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/474694
  • 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/474694
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.

LAURO GUERRERO

Listed Specialty: Optometrist
1205 N ED CAREY DR, HARLINGEN, TX, 78550-9204

2018 Payments: At a Glance

109

payments

$25,581

payment total

9

companies paid this doctor

Types of Payments

Category Payments Payment Value
Promotional Speaking/Other
 6 $9,390
Nonaccredited Training
 4 $6,600
Food and Beverage
 82 $4,105
Travel and Lodging
 15 $3,141
Consulting
 2 $2,345

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†
XIIDRA

drug

 $9,064
VYZULTA

drug

 $6,999
ALPHAGAN P

drug

 $2,816
RESTASIS

drug

 $1,789
LUMIGAN

drug

 $1,726
COMBIGAN

drug

 $1,709
RHOPRESSA

drug

 $1,210
AVENOVA

device

 $562
BESIVANCE

drug

 $366
LOTEMAX

drug

 $299
Payments with no listed product

N/A

 $286
DAILIES

device

 $265
PROLENSA

drug

 $213
ZYLET

drug

 $151
CRYSTALENS

device

 $146
TRULIGN TORIC

device

 $146
OZURDEX

drug

 $125
SPECTRALIS

device

 $103
ONE SERIES ULTRA IOL DELIVERY SYSTEM

device

 $85
LATANOPROSTENE BUNOD

drug

 $78
† 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/474694

Payment Details

When How Much Related To What For From Third Party Payee
Jun 1, 2018 $2,900 VYZULTA Nonaccredited Training BAUSCH & LOMB, A DIVISION OF BAUSCH HEALTH US, LLC
Jun 26, 2018 $2,700 XIIDRA Promotional Speaking/Other SHIRE NORTH AMERICAN GROUP INC
Apr 13, 2018 $1,750 ALPHAGAN P Consulting ALLERGAN INC.
Dec 14, 2018 $1,600 VYZULTA Nonaccredited Training BAUSCH & LOMB, A DIVISION OF BAUSCH HEALTH US, LLC Lauro Guerrero III
Mar 9, 2018 $1,600 VYZULTA Nonaccredited Training BAUSCH & LOMB, A DIVISION OF BAUSCH HEALTH US, LLC
Jun 13, 2018 $1,500 RESTASIS Promotional Speaking/Other ALLERGAN INC.
Oct 16, 2018 $1,500 LUMIGAN COMBIGAN Promotional Speaking/Other ALLERGAN INC.
Oct 2, 2018 $1,380 XIIDRA Promotional Speaking/Other SHIRE NORTH AMERICAN GROUP INC
May 30, 2018 $1,380 XIIDRA Promotional Speaking/Other SHIRE NORTH AMERICAN GROUP INC
Sep 20, 2018 $950 XIIDRA Travel and Lodging SHIRE NORTH AMERICAN GROUP INC
Aug 24, 2018 $930 RHOPRESSA Promotional Speaking/Other AERIE PHARMACEUTICALS, INC.
Jun 15, 2018 $729 XIIDRA Travel and Lodging SHIRE NORTH AMERICAN GROUP INC
Jul 19, 2018 $595 XIIDRA Consulting SHIRE NORTH AMERICAN GROUP INC
Oct 3, 2018 $500 AVENOVA Nonaccredited Training NOVABAY PHARMACEUTICALS, INC.
Apr 6, 2018 $438 ALPHAGAN P Travel and Lodging ALLERGAN INC.
Apr 6, 2018 $247 ALPHAGAN P Travel and Lodging ALLERGAN INC.
Jun 1, 2018 $206 VYZULTA Travel and Lodging BAUSCH & LOMB, A DIVISION OF BAUSCH HEALTH US, LLC
Jun 1, 2018 $158 VYZULTA Travel and Lodging BAUSCH & LOMB, A DIVISION OF BAUSCH HEALTH US, LLC
Jun 15, 2018 $150 XIIDRA Food and Beverage SHIRE NORTH AMERICAN GROUP INC
Jun 16, 2018 $147 XIIDRA Travel and Lodging SHIRE NORTH AMERICAN GROUP 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/474694

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.