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/51865
  • 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/51865
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.

KIREN KRESA-REAHL

Listed Specialty: Neurology
9427 SW BARNES RD, STE 595, PORTLAND, OR, 97225-6640

2018 Payments: At a Glance

106

payments

$110,284

payment total

6

companies paid this doctor

Types of Payments

Category Payments Payment Value
Promotional Speaking/Other
 18 $53,942
Consulting
 7 $43,857
Travel and Lodging
 26 $9,391
Food and Beverage
 53 $2,985
Education
 2 $110

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†
TECFIDERA

drug

 $33,350
TYSABRI

drug

 $29,479
OCREVUS

drug

 $20,665
Payments with no listed product

N/A

 $16,115
MAVENCLAD

drug

 $8,200
ZINBRYTA

drug

 $7,156
OZANIMOD

drug

 $6,619
AUBAGIO

drug

 $5,768
GILENYA

drug

 $3,214
LEMTRADA

drug

 $2,941
AVONEX

drug

 $110
DISEASE STATE

drug

 $92
MS DISEASE STATE

drug

 $25
† 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
Jun 23, 2018 $7,425 TYSABRI TECFIDERA Consulting BIOGEN, INC.
Dec 14, 2018 $6,750 TECFIDERA Consulting BIOGEN, INC.
Jan 12, 2018 $6,518 TYSABRI TECFIDERA ZINBRYTA Consulting BIOGEN, INC.
Jun 8, 2018 $6,300 OZANIMOD Consulting CELGENE CORPORATION
Dec 18, 2018 $5,740 MAVENCLAD Consulting EMD SERONO, INC.
Dec 8, 2018 $5,724 No Listed Product Consulting NOVARTIS PHARMACEUTICALS CORPORATION
Sep 29, 2018 $5,400 TYSABRI Consulting BIOGEN, INC.
May 29, 2018 $5,400 No Listed Product Promotional Speaking/Other BIOGEN, INC.
Sep 28, 2018 $4,040 OCREVUS Promotional Speaking/Other GENENTECH USA, INC.
Apr 17, 2018 $4,040 OCREVUS Promotional Speaking/Other GENENTECH USA, INC.
Sep 27, 2018 $4,040 OCREVUS Promotional Speaking/Other GENENTECH USA, INC.
Mar 15, 2018 $3,555 TYSABRI Promotional Speaking/Other BIOGEN, INC.
Jul 26, 2018 $3,150 TYSABRI Promotional Speaking/Other BIOGEN, INC.
May 15, 2018 $3,150 TECFIDERA Promotional Speaking/Other BIOGEN, INC.
Sep 18, 2018 $3,150 TECFIDERA Promotional Speaking/Other BIOGEN, INC.
Apr 7, 2018 $2,789 LEMTRADA Promotional Speaking/Other GENZYME CORPORATION
Jul 3, 2018 $2,789 AUBAGIO Promotional Speaking/Other GENZYME CORPORATION
Aug 21, 2018 $2,789 AUBAGIO Promotional Speaking/Other GENZYME CORPORATION
Feb 3, 2018 $2,765 TECFIDERA Promotional Speaking/Other BIOGEN, INC.
May 8, 2018 $2,660 GILENYA Promotional Speaking/Other NOVARTIS PHARMACEUTICALS CORPORATION

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/51865

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.