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/84093
  • 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/84093
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.

EDWARD FOX

Listed Specialty: Neurology
16040 PARK VALLEY DR, BUILDING B, SUITE 100, ROUND ROCK, TX, 78681-3578

2018 Payments: At a Glance

259

payments

$161,389

payment total

25

companies paid this doctor

Types of Payments

Category Payments Payment Value
Promotional Speaking/Other
 31 $82,000
Consulting
 11 $63,922
Travel and Lodging
 39 $10,204
Food and Beverage
 172 $4,876
Education
 6 $387

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†
TECFIDERA

drug

 $62,773
OCREVUS

drug

 $40,769
TYSABRI

drug

 $40,397
Payments with no listed product

N/A

 $9,714
ZINBRYTA

drug

 $9,204
BETASERON

drug

 $8,287
OMB157B

drug

 $7,544
COPAXONE

drug

 $6,169
AMPYRA

drug

 $3,541
APTIOM

drug

 $212
RADICAVA

drug

 $184
AUBAGIO

drug

 $171
VIMPAT

drug

 $165
LYRICA

drug

 $161
LEMTRADA

drug

 $87
INGREZZA

drug

 $74
AIMOVIG

drug

 $70
NORTHERA

drug

 $67
MIGRANAL

drug

 $61
AVONEX

drug

 $57
† 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/84093

Payment Details

When How Much Related To What For From Third Party Payee
Jun 29, 2018 $9,450 TYSABRI TECFIDERA Consulting BIOGEN, INC.
Jan 22, 2018 $7,838 TYSABRI TECFIDERA ZINBRYTA Consulting BIOGEN, INC.
Nov 10, 2018 $7,613 No Listed Product Consulting BIOGEN, INC.
Jul 12, 2018 $6,825 TYSABRI Promotional Speaking/Other BIOGEN, INC.
May 5, 2018 $6,825 TYSABRI Consulting BIOGEN, INC.
Nov 20, 2018 $6,466 OMB157B Consulting NOVARTIS PHARMA AG
May 17, 2018 $6,300 TECFIDERA Promotional Speaking/Other BIOGEN, INC.
Mar 13, 2018 $6,175 TECFIDERA Promotional Speaking/Other BIOGEN, INC.
May 28, 2018 $6,000 OCREVUS Consulting GENENTECH USA, INC.
Mar 1, 2018 $5,700 TECFIDERA Promotional Speaking/Other BIOGEN, INC.
Jan 12, 2018 $5,640 BETASERON Consulting BAYER HEALTHCARE PHARMACEUTICALS INC.
Jun 30, 2018 $5,506 OCREVUS Consulting F. HOFFMANN-LA ROCHE AG
Jun 12, 2018 $4,800 OCREVUS Promotional Speaking/Other GENENTECH USA, INC.
Jun 9, 2018 $4,500 OCREVUS Consulting GENENTECH USA, INC.
May 15, 2018 $3,400 AMPYRA Promotional Speaking/Other ACORDA THERAPEUTICS, INC
Mar 27, 2018 $3,325 TECFIDERA Promotional Speaking/Other BIOGEN, INC.
Mar 21, 2018 $3,325 TECFIDERA Promotional Speaking/Other BIOGEN, INC.
Feb 2, 2018 $3,000 OCREVUS Promotional Speaking/Other GENENTECH USA, INC.
Jun 12, 2018 $3,000 OCREVUS Promotional Speaking/Other GENENTECH USA, INC.
Jun 28, 2018 $3,000 COPAXONE Promotional Speaking/Other TEVA PHARMACEUTICALS USA, 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/84093

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.