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/569970
  • 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/569970
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.

MICHAEL LACIVITA

Listed Specialty: Podiatrist
6325 MAIN ST, SUITE 200, WILLIAMSVILLE, NY, 14221-5822

2018 Payments: At a Glance

32

payments

$1,927

payment total

6

companies paid this doctor

Types of Payments

Category Payments Payment Value
Food and Beverage
 29 $1,112
Travel and Lodging
 3 $815

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

 $930
VLP-FOOT

device

 $301
VLP MINI-MOD

device

 $297
CANNULATED SCREW

device

 $228
TOPAZ

device

 $217
EXOGEN

device

 $140
HAT-TRICK

device

 $113
ACTICOAT RANGE

device

 $110
ALGISITE

device

 $110
ALLEVYN

device

 $110
ALLEVYN LIFE

device

 $110
IODOSORB

device

 $110
DYNOMITE 2.0MM SUTURE ANCHOR

device

 $102
RAPTORMITE 3.0 OR 3.7MM SUTURE ANCHOR

device

 $102
APLIGRAF

drug

 $69
ACTIS

device

 $59
ATTUNE

device

 $59
BME NITINOL CONTINUOUS COMPRESSION IMPLANTS

device

 $59
TFN ADVANCED

device

 $59
BAXDELA

drug

 $50
† 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/569970

Payment Details

When How Much Related To What For From Third Party Payee
Jun 9, 2018 $518 No Listed Product Travel and Lodging ACELL, INC.
Jun 9, 2018 $278 No Listed Product Travel and Lodging ACELL, INC.
Jun 13, 2018 $140 EXOGEN Food and Beverage BIOVENTUS LLC
Mar 7, 2018 $115 VLP MINI-MOD VLP-FOOT TOPAZ CANNULATED SCREW Food and Beverage SMITH & NEPHEW, INC.
Jan 17, 2018 $113 HAT-TRICK VLP-FOOT CANNULATED SCREW Food and Beverage SMITH & NEPHEW, INC.
Oct 9, 2018 $110 ALGISITE ALLEVYN ACTICOAT RANGE IODOSORB ALLEVYN LIFE Food and Beverage SMITH & NEPHEW, INC.
Jan 31, 2018 $101 VLP MINI-MOD Food and Beverage SMITH & NEPHEW, INC.
Jul 19, 2018 $89 DYNOMITE 2.0MM SUTURE ANCHOR RAPTORMITE 3.0 OR 3.7MM SUTURE ANCHOR TOPAZ Food and Beverage SMITH & NEPHEW, INC.
Apr 12, 2018 $80 No Listed Product Food and Beverage ACELL, INC.
Jun 1, 2018 $59 ATTUNE TFN ADVANCED BME NITINOL CONTINUOUS COMPRESSION IMPLANTS ACTIS Food and Beverage DEPUY SYNTHES SALES INC.
Jan 30, 2018 $50 ILIZAROV SYSTEM VLP MINI-MOD VLP-FOOT Food and Beverage SMITH & NEPHEW, INC.
Jun 9, 2018 $35 No Listed Product Food and Beverage ACELL, INC.
Sep 15, 2018 $33 BAXDELA Food and Beverage MELINTA THERAPEUTICS, INC.
Oct 29, 2018 $20 APLIGRAF Food and Beverage ORGANOGENESIS INC.
Jun 9, 2018 $19 No Listed Product Travel and Lodging ACELL, INC.
Oct 3, 2018 $18 BAXDELA VABOMERE ORBACTIV Food and Beverage MELINTA THERAPEUTICS, INC.
Jan 31, 2018 $17 VLP MINI-MOD Food and Beverage SMITH & NEPHEW, INC.
Oct 22, 2018 $15 APLIGRAF Food and Beverage ORGANOGENESIS INC.
Nov 8, 2018 $14 REGRANEX Food and Beverage SMITH & NEPHEW, INC.
May 16, 2018 $13 VLP-FOOT Food and Beverage SMITH & NEPHEW, 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/569970

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.