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/546635
  • 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/546635
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.

LEONARDO KAPURAL

Listed Specialty: Pain Medicine
605 COTTON ST, WINSTON SALEM, NC, 27101-5080

2018 Payments: At a Glance

208

payments

$104,160

payment total

21

companies paid this doctor

Types of Payments

Category Payments Payment Value
Nonaccredited Training
 16 $44,675
Travel and Lodging
 49 $20,309
Promotional Speaking/Other
 5 $16,500
Consulting
 10 $13,599
Food and Beverage
 127 $6,277
Honoraria
 1 $2,800

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†
SENZA SPINAL CORD STIMULATION SYSTEM

device

 $89,653
Payments with no listed product

N/A

 $4,359
SPRINT PNS SYSTEM

device

 $2,800
DRG ACCESSORIES

device

 $2,620
COOLIEF COOLED RADIOFREQUENCY

device

 $1,982
SCS IPGS

device

 $605
MILD DEVICE KIT

device

 $450
SUPERION ISS

device

 $392
PROCLAIM FAMILY OF SCS IPGS

device

 $145
MORPHABOND ER

drug

 $142
GENERATOR

device

 $136
EVOKE SCS

device

 $132
COOLIEF

device

 $83
ADAPTIVESTIM

device

 $82
ON-Q PUMP AND ACCESSORIES

device

 $79
OCTRODE SCS LEADS

device

 $73
NT1100 NT2000IX SIMPLICITY

device

 $64
XTAMPZA

drug

 $64
S-SERIES SCS LEADS

device

 $45
PRIALT

drug

 $41
† 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/546635

Payment Details

When How Much Related To What For From Third Party Payee
Nov 26, 2018 $10,260 SENZA SPINAL CORD STIMULATION SYSTEM Travel and Lodging NEVRO CORP.
Jul 16, 2018 $6,325 SENZA SPINAL CORD STIMULATION SYSTEM Nonaccredited Training NEVRO CORP.
May 21, 2018 $5,850 SENZA SPINAL CORD STIMULATION SYSTEM Consulting NEVRO CORP.
Nov 1, 2018 $4,675 SENZA SPINAL CORD STIMULATION SYSTEM Nonaccredited Training NEVRO CORP.
Nov 29, 2018 $3,988 SENZA SPINAL CORD STIMULATION SYSTEM Nonaccredited Training NEVRO CORP.
Nov 29, 2018 $3,988 SENZA SPINAL CORD STIMULATION SYSTEM Nonaccredited Training NEVRO CORP.
Dec 5, 2018 $3,575 SENZA SPINAL CORD STIMULATION SYSTEM Nonaccredited Training NEVRO CORP.
Sep 28, 2018 $3,300 SENZA SPINAL CORD STIMULATION SYSTEM Promotional Speaking/Other NEVRO CORP.
Sep 7, 2018 $3,300 SENZA SPINAL CORD STIMULATION SYSTEM Promotional Speaking/Other NEVRO CORP.
Jun 8, 2018 $3,300 SENZA SPINAL CORD STIMULATION SYSTEM Promotional Speaking/Other NEVRO CORP.
May 9, 2018 $3,300 SENZA SPINAL CORD STIMULATION SYSTEM Promotional Speaking/Other NEVRO CORP.
Dec 12, 2018 $3,300 SENZA SPINAL CORD STIMULATION SYSTEM Promotional Speaking/Other NEVRO CORP.
Jan 31, 2018 $3,150 SENZA SPINAL CORD STIMULATION SYSTEM Nonaccredited Training NEVRO CORP.
Feb 28, 2018 $2,800 SPRINT PNS SYSTEM Honoraria SPR THERAPEUTICS, INC
May 9, 2018 $2,750 SENZA SPINAL CORD STIMULATION SYSTEM Nonaccredited Training NEVRO CORP.
Apr 10, 2018 $2,750 SENZA SPINAL CORD STIMULATION SYSTEM Nonaccredited Training NEVRO CORP.
Nov 29, 2018 $2,613 SENZA SPINAL CORD STIMULATION SYSTEM Nonaccredited Training NEVRO CORP.
May 21, 2018 $2,200 SENZA SPINAL CORD STIMULATION SYSTEM Nonaccredited Training NEVRO CORP.
Nov 29, 2018 $2,063 SENZA SPINAL CORD STIMULATION SYSTEM Nonaccredited Training NEVRO CORP.
Dec 5, 2018 $1,925 SENZA SPINAL CORD STIMULATION SYSTEM Nonaccredited Training NEVRO CORP.

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/546635

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.