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/4706915
  • 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/4706915
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.

GEORGE BYRAM

Listed Specialty: Sports Medicine
4301 W MARKHAM ST, LITTLE ROCK, AR, 72205-7101

2018 Payments: At a Glance

42

payments

$17,056

payment total

8

companies paid this doctor

Types of Payments

Category Payments Payment Value
Education
 5 $12,900
Travel and Lodging
 12 $2,586
Food and Beverage
 25 $1,570

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†
Payments with no listed product

N/A

 $14,238
SIMPLICITI

device

 $1,007
MAKO

device

 $409
EQUINOXE

device

 $388
ORTHOLOC

device

 $296
NANO TACT FLEX

device

 $154
CONTAIN

device

 $115
HEALICOIL

device

 $110
Q-FIX

device

 $110
CUSTOM IMPLANTS

device

 $105
BLUEPRINT PSI SYSTEM

device

 $96
TRIATHLON

device

 $44
VALOR

device

 $31
AXSOS

device

 $28
GAMMA

device

 $20
HOFFMANN

device

 $20
T2

device

 $20
EX-FIX

device

 $14
ZILRETTA

drug

 $12
EUFLEXXA

device

 $11
† 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/4706915

Payment Details

When How Much Related To What For From Third Party Payee
Jan 10, 2018 $8,100 No Listed Product Education SMITH & NEPHEW, INC. Mississippi Sports Medicine & Orthopaedic Center,
Jan 10, 2018 $1,700 No Listed Product Education SMITH & NEPHEW, INC. Tulane University
May 18, 2018 $1,656 No Listed Product Education ARTHREX, INC.
May 17, 2018 $1,294 No Listed Product Education ARTHREX, INC.
Jul 23, 2018 $675 SIMPLICITI Travel and Lodging WRIGHT MEDICAL TECHNOLOGY, INC.
May 2, 2018 $613 No Listed Product Travel and Lodging ARTHREX, INC.
Aug 10, 2018 $269 No Listed Product Travel and Lodging ARTHREX, INC.
Mar 15, 2018 $257 MAKO Travel and Lodging STRYKER CORPORATION
May 17, 2018 $224 No Listed Product Food and Beverage ARTHREX, INC.
Jul 23, 2018 $196 SIMPLICITI Travel and Lodging WRIGHT MEDICAL TECHNOLOGY, INC.
Jul 25, 2018 $177 EQUINOXE Travel and Lodging EXACTECH, INC.
May 17, 2018 $150 No Listed Product Education ARTHREX, INC.
Sep 5, 2018 $141 ORTHOLOC Food and Beverage WRIGHT MEDICAL TECHNOLOGY, INC.
Feb 22, 2018 $138 NANO TACT FLEX Food and Beverage STRYKER CORPORATION
Oct 11, 2018 $115 CONTAIN Food and Beverage STRYKER CORPORATION
Mar 22, 2018 $110 HEALICOIL Q-FIX Food and Beverage SMITH & NEPHEW, INC.
Jul 25, 2018 $109 EQUINOXE Travel and Lodging EXACTECH, INC.
Aug 14, 2018 $105 CUSTOM IMPLANTS Food and Beverage STRYKER CORPORATION
Jul 16, 2018 $102 EQUINOXE Food and Beverage EXACTECH, INC.
Mar 1, 2018 $96 BLUEPRINT PSI SYSTEM Food and Beverage WRIGHT MEDICAL TECHNOLOGY, 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/4706915

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.