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/45266
  • 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/45266
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.


MATTHEW SMEDS

Listed Specialty: Vascular Surgery
3635 VISTA AVE, SAINT LOUIS, MO, 63110-2539

2018 Payments: At a Glance

62

payments

$3,882

payment total

12

companies paid this doctor

Types of Payments

Category Payments Payment Value
Food and Beverage
52 $2,611
Travel and Lodging
10 $1,270

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
ARTIS PHENO

device

$748
LUTONIX

device

$472
RELAY PLUS

device

$465
ULTRAVERSE

device

$388
CONFORMABLE TAG THORACIC ENDOPROSTHESIS

device

$278
PHOTOFIX

device

$217
PENUMBRA RUBY COIL

device

$199
BIOGLUE

device

$188
FUSION BIOLINE

device

$148
HI-TORQUE COMMAND GUIDE WIRE

device

$124
C3 DELIVERY SYSTEM

device

$118
Payments with no listed product

N/A

$112
COOK MEDICAL ZILVER PTX

device

$100
FLIXENE

device

$99
LIFESTENT

device

$88
ADVANTA

device

$78
COOK MEDICAL CUSTOM MADE DEVICE

device

$74
CROSSER

device

$66
ICAST

device

$26
IGT_D PERIPHERAL

device

$23
† 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/45266

Payment Details

When How Much Related To What For From Third Party Payee
Apr 25, 2018 $388 ULTRAVERSE Travel and Lodging BARD PERIPHERAL VASCULAR, INC.
May 2, 2018 $226 LUTONIX Travel and Lodging BARD PERIPHERAL VASCULAR, INC.
Mar 21, 2018 $199 PENUMBRA RUBY COIL Food and Beverage PENUMBRA, INC.
Oct 29, 2018 $188 BIOGLUE PHOTOFIX Food and Beverage CRYOLIFE, INC.
Mar 15, 2018 $177 ARTIS PHENO Travel and Lodging SIEMENS MEDICAL SOLUTIONS USA, INC.
May 3, 2018 $176 ARTIS PHENO Travel and Lodging SIEMENS MEDICAL SOLUTIONS USA, INC.
Mar 15, 2018 $147 ARTIS PHENO Travel and Lodging SIEMENS MEDICAL SOLUTIONS USA, INC.
Apr 24, 2018 $135 CONFORMABLE TAG THORACIC ENDOPROSTHESIS Food and Beverage W. L. GORE & ASSOCIATES, INC.
Feb 26, 2018 $129 RELAY PLUS Food and Beverage BOLTON MEDICAL INC
Feb 8, 2018 $128 LUTONIX Food and Beverage BARD PERIPHERAL VASCULAR, INC.
Jun 20, 2018 $124 RELAY PLUS Food and Beverage BOLTON MEDICAL INC
Jul 7, 2018 $124 HI-TORQUE COMMAND GUIDE WIRE Food and Beverage ABBOTT LABORATORIES
Jul 6, 2018 $112 No Listed Product Food and Beverage ANGIODYNAMICS, INC.
Jun 22, 2018 $108 C3 DELIVERY SYSTEM Food and Beverage W. L. GORE & ASSOCIATES, INC.
May 3, 2018 $107 ARTIS PHENO Travel and Lodging SIEMENS MEDICAL SOLUTIONS USA, INC.
Apr 18, 2018 $102 FUSION BIOLINE Food and Beverage MAQUET CARDIOVASCULAR U.S. SALES, L.L.C.
Apr 13, 2018 $100 COOK MEDICAL ZILVER PTX Food and Beverage COOK MEDICAL LLC
May 3, 2018 $96 ARTIS PHENO Food and Beverage SIEMENS MEDICAL SOLUTIONS USA, INC.
Jul 7, 2018 $79 CONFORMABLE TAG THORACIC ENDOPROSTHESIS Food and Beverage W. L. GORE & ASSOCIATES, INC.
Jul 7, 2018 $71 RELAY PLUS Food and Beverage BOLTON MEDICAL 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/45266

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.