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/70676
  • 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/70676
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.

FERNANDO DE ZARRAGA

Listed Specialty: Hematology & Oncology
8940 N KENDALL DR, STE. 300E, MIAMI, FL, 33176-2148

2018 Payments: At a Glance

243

payments

$172,788

payment total

20

companies paid this doctor

Types of Payments

Category Payments Payment Value
Promotional Speaking/Other
 53 $128K
Travel and Lodging
 93 $15,906
Consulting
 10 $15,199
Honoraria
 5 $8,775
Food and Beverage
 80 $4,793
Education
 2 $185

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†
NINLARO

drug

 $33,867
CABOMETYX

drug

 $21,647
IMBRUVICA

drug

 $16,299
VECTIBIX

drug

 $14,906
JAKAFI

drug

 $13,360
GILOTRIF

drug

 $12,735
ONIVYDE

drug

 $11,002
SIR-SPHERES MICROSPHERES

device

 $10,540
LENVIMA

drug

 $6,797
REVLIMID

drug

 $5,683
Payments with no listed product

N/A

 $4,778
XGEVA

drug

 $4,039
OPDIVO

drug

 $4,013
KEYTRUDA

drug

 $3,340
ADCETRIS

drug

 $3,312
SOMATULINE DEPOT

drug

 $2,800
KYPROLIS

drug

 $2,750
ELITEK

drug

 $305
ODOMZO

drug

 $275
DARZALEX

drug

 $256
† 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/70676

Payment Details

When How Much Related To What For From Third Party Payee
Jul 13, 2018 $6,305 JAKAFI Promotional Speaking/Other INCYTE CORPORATION
Feb 28, 2018 $5,500 NINLARO Promotional Speaking/Other TAKEDA PHARMACEUTICALS U.S.A., INC.
Sep 20, 2018 $4,740 LENVIMA Consulting EISAI INC.
Aug 16, 2018 $4,200 CABOMETYX Promotional Speaking/Other EXELIXIS INC.
Mar 24, 2018 $4,200 CABOMETYX Promotional Speaking/Other EXELIXIS INC.
Jun 14, 2018 $4,200 CABOMETYX Promotional Speaking/Other EXELIXIS INC.
Apr 5, 2018 $3,850 NINLARO Promotional Speaking/Other TAKEDA PHARMACEUTICALS U.S.A., INC. FERNADO DE ZARRAGA MD PA
Nov 7, 2018 $3,800 GILOTRIF Promotional Speaking/Other BOEHRINGER INGELHEIM PHARMACEUTICALS, INC. Fernando de Zarraga MD PA
May 31, 2018 $3,200 ADCETRIS Promotional Speaking/Other SEATTLE GENETICS, INC.
Jan 29, 2018 $3,185 KEYTRUDA Promotional Speaking/Other MERCK SHARP & DOHME CORPORATION FERMAMDP DE ZARRAGA, MD PA
Jan 23, 2018 $3,025 NINLARO Consulting TAKEDA PHARMACEUTICALS U.S.A., INC.
Jul 23, 2018 $3,000 XGEVA Promotional Speaking/Other AMGEN INC. FERNANDO DE ZARRAGA MD PA FERNANDO DE ZARRAGA MD P
Sep 4, 2018 $3,000 VECTIBIX Promotional Speaking/Other AMGEN INC. FERNANDO DE ZARRAGA MD PA FERNANDO DE ZARRAGA MD P
Oct 18, 2018 $3,000 IMBRUVICA Promotional Speaking/Other PHARMACYCLICS LLC, AN ABBVIE COMPANY
Feb 8, 2018 $3,000 ONIVYDE Promotional Speaking/Other IPSEN BIOPHARMACEUTICALS, INC
May 19, 2018 $3,000 IMBRUVICA Promotional Speaking/Other PHARMACYCLICS LLC, AN ABBVIE COMPANY
Jun 28, 2018 $3,000 VECTIBIX Promotional Speaking/Other AMGEN INC. FERNANDO DE ZARRAGA JR
Mar 26, 2018 $3,000 GILOTRIF Promotional Speaking/Other BOEHRINGER INGELHEIM PHARMACEUTICALS, INC. Fernando de Zarraga MD PA
May 2, 2018 $3,000 ONIVYDE Promotional Speaking/Other IPSEN BIOPHARMACEUTICALS, INC
Sep 11, 2018 $3,000 VECTIBIX Promotional Speaking/Other AMGEN INC. FERNANDO DE ZARRAGA MD PA FERNANDO DE ZARRAGA MD P

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/70676

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.