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/46418
  • 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/46418
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.

STEPHEN ARNOLD

Listed Specialty: Cardiovascular Disease
2101 VALE RD, SUITE 201, SAN PABLO, CA, 94806-3835

2018 Payments: At a Glance

48

payments

$965

payment total

15

companies paid this doctor

Types of Payments

Category Payments Payment Value
Food and Beverage
 47 $865
Education
 1 $100

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†
ELIQUIS

drug

 $177
Payments with no listed product

N/A

 $154
BRILINTA

drug

 $131
REPATHA

drug

 $126
PRALUENT

drug

 $85
XARELTO

drug

 $59
ENTRESTO

drug

 $57
LEXISCAN

drug

 $49
ZIO PATCH

device

 $45
NITROMIST

drug

 $28
EDARBI

drug

 $20
KYPHON BALLOON KYPHOPLASTY

device

 $18
VIGILANT

device

 $17
† 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.

Payment Details

When How Much Related To What For From Third Party Payee
Mar 14, 2018 $102 BRILINTA Food and Beverage ASTRAZENECA PHARMACEUTICALS LP
Jan 9, 2018 $100 No Listed Product Education ASTELLAS PHARMA US INC
Aug 14, 2018 $28 NITROMIST Food and Beverage AKRIMAX PHARMACEUTICALS, LLC
Nov 16, 2018 $25 LEXISCAN Food and Beverage ASTELLAS PHARMA US INC
Mar 28, 2018 $25 LEXISCAN Food and Beverage ASTELLAS PHARMA US INC
Oct 30, 2018 $24 REPATHA Food and Beverage AMGEN INC.
May 29, 2018 $24 No Listed Product Food and Beverage GILEAD SCIENCES INC
Apr 24, 2018 $23 ELIQUIS Food and Beverage PFIZER INC.
Mar 5, 2018 $23 ZIO PATCH Food and Beverage IRHYTHM TECHNOLOGIES, INC.
Mar 6, 2018 $22 REPATHA Food and Beverage AMGEN INC.
Mar 30, 2018 $22 ZIO PATCH Food and Beverage IRHYTHM TECHNOLOGIES, INC.
Aug 28, 2018 $21 REPATHA Food and Beverage AMGEN INC.
Apr 10, 2018 $21 XARELTO Food and Beverage JANSSEN PHARMACEUTICALS, INC
May 15, 2018 $21 REPATHA Food and Beverage AMGEN INC.
Jan 23, 2018 $20 XARELTO Food and Beverage JANSSEN PHARMACEUTICALS, INC
Jun 19, 2018 $20 EDARBI Food and Beverage ARBOR PHARMACEUTICALS, INC.
Aug 30, 2018 $19 PRALUENT Food and Beverage SANOFI-AVENTIS U.S. LLC
Feb 5, 2018 $19 PRALUENT Food and Beverage REGENERON HEALTHCARE SOLUTIONS, INC.
Mar 13, 2018 $19 REPATHA Food and Beverage AMGEN INC.
Apr 4, 2018 $19 REPATHA Food and Beverage AMGEN 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/46418

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.