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/65461
  • 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/65461
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.

J. ROBERT FLAMINI

Listed Specialty: Neurology
5887 GLENRIDGE DR NE, SUITE 140, ATLANTA, GA, 30328-5574

2018 Payments: At a Glance

228

payments

$55,946

payment total

24

companies paid this doctor

Types of Payments

Category Payments Payment Value
Promotional Speaking/Other
 13 $19,849
Consulting
 4 $12,520
Travel and Lodging
 44 $9,970
Nonaccredited Training
 3 $7,500
Food and Beverage
 162 $5,521
Honoraria
 1 $488
Education
 1 $99

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†
FYCOMPA

drug

 $29,812
VNS THERAPY

device

 $12,925
VIMPAT

drug

 $8,544
Payments with no listed product

N/A

 $1,719
ONFI

drug

 $759
APTIOM

drug

 $358
TROKENDI XR

drug

 $254
BRIVIACT

drug

 $243
QUDEXY XR TOPIRAMATE EXTENDED RELEASE CAPSULES

drug

 $204
ONZETRA XSAIL

drug

 $164
DYSPORT

drug

 $143
SPRIX

drug

 $125
AJOVY

drug

 $125
ACTHAR

drug

 $102
NONE

drug

 $96
NUEDEXTA

drug

 $83
ZEMBRACE

drug

 $73
VIGADRONE (VIGABATRIN) FOR ORAL SOLUTION

drug

 $60
BRINEURA

drug

 $53
NAGLAZYME

drug

 $53
† 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/65461

Payment Details

When How Much Related To What For From Third Party Payee
Nov 9, 2018 $4,200 FYCOMPA Consulting EISAI INC.
Jun 15, 2018 $4,200 FYCOMPA Consulting EISAI INC.
Apr 27, 2018 $3,000 FYCOMPA Promotional Speaking/Other EISAI INC.
Oct 19, 2018 $2,525 FYCOMPA Promotional Speaking/Other EISAI INC.
Apr 16, 2018 $2,500 VIMPAT Consulting UCB, INC.
Jun 19, 2018 $2,500 VNS THERAPY Nonaccredited Training LIVANOVA USA, INC.
Feb 23, 2018 $2,500 VNS THERAPY Nonaccredited Training LIVANOVA USA, INC.
Feb 16, 2018 $2,500 VNS THERAPY Nonaccredited Training LIVANOVA USA, INC.
May 10, 2018 $2,075 FYCOMPA Promotional Speaking/Other EISAI INC.
Jul 23, 2018 $2,000 VIMPAT Promotional Speaking/Other UCB, INC.
Jan 18, 2018 $1,620 No Listed Product Consulting UCB, INC.
Mar 23, 2018 $1,575 FYCOMPA Promotional Speaking/Other EISAI INC.
Apr 16, 2018 $1,575 FYCOMPA Promotional Speaking/Other EISAI INC.
Feb 28, 2018 $1,575 FYCOMPA Promotional Speaking/Other EISAI INC.
Mar 9, 2018 $1,575 FYCOMPA Promotional Speaking/Other EISAI INC.
May 11, 2018 $1,575 FYCOMPA Promotional Speaking/Other EISAI INC.
Mar 12, 2018 $1,108 VIMPAT Travel and Lodging UCB, INC.
Feb 23, 2018 $1,018 VNS THERAPY Travel and Lodging LIVANOVA USA, INC.
Jun 25, 2018 $750 VIMPAT Promotional Speaking/Other UCB, INC.
Oct 5, 2018 $750 FYCOMPA Promotional Speaking/Other EISAI 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/65461

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.