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/55177
  • 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/55177
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.

GUSTAVO MACHADO

Listed Specialty: Plastic Surgery
4130 PIONEER WOODS DR STE 1, LINCOLN, NE, 68506-7552

2018 Payments: At a Glance

16

payments

$2,138

payment total

9

companies paid this doctor

Types of Payments

Category Payments Payment Value
Education
 1 $1,055
Travel and Lodging
 2 $546
Food and Beverage
 13 $537

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†
Payments with no listed product

N/A

 $1,636
ALIGN

device

 $234
GEMINUS

device

 $234
IJS

device

 $234
IMPLATE

device

 $234
MAKO

device

 $71
GLENOJET

device

 $51
ASNIS

device

 $42
VARIAX

device

 $42
AMNIOEXCEL

device

 $32
ANCHORAGE

device

 $22
D-RAD SMART PACK

device

 $21
EVOS

device

 $21
VLP MINI-MOD

device

 $21
BILAYER WOUND MATRIX BWM

device

 $19
FLOWABLE

device

 $19
IDRT

device

 $19
INTEGRA WOUND MATRIX IWM

device

 $19
PROLIA

drug

 $18
PHYSIO-STIM

drug

 $17
† 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/55177

Payment Details

All payments are displayed, the largest appearing on top.

When How Much Related To What For From Third Party Payee
May 21, 2018 $1,055 No Listed Product Education ARTHREX, INC.
May 21, 2018 $346 No Listed Product Travel and Lodging RSW MEDICAL COMPANY, INC.
May 21, 2018 $200 No Listed Product Travel and Lodging RSW MEDICAL COMPANY, INC.
Sep 13, 2018 $152 GEMINUS ALIGN IJS IMPLATE Food and Beverage SKELETAL DYNAMICS LLC
May 21, 2018 $82 GEMINUS ALIGN IJS IMPLATE Food and Beverage SKELETAL DYNAMICS LLC
May 3, 2018 $51 GLENOJET Food and Beverage ARTHROSURFACE INCORPORATED
May 10, 2018 $49 MAKO Food and Beverage STRYKER CORPORATION
Sep 13, 2018 $42 VARIAX ASNIS Food and Beverage STRYKER CORPORATION
May 21, 2018 $35 No Listed Product Food and Beverage ARTHREX, INC.
Aug 13, 2018 $22 ANCHORAGE MAKO Food and Beverage STRYKER CORPORATION
Jul 19, 2018 $21 D-RAD SMART PACK VLP MINI-MOD EVOS Food and Beverage SMITH & NEPHEW, INC.
Jun 14, 2018 $19 BILAYER WOUND MATRIX BWM INTEGRA WOUND MATRIX IWM AMNIOEXCEL IDRT FLOWABLE Food and Beverage INTEGRA LIFESCIENCES CORPORATION
Dec 13, 2018 $18 PROLIA Food and Beverage AMGEN INC.
Oct 11, 2018 $17 PHYSIO-STIM Food and Beverage ORTHOFIX MEDICAL, INC.
Nov 29, 2018 $15 SANTYL Food and Beverage SMITH & NEPHEW, INC.
Aug 30, 2018 $13 OMNIGRAFT PRIMATRIX MEDIHONEY TCC-EZ AMNIOEXCEL Food and Beverage INTEGRA LIFESCIENCES CORPORATION

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.