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/55720
  • 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/55720
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.

JULIO RAMIREZ

Listed Specialty: Infectious Disease
501 E BROADWAY, #120, LOUISVILLE, KY, 40202-1785

2018 Payments: At a Glance

106

payments

$95,897

payment total

13

companies paid this doctor

Types of Payments

Category Payments Payment Value
Consulting
 7 $46,677
Travel and Lodging
 31 $25,761
Promotional Speaking/Other
 14 $22,050
Food and Beverage
 54 $1,409

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†
PREVNAR 13

drug

 $51,028
Payments with no listed product

N/A

 $15,366
ENBREL

drug

 $10,939
AVYCAZ

drug

 $7,992
BLASTX

device

 $5,126
VABOMERE

drug

 $3,974
BAXDELA

drug

 $1,006
VIBATIV

drug

 $237
CRESEMBA

drug

 $70
AMBISOME

drug

 $43
MYCAMINE

drug

 $43
DARAPRIM TABLET 25MG

drug

 $43
ISENTRESS

drug

 $41
JULUCA

drug

 $28
TRIUMEQ

drug

 $28
ZERBAXA

drug

 $24
DIFICID

drug

 $22
ZINPLAVA

drug

 $22
TRUMENBA

drug

 $16
SIVEXTRO

drug

 $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.

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/55720

Payment Details

When How Much Related To What For From Third Party Payee
Jun 11, 2018 $9,350 PREVNAR 13 Consulting PFIZER INTERNATIONAL LLC
Apr 18, 2018 $9,015 PREVNAR 13 Travel and Lodging PFIZER INTERNATIONAL LLC
Sep 21, 2018 $8,252 No Listed Product Consulting PFIZER INC.
May 11, 2018 $6,750 PREVNAR 13 Consulting PFIZER INTERNATIONAL LLC
Jan 15, 2018 $6,325 PREVNAR 13 Consulting PFIZER INC.
Aug 16, 2018 $6,000 No Listed Product Consulting GLAXOSMITHKLINE, LLC.
Mar 2, 2018 $5,065 PREVNAR 13 Travel and Lodging PFIZER INTERNATIONAL LLC
Mar 26, 2018 $5,000 PREVNAR 13 Consulting PFIZER INTERNATIONAL LLC
Mar 22, 2018 $5,000 BLASTX Consulting NEXT SCIENCE LLC
May 11, 2018 $3,204 PREVNAR 13 Travel and Lodging PFIZER INTERNATIONAL LLC
Dec 19, 2018 $3,200 PREVNAR 13 Promotional Speaking/Other PFIZER INC.
Oct 17, 2018 $2,070 AVYCAZ Promotional Speaking/Other ALLERGAN INC.
Oct 17, 2018 $2,070 AVYCAZ Promotional Speaking/Other ALLERGAN INC.
Oct 18, 2018 $2,000 ENBREL Promotional Speaking/Other AMGEN INC.
May 22, 2018 $2,000 ENBREL Promotional Speaking/Other AMGEN INC.
Mar 27, 2018 $2,000 ENBREL Promotional Speaking/Other AMGEN INC.
Oct 24, 2018 $1,950 VABOMERE Promotional Speaking/Other MELINTA THERAPEUTICS, INC.
Jun 21, 2018 $1,800 VABOMERE Promotional Speaking/Other MELINTA THERAPEUTICS, INC.
Oct 17, 2018 $1,380 AVYCAZ Promotional Speaking/Other ALLERGAN INC.
Oct 17, 2018 $1,380 AVYCAZ Promotional Speaking/Other ALLERGAN 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/55720

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.