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/78174
  • 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/78174
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.


BRANDON AYRES

Listed Specialty: Ophthalmology
100 PRESIDENTIAL BLVD, SUITE 200, BALA CYNWYD, PA, 19004-1108

2018 Payments: At a Glance

133

payments

$112,957

payment total

13

companies paid this doctor

Types of Payments

Category Payments Payment Value
Consulting
32 $58,860
Promotional Speaking/Other
15 $38,410
Travel and Lodging
22 $12,449
Food and Beverage
63 $3,154
Education
1 $84

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
CENTURION

device

$28,604
ACTIVEFOCUS

device

$27,977
ACRYSOF

device

$18,646
ORA

device

$9,520
RESTASIS

drug

$7,503
Payments with no listed product

N/A

$6,628
PHOTREXA

drug

$5,789
OMIDRIA

drug

$3,000
XIIDRA

drug

$2,442
OMNI SURGICAL SYSTEM

device

$2,100
LENSX

device

$337
PROKERA

device

$205
AMNIOGRAFT

device

$205
AMNIOGUARD

device

$205
RESTOR

device

$200
CYPASS

device

$117
VYZULTA

drug

$94
VISUMAX

device

$84
LOTEMAX

drug

$58
PROLENSA

drug

$58
† 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/78174

Payment Details

When How Much Related To What For From Third Party Payee
Jun 8, 2018 $6,300 CENTURION Consulting ALCON LABORATORIES INC
Nov 30, 2018 $5,750 PHOTREXA Consulting AVEDRO INC.
Jan 8, 2018 $4,900 CENTURION Consulting ALCON LABORATORIES INC
May 18, 2018 $4,900 CENTURION Consulting ALCON LABORATORIES INC
May 10, 2018 $4,375 RESTASIS Consulting ALLERGAN INC.
May 25, 2018 $3,705 ACTIVEFOCUS Promotional Speaking/Other ALCON LABORATORIES INC
Nov 20, 2018 $3,705 ACTIVEFOCUS Promotional Speaking/Other ALCON LABORATORIES INC
Feb 19, 2018 $3,135 ACTIVEFOCUS Promotional Speaking/Other ALCON LABORATORIES INC
Mar 16, 2018 $3,135 ACTIVEFOCUS Promotional Speaking/Other ALCON LABORATORIES INC
May 2, 2018 $3,135 ACTIVEFOCUS Promotional Speaking/Other ALCON LABORATORIES INC
Mar 1, 2018 $3,135 ORA Promotional Speaking/Other ALCON LABORATORIES INC
Jun 15, 2018 $3,135 ACTIVEFOCUS Promotional Speaking/Other ALCON LABORATORIES INC
Dec 3, 2018 $3,135 ORA Promotional Speaking/Other ALCON LABORATORIES INC
Oct 2, 2018 $3,125 RESTASIS Consulting ALLERGAN INC.
Oct 26, 2018 $2,900 No Listed Product Promotional Speaking/Other ALLERGAN INC.
Dec 4, 2018 $2,900 No Listed Product Promotional Speaking/Other ALLERGAN INC.
Nov 8, 2018 $2,800 ACRYSOF Consulting ALCON LABORATORIES INC
Aug 8, 2018 $2,800 ACRYSOF Consulting ALCON LABORATORIES INC
Jan 30, 2018 $2,310 XIIDRA Consulting SHIRE NORTH AMERICAN GROUP INC
Mar 5, 2018 $2,165 CENTURION Travel and Lodging ALCON LABORATORIES 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/78174

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.