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/45824
  • 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/45824
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.

MIGUEL ORDONEZ CASTELLANOS

Listed Specialty: Gastroenterology
910 W 5TH AVE STE 501, SPOKANE, WA, 99204-2966

2018 Payments: At a Glance

50

payments

$3,519

payment total

13

companies paid this doctor

Types of Payments

Category Payments Payment Value
Food and Beverage
 48 $1,902
Consulting
 1 $1,600
Education
 1 $17

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†
HUMIRA

drug

 $1,780
ERBE

device

 $276
COOK MEDICAL HEMOSTASIS

device

 $261
GENERAL THERAPIES

device

 $193
OLYMPUS HEMOSTASIS DEVICES

device

 $146
COOK MEDICAL BILIARY

device

 $137
ELEVIEW

device

 $134
XELJANZ

drug

 $127
Payments with no listed product

N/A

 $90
COOK MEDICAL HEMOSPRAY

device

 $82
ENTYVIO

drug

 $72
APRISO

drug

 $47
UCERIS

drug

 $47
CIMZIA

drug

 $37
COOK MEDICAL 6 SHOOTER

device

 $30
COOK MEDICAL EVOLUTION

device

 $27
MAVYRET

drug

 $23
CLENPIQ

drug

 $19
LINZESS

drug

 $14
COOK MEDICAL BIOPSY - NON-BILIARY

device

 $14
† 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/45824

Payment Details

When How Much Related To What For From Third Party Payee
Aug 27, 2018 $1,600 HUMIRA Consulting ABBVIE, INC.
Jul 6, 2018 $155 ERBE Food and Beverage ERBE USA INC
Sep 26, 2018 $146 OLYMPUS HEMOSTASIS DEVICES Food and Beverage OLYMPUS AMERICA INC.
Mar 21, 2018 $134 ELEVIEW Food and Beverage ARIES PHARMACEUTICALS, INC.
Sep 26, 2018 $125 GENERAL THERAPIES Food and Beverage BOSTON SCIENTIFIC CORPORATION
Dec 18, 2018 $121 ERBE Food and Beverage ERBE USA INC
May 15, 2018 $106 HUMIRA Food and Beverage ABBVIE, INC.
Nov 6, 2018 $91 XELJANZ Food and Beverage PFIZER INC.
Feb 27, 2018 $85 No Listed Product Food and Beverage ABBVIE, INC.
Sep 4, 2018 $82 COOK MEDICAL HEMOSPRAY Food and Beverage COOK MEDICAL LLC
Oct 29, 2018 $72 ENTYVIO Food and Beverage TAKEDA PHARMACEUTICALS U.S.A., INC.
Jan 30, 2018 $72 COOK MEDICAL BILIARY Food and Beverage COOK MEDICAL LLC
Nov 7, 2018 $68 GENERAL THERAPIES Food and Beverage BOSTON SCIENTIFIC CORPORATION
Mar 21, 2018 $65 COOK MEDICAL BILIARY Food and Beverage COOK MEDICAL LLC
Oct 16, 2018 $45 COOK MEDICAL HEMOSTASIS Food and Beverage COOK MEDICAL LLC
May 30, 2018 $45 COOK MEDICAL HEMOSTASIS Food and Beverage COOK MEDICAL LLC
Jul 19, 2018 $38 COOK MEDICAL HEMOSTASIS Food and Beverage COOK MEDICAL LLC
Jul 11, 2018 $36 COOK MEDICAL HEMOSTASIS Food and Beverage COOK MEDICAL LLC
Dec 17, 2018 $35 COOK MEDICAL HEMOSTASIS Food and Beverage COOK INCORPORATED
Nov 28, 2018 $33 COOK MEDICAL HEMOSTASIS Food and Beverage COOK MEDICAL LLC

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/45824

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.