Dollars for Docs: Talk With Your Doctor

https://projects.propublica.org/docdollars/
You can print this page and show it your doctor.

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 2016. The disclosure of these payments is required under the Physician Payment 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 to 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: <a href='https://propub.li/participate-d4d'>propub.li/participate-d4d</a>

Preparing for Your Conversation

If you decide you'd like to talk to your doctor about this, please keep in mind:

  • Many healthcare 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/477036
  • Some doctors are happy to discuss this information with you. Others might not be. The best approach is to ask questions and to <strong>not</strong> 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/477036
If you spot an error, please let us know at [email protected]

JOHN CZERWEIN

Listed Specialty: Orthopaedic Surgery of the Spine
1524 ATWOOD AVE, SUITE 140, JOHNSTON, RI, 02919-3228

Payments: At a Glance

116

payments

$188,354

payment total

15

companies paid this doctor

Types of Payments

Category Payments Payment Value
Consulting
15 $151K
Royalty or License
2 $25,922
Travel and Lodging
13 $6,346
Food and Beverage
86 $4,986

Drugs & Devices

Totals listed below account for all payments from August 2013 to December 2016 that mention this product. 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
SPINE IMPLANT

drug

$112K
LONGBOW

device

$31,546
PROLIFT

device

$31,475
THORACOLUMBAR

device

$14,603
VITOSS

device

$10,194
ARIA

device

$10,122
MANTIS

device

$9,900
XIA

device

$3,994
ACCULIF

device

$3,947
NEURO SPINE ENT

device

$3,890
ES2

device

$3,623
INTERBODY DEVICE

device

$3,287
CERVICAL

device

$3,234
CENTERLINE

device

$2,020
MIDLINE CORTICAL SYSTEM

device

$1,750
THORACOLUMBAR THERAPIES

device

$1,089
PRO-LINK

device

$1,046
AVATAR

device

$1,046
ORTHOPEDICS-EXTERNAL FIXATION

device

$1,023
OTHER

device

$995
AERO

device

$745
† 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/477036

Payment Details

When How Much Related To What For From Third Party Payee
Nov 3, 2015 $25,225

Spine Implant Consulting Amendia, Inc.
Aug 4, 2015 $25,225

Spine Implant Consulting Amendia, Inc.
May 6, 2015 $25,169

Spine Implant Consulting Amendia, Inc.
Mar 27, 2015 $25,131

Spine Implant Consulting Amendia, Inc.
Oct 20, 2016 $25,000

PROLIFT Longbow Royalty or License

Details: Patent #1

Life Spine, Inc.
Jul 14, 2016 $9,900

ARIA MANTIS VITOSS Consulting Stryker Corporation
Feb 26, 2015 $8,500

THORACOLUMBAR Consulting Stryker Corporation
Nov 18, 2016 $5,500

PROLIFT Longbow Consulting

Details: Consult Aug/Sep2016

Life Spine, Inc.
Jan 28, 2014 $5,200

THORACOLUMBAR Consulting Stryker Corporation
Oct 6, 2015 $4,350

Spine Implant Consulting Amendia, Inc.
Mar 20, 2015 $4,050

Spine Implant Consulting Amendia, Inc.
Apr 29, 2014 $3,800

NEURO SPINE ENT Consulting Stryker Corporation
Dec 8, 2016 $3,600

ACCULIF ES2 XIA Consulting Stryker Corporation
Apr 29, 2014 $3,200

CERVICAL INTERBODY DEVICE Consulting Stryker Corporation
Oct 25, 2016 $1,750

Midline Cortical System Consulting Precision Spine, Inc.
Oct 6, 2015 $1,575

Spine Implant Travel and Lodging Amendia, Inc.
Mar 20, 2015 $1,350

Spine Implant Travel and Lodging Amendia, Inc.
Nov 4, 2016 $922

Centerline Prolift Royalty or License

Details: Q3 2016 Royalty Payment

Life Spine, Inc.
Aug 20, 2016 $607

AVATAR Pro-Link Longbow Centerline Travel and Lodging

Details: Flight

Life Spine, Inc.
Jul 1, 2014 $594

Orthopedics-External Fixation Travel and Lodging Orthofix International N.V.
Sep 1, 2016 $500

No Listed Product Consulting Precision Spine, 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/477036

Note: We have made some effort to normalize the data and eliminate duplicates, but 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].