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/622040
  • 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/622040
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.

CASILDA BALMACEDA

Listed Specialty: Neurology
710 W 168TH ST, NEW YORK, NY, 10032-3726

2018 Payments: At a Glance

199

payments

$16,575

payment total

34

companies paid this doctor

Types of Payments

Category Payments Payment Value
Promotional Speaking/Other
 16 $12,116
Food and Beverage
 176 $3,300
Travel and Lodging
 2 $1,055
Gift
 1 $85
Education
 4 $20

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†
REBIF

drug

 $7,554
AIMOVIG

drug

 $5,731
CAMBIA

drug

 $513
Payments with no listed product

N/A

 $324
NEUPRO

drug

 $218
MORPHABOND ER

drug

 $182
NAMZARIC

drug

 $181
AMPYRA

drug

 $166
APOKYN

drug

 $160
EMBEDA

drug

 $150
LYRICA

drug

 $150
RAYOS

drug

 $142
TROKENDI XR

drug

 $133
VIMPAT

drug

 $91
ZOMIG

drug

 $91
MOVANTIK

drug

 $80
ZEMBRACE

drug

 $68
DUEXIS

drug

 $64
DUZALLO

drug

 $60
LINZESS

drug

 $60
† 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/622040

Payment Details

When How Much Related To What For From Third Party Payee
Dec 13, 2018 $2,400 AIMOVIG Promotional Speaking/Other AMGEN INC.
Nov 12, 2018 $2,400 AIMOVIG Promotional Speaking/Other AMGEN INC.
Oct 8, 2018 $2,050 REBIF Promotional Speaking/Other EMD SERONO, INC.
Oct 23, 2018 $2,050 REBIF Promotional Speaking/Other EMD SERONO, INC.
Oct 23, 2018 $2,050 REBIF Promotional Speaking/Other EMD SERONO, INC.
Oct 15, 2018 $573 REBIF Travel and Lodging EMD SERONO, INC.
Feb 20, 2018 $500 CAMBIA Promotional Speaking/Other DEPOMED, INC.
Dec 18, 2018 $500 AIMOVIG Promotional Speaking/Other AMGEN INC.
Oct 1, 2018 $482 REBIF Travel and Lodging EMD SERONO, INC.
Jan 10, 2018 $143 NAMZARIC Food and Beverage ALLERGAN INC.
Oct 11, 2018 $124 AIMOVIG Food and Beverage AMGEN INC.
Mar 28, 2018 $123 RAYOS Food and Beverage HORIZON PHARMA PLC
Nov 28, 2018 $122 AIMOVIG Food and Beverage AMGEN INC.
Dec 18, 2018 $119 AIMOVIG Food and Beverage AMGEN INC.
Apr 5, 2018 $85 No Listed Product Gift GE HEALTHCARE
Oct 1, 2018 $72 REBIF Food and Beverage EMD SERONO, INC.
Oct 16, 2018 $72 REBIF Food and Beverage EMD SERONO, INC.
Oct 10, 2018 $72 REBIF Food and Beverage EMD SERONO, INC.
Dec 2, 2018 $59 PROMETRA II Food and Beverage FLOWONIX MEDICAL INCORPORATED
Nov 27, 2018 $38 REBIF Food and Beverage EMD SERONO, 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/622040

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.