMAN

Listed Specialty: Internal Medicine
12600 SW 120TH ST, SUITE 105, MIAMI, FL, 33186-9066

2018 Payments: At a Glance

50

payments

$2,530

payment total

14

companies paid this doctor

Types of Payments

Category Payments Payment Value
Food and Beverage
 49 $2,520
Education
 1 $10

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†
ANORO

drug

 $460
LINZESS

drug

 $312
VIBERZI

drug

 $312
VASCEPA

drug

 $310
UTIBRON

drug

 $263
PROLIA

drug

 $196
BROVANA

drug

 $140
LONHALA MAGNAIR

drug

 $140
SEEBRI

drug

 $140
BELSOMRA

drug

 $138
SHINGRIX

drug

 $125
BEVESPI AEROSPHERE

drug

 $125
TRULICITY

drug

 $101
Payments with no listed product

N/A

 $98
AIMOVIG

drug

 $93
REPATHA

drug

 $90
SYMBICORT

drug

 $88
BREO

drug

 $50
JANUVIA

drug

 $39
JANUMET

drug

 $33
† 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/42588

Payment Details

When How Much Related To What For From Third Party Payee
May 23, 2018 $312 LINZESS VIBERZI Food and Beverage IRONWOOD PHARMACEUTICALS, INC
Dec 17, 2018 $127 VASCEPA Food and Beverage AMARIN PHARMA INC.
Apr 20, 2018 $125 SHINGRIX Food and Beverage GLAXOSMITHKLINE, LLC.
Jun 7, 2018 $125 BEVESPI AEROSPHERE Food and Beverage ASTRAZENECA PHARMACEUTICALS LP
Aug 31, 2018 $125 ANORO Food and Beverage GLAXOSMITHKLINE, LLC.
Jul 19, 2018 $125 VASCEPA Food and Beverage AMARIN PHARMA INC.
Mar 6, 2018 $125 ANORO Food and Beverage GLAXOSMITHKLINE, LLC.
May 10, 2018 $124 UTIBRON SEEBRI LONHALA MAGNAIR BROVANA Food and Beverage SUNOVION PHARMACEUTICALS INC.
Jan 17, 2018 $123 UTIBRON Food and Beverage SUNOVION PHARMACEUTICALS INC.
Mar 29, 2018 $122 PROLIA Food and Beverage AMGEN INC.
Apr 26, 2018 $119 BELSOMRA Food and Beverage MERCK SHARP & DOHME CORPORATION
Nov 28, 2018 $119 ANORO Food and Beverage GLAXOSMITHKLINE, LLC.
Nov 13, 2018 $101 TRULICITY Food and Beverage LILLY USA, LLC
Feb 8, 2018 $98 No Listed Product Food and Beverage SUNOVION PHARMACEUTICALS INC.
Aug 16, 2018 $78 AIMOVIG Food and Beverage AMGEN INC.
Jul 5, 2018 $25 VASCEPA Food and Beverage AMARIN PHARMA INC.
Aug 6, 2018 $24 SYMBICORT Food and Beverage ASTRAZENECA PHARMACEUTICALS LP
Nov 13, 2018 $23 SPIRIVA RESPIMAT Food and Beverage BOEHRINGER INGELHEIM PHARMACEUTICALS, INC.
Oct 31, 2018 $23 VASCEPA Food and Beverage AMARIN PHARMA INC.
Feb 20, 2018 $22 SYMBICORT Food and Beverage ASTRAZENECA PHARMACEUTICALS LP

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/42588

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.