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/95886
  • 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/95886
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.

NICOLE FRAM

Listed Specialty: Ophthalmology
2080 CENTURY PARK EAST, SUITE 911, LOS ANGELES, CA, 90067-2012

2018 Payments: At a Glance

123

payments

$44,696

payment total

14

companies paid this doctor

Types of Payments

Category Payments Payment Value
Promotional Speaking/Other
 8 $21,490
Consulting
 7 $15,170
Food and Beverage
 101 $4,336
Nonaccredited Training
 1 $2,100
Honoraria
 1 $1,500
Travel and Lodging
 5 $100

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†
XIIDRA

drug

 $16,121
TECNIS 1-PIECE IOL

device

 $15,262
TECNIS 3-PIECE IOL

device

 $15,164
TECNIS SYMPHONY IOL

device

 $15,164
TECNIS SYMPHONY TORIC IOL

device

 $15,164
ORA

device

 $3,719
LOTEMAX

drug

 $2,327
ACRYSOF

device

 $1,982
BROMSITE

drug

 $1,902
Payments with no listed product

N/A

 $1,515
TECNIS MULTIFOCAL FAMILY OF 1-PIECE IOLS

device

 $483
IMPLANTABLE MINIATURE TELESCOPE

device

 $241
PROLENSA

drug

 $191
RESTASIS

drug

 $149
ACTHAR

drug

 $144
PHACOFRAGMENTATION ACCESSORIES

device

 $138
LUCENTIS

drug

 $125
WHITESTART PHACOEMULSFICIATION SYSTEM

device

 $124
ALREX

drug

 $122
BESIVANCE

drug

 $122
† 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/95886

Payment Details

When How Much Related To What For From Third Party Payee
Dec 6, 2018 $5,610 TECNIS 1-PIECE IOL TECNIS 3-PIECE IOL TECNIS SYMPHONY IOL TECNIS SYMPHONY TORIC IOL Promotional Speaking/Other JOHNSON & JOHNSON SURGICAL VISION, INC.
Oct 2, 2018 $3,200 XIIDRA Consulting SHIRE NORTH AMERICAN GROUP INC
Dec 18, 2018 $3,030 TECNIS 1-PIECE IOL TECNIS 3-PIECE IOL TECNIS SYMPHONY IOL TECNIS SYMPHONY TORIC IOL Consulting JOHNSON & JOHNSON SURGICAL VISION, INC.
Nov 23, 2018 $3,025 XIIDRA Promotional Speaking/Other SHIRE NORTH AMERICAN GROUP INC Nicole Fram, MD
Dec 11, 2018 $3,025 XIIDRA Promotional Speaking/Other SHIRE NORTH AMERICAN GROUP INC Nicole Fram, MD
Sep 25, 2018 $3,025 XIIDRA Promotional Speaking/Other SHIRE NORTH AMERICAN GROUP INC Nicole Fram, MD
Aug 2, 2018 $2,500 TECNIS 1-PIECE IOL TECNIS 3-PIECE IOL TECNIS SYMPHONY IOL TECNIS SYMPHONY TORIC IOL Consulting JOHNSON & JOHNSON SURGICAL VISION, INC.
Nov 14, 2018 $2,100 LOTEMAX Nonaccredited Training BAUSCH & LOMB, A DIVISION OF BAUSCH HEALTH US, LLC
Dec 6, 2018 $2,000 TECNIS 1-PIECE IOL TECNIS 3-PIECE IOL TECNIS SYMPHONY IOL TECNIS SYMPHONY TORIC IOL Consulting JOHNSON & JOHNSON SURGICAL VISION, INC.
May 17, 2018 $2,000 TECNIS 1-PIECE IOL TECNIS 3-PIECE IOL TECNIS SYMPHONY IOL TECNIS SYMPHONY TORIC IOL Promotional Speaking/Other JOHNSON & JOHNSON SURGICAL VISION, INC.
Dec 10, 2018 $1,960 ACRYSOF Consulting ALCON LABORATORIES INC
Oct 8, 2018 $1,715 ORA Promotional Speaking/Other ALCON LABORATORIES INC
May 25, 2018 $1,715 ORA Promotional Speaking/Other ALCON LABORATORIES INC
Jan 5, 2018 $1,500 XIIDRA Consulting SHIRE NORTH AMERICAN GROUP INC
Mar 15, 2018 $1,500 BROMSITE Honoraria SUN PHARMACEUTICAL INDUSTRIES INC.
Sep 11, 2018 $1,375 XIIDRA Promotional Speaking/Other SHIRE NORTH AMERICAN GROUP INC Nicole Fram, MD
Sep 10, 2018 $980 No Listed Product Consulting ALCON RESEARCH LTD
Apr 16, 2018 $242 TECNIS MULTIFOCAL FAMILY OF 1-PIECE IOLS Food and Beverage JOHNSON & JOHNSON SURGICAL VISION, INC.
Nov 16, 2018 $180 No Listed Product Food and Beverage ALCON LABORATORIES INC
Oct 25, 2018 $150 No Listed Product Food and Beverage 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/95886

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.