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/537652
  • 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/537652
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.

RICHARD TOSTI

Listed Specialty: Hand Surgery
3401 N BROAD ST, PARKINSON PAVILION SUITE 400, PHILADELPHIA, PA, 19140-5103

2018 Payments: At a Glance

28

payments

$12,646

payment total

11

companies paid this doctor

Types of Payments

Category Payments Payment Value
Consulting
 1 $10,472
Food and Beverage
 23 $1,209
Travel and Lodging
 4 $965

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†
LCP PLATES & SCREWS

device

 $10,568
BME NITINOL CONTINUOUS COMPRESSION IMPLANTS

device

 $1,310
VA-LCP PLATES & SCREWS

device

 $1,310
VARIAX

device

 $260
HAND FRACTURE SYSTEM

device

 $136
C/M ELBOW

device

 $125
FOOT AND ANKLE

device

 $58
ACU-LOC WRIST PLATING SYSTEM

device

 $54
ACUTRAK HEADLESS COMPRESSION SCREW SYSTEM

device

 $54
Payments with no listed product

N/A

 $50
HEMICAP WRIST

device

 $49
XIAFLEX

drug

 $39
COBLATION WANDS

device

 $38
HEALICOIL

device

 $38
TFCC FAST FIX

device

 $38
TFCC MENDER SYSTEM

device

 $38
EXOGEN

device

 $14
† 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
Aug 16, 2018 $10,472 LCP PLATES & SCREWS Consulting MEDICAL DEVICE BUSINESS SERVICES, INC.
Jul 20, 2018 $368 VA-LCP PLATES & SCREWS BME NITINOL CONTINUOUS COMPRESSION IMPLANTS Travel and Lodging MEDICAL DEVICE BUSINESS SERVICES, INC.
Jul 20, 2018 $314 VA-LCP PLATES & SCREWS BME NITINOL CONTINUOUS COMPRESSION IMPLANTS Travel and Lodging MEDICAL DEVICE BUSINESS SERVICES, INC.
Jul 20, 2018 $272 VA-LCP PLATES & SCREWS BME NITINOL CONTINUOUS COMPRESSION IMPLANTS Travel and Lodging MEDICAL DEVICE BUSINESS SERVICES, INC.
Jan 2, 2018 $144 VARIAX Food and Beverage STRYKER CORPORATION
Mar 6, 2018 $125 C/M ELBOW Food and Beverage ZIMMER BIOMET HOLDINGS, INC.
Feb 14, 2018 $116 VARIAX Food and Beverage STRYKER CORPORATION
Jul 21, 2018 $116 VA-LCP PLATES & SCREWS BME NITINOL CONTINUOUS COMPRESSION IMPLANTS Food and Beverage MEDICAL DEVICE BUSINESS SERVICES, INC.
Aug 16, 2018 $85 LCP PLATES & SCREWS Food and Beverage MEDICAL DEVICE BUSINESS SERVICES, INC. RICHARD TOSTI
Dec 12, 2018 $83 HAND FRACTURE SYSTEM Food and Beverage ACUMED LLC
Jul 10, 2018 $58 FOOT AND ANKLE Food and Beverage WRIGHT MEDICAL TECHNOLOGY, INC.
Dec 2, 2018 $54 ACUTRAK HEADLESS COMPRESSION SCREW SYSTEM HAND FRACTURE SYSTEM ACU-LOC WRIST PLATING SYSTEM Food and Beverage ACUMED LLC
Jul 20, 2018 $51 VA-LCP PLATES & SCREWS BME NITINOL CONTINUOUS COMPRESSION IMPLANTS Food and Beverage MEDICAL DEVICE BUSINESS SERVICES, INC.
Sep 13, 2018 $49 HEMICAP WRIST Food and Beverage ARTHROSURFACE INCORPORATED
Jul 22, 2018 $47 VA-LCP PLATES & SCREWS BME NITINOL CONTINUOUS COMPRESSION IMPLANTS Food and Beverage MEDICAL DEVICE BUSINESS SERVICES, INC.
Jul 21, 2018 $47 VA-LCP PLATES & SCREWS BME NITINOL CONTINUOUS COMPRESSION IMPLANTS Food and Beverage MEDICAL DEVICE BUSINESS SERVICES, INC.
Aug 7, 2018 $44 No Listed Product Food and Beverage NOVUS SURGICAL SOLUTIONS LLC
Jul 10, 2018 $38 TFCC FAST FIX TFCC MENDER SYSTEM COBLATION WANDS HEALICOIL Food and Beverage SMITH & NEPHEW, INC.
Jul 21, 2018 $26 VA-LCP PLATES & SCREWS BME NITINOL CONTINUOUS COMPRESSION IMPLANTS Food and Beverage MEDICAL DEVICE BUSINESS SERVICES, INC.
Jul 22, 2018 $26 VA-LCP PLATES & SCREWS BME NITINOL CONTINUOUS COMPRESSION IMPLANTS Food and Beverage MEDICAL DEVICE BUSINESS SERVICES, 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/537652

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.