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/78160
  • 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/78160
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.

ANTHONY ALASTRA

Listed Specialty: Neurological Surgery
1099 TARGEE ST, STATEN ISLAND, NY, 10304-4310

2018 Payments: At a Glance

23

payments

$9,459

payment total

10

companies paid this doctor

Types of Payments

Category Payments Payment Value
Promotional Speaking/Other
 1 $6,896
Travel and Lodging
 3 $1,097
Food and Beverage
 18 $992
Consulting
 1 $475

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†
CD HORIZON

device

 $8,081
INVUE

device

 $475
MISQUITO

device

 $475
ARENA C-HA

drug

 $475
VIPER

device

 $216
TLIF

device

 $186
INTELLIS

device

 $143
EXPAREL

drug

 $119
ZERO-P

device

 $98
ES2

device

 $81
TRITANIUM

device

 $81
IVS - IVAS

device

 $37
KYPHON BALLOON KYPHOPLASTY

device

 $25
IFUSE IMPLANT

device

 $25
AIMOVIG

drug

 $23
COUGAR

device

 $16
BETASERON

drug

 $15
NORTHERA

drug

 $14
SYNCHROMED

device

 $3
† 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.

Payment Details

When How Much Related To What For From Third Party Payee
Oct 25, 2018 $6,896 CD HORIZON Promotional Speaking/Other MEDTRONIC USA, INC. Anthony Alstra Md Inc
Oct 11, 2018 $786 CD HORIZON Travel and Lodging MEDTRONIC USA, INC.
Jan 4, 2018 $475 INVUE ARENA C-HA MISQUITO Consulting SPINEFRONTIER, INC.
Oct 11, 2018 $158 CD HORIZON Travel and Lodging MEDTRONIC USA, INC.
Oct 11, 2018 $154 CD HORIZON Travel and Lodging MEDTRONIC USA, INC.
Jan 31, 2018 $143 INTELLIS Food and Beverage MEDTRONIC USA, INC.
Sep 20, 2018 $143 TLIF Food and Beverage NUVASIVE, INC.
Jun 27, 2018 $119 EXPAREL Food and Beverage MEDICAL DEVICE BUSINESS SERVICES, INC.
Aug 29, 2018 $118 VIPER Food and Beverage DEPUY SYNTHES SALES INC.
Dec 20, 2018 $98 VIPER ZERO-P Food and Beverage DEPUY SYNTHES SALES INC.
May 29, 2018 $81 ES2 TRITANIUM Food and Beverage STRYKER CORPORATION
Feb 20, 2018 $44 TLIF Food and Beverage NUVASIVE, INC.
Feb 13, 2018 $37 CD HORIZON Food and Beverage MEDTRONIC USA, INC.
Jan 19, 2018 $37 IVS - IVAS Food and Beverage STRYKER CORPORATION
Oct 11, 2018 $26 CD HORIZON Food and Beverage MEDTRONIC USA, INC.
Sep 12, 2018 $25 KYPHON BALLOON KYPHOPLASTY Food and Beverage MEDTRONIC USA, INC.
Dec 17, 2018 $25 IFUSE IMPLANT Food and Beverage SI-BONE, INC.
Jul 11, 2018 $25 CD HORIZON Food and Beverage MEDTRONIC USA, INC.
Aug 28, 2018 $23 AIMOVIG Food and Beverage AMGEN INC.
Jun 29, 2018 $16 COUGAR Food and Beverage MEDICAL DEVICE BUSINESS SERVICES, 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/78160

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.