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/92963
  • 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/92963
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.


CRES MIRANDA

Listed Specialty: Cardiovascular Disease
3150 N TENAYA WAY, SUITE 320, LAS VEGAS, NV, 89128-0443

2018 Payments: At a Glance

209

payments

$172,325

payment total

15

companies paid this doctor

Types of Payments

Category Payments Payment Value
Promotional Speaking/Other
49 $144K
Travel and Lodging
29 $13,599
Consulting
6 $11,130
Food and Beverage
124 $3,481
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
INVOKANA

drug

$56,103
VICTOZA

drug

$52,669
FARXIGA

drug

$18,775
STEGLATRO

drug

$13,989
JARDIANCE

drug

$7,993
REPATHA

drug

$7,674
PRALUENT

drug

$6,495
DUZALLO

drug

$5,605
VASCEPA

drug

$2,090
PRADAXA

drug

$197
Payments with no listed product

N/A

$189
XARELTO

drug

$145
EDARBYCLOR

drug

$124
BRILINTA

drug

$99
OZEMPIC

drug

$81
HYPERLIPIDEMIA - DISEASE

drug

$77
LIFEVEST

device

$52
OPSUMIT

drug

$45
TRESIBA

drug

$43
ELIQUIS

drug

$36
† 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/92963

Payment Details

When How Much Related To What For From Third Party Payee
Mar 12, 2018 $8,550 VICTOZA Promotional Speaking/Other NOVO NORDISK INC
Mar 18, 2018 $7,950 VICTOZA Promotional Speaking/Other NOVO NORDISK INC
Mar 14, 2018 $6,750 VICTOZA Promotional Speaking/Other NOVO NORDISK INC
Apr 12, 2018 $6,450 VICTOZA Promotional Speaking/Other NOVO NORDISK INC
Apr 11, 2018 $6,450 VICTOZA Promotional Speaking/Other NOVO NORDISK INC
Dec 5, 2018 $4,950 INVOKANA Consulting JANSSEN PHARMACEUTICALS, INC Cres Miranda MD LTD
Jan 25, 2018 $3,900 VICTOZA Promotional Speaking/Other NOVO NORDISK INC
Jan 22, 2018 $3,900 VICTOZA Promotional Speaking/Other NOVO NORDISK INC
May 17, 2018 $3,900 VICTOZA Promotional Speaking/Other NOVO NORDISK INC CRES MIRANDA, MD, LTD
May 24, 2018 $3,800 INVOKANA Promotional Speaking/Other JANSSEN PHARMACEUTICALS, INC Cres Miranda, MD, LTD
Jun 13, 2018 $3,800 INVOKANA Promotional Speaking/Other JANSSEN PHARMACEUTICALS, INC Cres Miranda, MD, LTD
Apr 13, 2018 $3,800 INVOKANA Promotional Speaking/Other JANSSEN PHARMACEUTICALS, INC Cres Miranda, MD, LTD
Jan 31, 2018 $3,800 INVOKANA Promotional Speaking/Other JANSSEN PHARMACEUTICALS, INC Cres Miranda, MD, LTD
Jan 26, 2018 $3,800 INVOKANA Promotional Speaking/Other JANSSEN PHARMACEUTICALS, INC Cres Miranda, MD, LTD
Mar 9, 2018 $3,800 INVOKANA Promotional Speaking/Other JANSSEN PHARMACEUTICALS, INC Cres Miranda, MD, LTD
Jan 24, 2018 $3,300 INVOKANA Promotional Speaking/Other JANSSEN PHARMACEUTICALS, INC Cres Miranda, MD, LTD
Mar 30, 2018 $3,300 INVOKANA Promotional Speaking/Other JANSSEN PHARMACEUTICALS, INC Cres Miranda, MD, LTD
Aug 10, 2018 $3,300 INVOKANA Promotional Speaking/Other JANSSEN PHARMACEUTICALS, INC Cres Miranda, MD, LTD
Dec 14, 2018 $3,300 INVOKANA Promotional Speaking/Other JANSSEN PHARMACEUTICALS, INC Cres Miranda, MD, LTD
Oct 23, 2018 $3,171 PRALUENT Promotional Speaking/Other SANOFI-AVENTIS U.S. LLC Cres P Miranda [CRES MIRANDA, MD LTD]

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/92963

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.