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/51552
  • 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/51552
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.

VARSHASB BROUMAND

Listed Specialty: Nephrology
343 W HOUSTON ST STE 609, SAN ANTONIO, TX, 78205-2122

2018 Payments: At a Glance

161

payments

$15,602

payment total

25

companies paid this doctor

Types of Payments

Category Payments Payment Value
Promotional Speaking/Other
 6 $12,852
Food and Beverage
 153 $2,731
Travel and Lodging
 1 $16
Education
 1 $3

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†
VELTASSA

drug

 $5,526
RAYALDEE

drug

 $4,663
PARSABIV

drug

 $3,621
VELPHORO

drug

 $229
AURYXIA

drug

 $212
ENTRESTO

drug

 $166
GIAPREZA

drug

 $152
REPATHA

drug

 $138
ULORIC

drug

 $135
SAMSCA

drug

 $135
ACTHAR

drug

 $118
RAYOS

drug

 $69
KRYSTEXXA

drug

 $69
JYNARQUE

drug

 $53
CRITLINE - MONITORS

device

 $51
COOK MEDICAL ANGIOPLASTY

device

 $41
RAYALDEE (OLD)

drug

 $39
BIOMONITOR 2

device

 $34
VIABAHN ENDOPROSTHESIS WITH HEPARIN BIOACTIVE SURFACE

device

 $34
KEVEYIS

drug

 $29
† 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/51552

Payment Details

When How Much Related To What For From Third Party Payee
Mar 28, 2018 $4,302 RAYALDEE Promotional Speaking/Other OPKO PHARMACEUTICALS, LLC
Mar 30, 2018 $2,400 PARSABIV Promotional Speaking/Other AMGEN INC.
Aug 17, 2018 $1,750 VELTASSA Promotional Speaking/Other RELYPSA, INC. Varshasb Broumand, MD PLLC
Jun 8, 2018 $1,750 VELTASSA Promotional Speaking/Other RELYPSA, INC. Varshasb Broumand, MD PLLC
Apr 20, 2018 $1,750 VELTASSA Promotional Speaking/Other RELYPSA, INC. Varshasb Broumand, MD PLLC
Nov 6, 2018 $900 PARSABIV Promotional Speaking/Other AMGEN INC. VARSHASB BROUMAND MD PLLC
Mar 29, 2018 $125 ENTRESTO Food and Beverage NOVARTIS PHARMACEUTICALS CORPORATION
Mar 28, 2018 $125 PARSABIV Food and Beverage AMGEN INC.
Apr 12, 2018 $122 VELTASSA Food and Beverage RELYPSA, INC. Varshasb Broumand, MD PLLC
Jan 24, 2018 $118 ACTHAR Food and Beverage MALLINCKRODT LLC
Feb 20, 2018 $118 PARSABIV REPATHA Food and Beverage AMGEN INC.
Aug 8, 2018 $117 GIAPREZA Food and Beverage LA JOLLA PHARMACEUTICAL COMPANY
May 16, 2018 $90 RAYALDEE Food and Beverage OPKO PHARMACEUTICALS, LLC
Jan 15, 2018 $51 CRITLINE - MONITORS VELPHORO Food and Beverage FRESENIUS USA MARKETING, INC.
Jun 1, 2018 $43 VELTASSA Food and Beverage RELYPSA, INC. Varshasb Broumand, MD PLLC
Jun 28, 2018 $41 COOK MEDICAL ANGIOPLASTY Food and Beverage COOK MEDICAL LLC
Mar 1, 2018 $38 SAMSCA Food and Beverage OTSUKA AMERICA PHARMACEUTICAL, INC.
Dec 21, 2018 $34 BIOMONITOR 2 Food and Beverage BIOTRONIK INC.
Jun 20, 2018 $29 PARSABIV Food and Beverage AMGEN INC.
Feb 28, 2018 $28 PARSABIV 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/51552

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.