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/959717
  • 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/959717
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.


NATHAN GRAVES

Listed Specialty: Podiatrist
655 W 8TH ST, BOX C-126, JACKSONVILLE, FL, 32209-6511

2018 Payments: At a Glance

42

payments

$17,583

payment total

18

companies paid this doctor

Types of Payments

Category Payments Payment Value
Nonaccredited Training
7 $10,500
Promotional Speaking/Other
2 $4,000
Education
1 $2,045
Consulting
1 $613
Food and Beverage
31 $425

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
Payments with no listed product

N/A

$6,062
EXT-EXTREMILOCK FOOT

device

$6,000
EXT-EXTREMIFIX MIDSIZE/LARGE

device

$4,500
EXT-EXTREMILOCK ANKLE

device

$4,500
EXT-OTHER

device

$3,000
BIO-OSTEOVATION ALLOGRAFT

drug

$3,000
EXT-STAPLE

device

$3,000
EXT-LARGE CANNULATED

device

$1,500
EXT-HPS

device

$1,500
CADENCE ANKLE REPLACEMENT SYSTEM

device

$613
EXTERNAL FIXATION SYSTEM

device

$613
SALTO TALARIS TOTAL ANKLE PROSTHESIS

device

$613
FLEXITOUCH

device

$121
ACTITOUCH

device

$121
ENTRE

device

$121
BME NITINOL CONTINUOUS COMPRESSION IMPLANTS

device

$70
BIOVANCE

drug

$36
SANTYL

drug

$32
ALLOWRAP

device

$26
ASNIS

device

$26
† 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/959717

Payment Details

When How Much Related To What For From Third Party Payee
Aug 14, 2018 $2,500 No Listed Product Promotional Speaking/Other DNE LLC
Apr 23, 2018 $2,045 No Listed Product Education CROSSROADS ORTHOPEDICS, LLC
Jun 13, 2018 $1,500 EXT-HPS EXT-EXTREMILOCK FOOT EXT-EXTREMIFIX MIDSIZE/LARGE Nonaccredited Training OSTEOMED LLC
May 12, 2018 $1,500 EXT-OTHER Nonaccredited Training OSTEOMED LLC
Mar 17, 2018 $1,500 EXT-LARGE CANNULATED Nonaccredited Training OSTEOMED LLC
Jun 1, 2018 $1,500 No Listed Product Promotional Speaking/Other ARTHREX, INC.
Jan 31, 2018 $1,500 EXT-EXTREMILOCK FOOT EXT-EXTREMILOCK ANKLE EXT-EXTREMIFIX MIDSIZE/LARGE Nonaccredited Training OSTEOMED LLC
Dec 31, 2018 $1,500 BIO-OSTEOVATION ALLOGRAFT EXT-EXTREMILOCK FOOT EXT-EXTREMILOCK ANKLE EXT-STAPLE EXT-EXTREMIFIX MIDSIZE/LARGE Nonaccredited Training OSTEOMED LLC
Sep 10, 2018 $1,500 EXT-OTHER Nonaccredited Training OSTEOMED LLC
Dec 31, 2018 $1,500 BIO-OSTEOVATION ALLOGRAFT EXT-EXTREMILOCK FOOT EXT-EXTREMILOCK ANKLE EXT-STAPLE Nonaccredited Training OSTEOMED LLC
Mar 23, 2018 $613 CADENCE ANKLE REPLACEMENT SYSTEM SALTO TALARIS TOTAL ANKLE PROSTHESIS EXTERNAL FIXATION SYSTEM Consulting INTEGRA LIFESCIENCES CORPORATION
Dec 10, 2018 $37 BME NITINOL CONTINUOUS COMPRESSION IMPLANTS Food and Beverage DEPUY SYNTHES SALES INC.
Nov 7, 2018 $33 BME NITINOL CONTINUOUS COMPRESSION IMPLANTS Food and Beverage DEPUY SYNTHES SALES INC.
Jan 30, 2018 $26 ALLOWRAP ASNIS Food and Beverage STRYKER CORPORATION
Jul 25, 2018 $21 CMF SPINALOGIC Food and Beverage DJO, LLC
Jan 24, 2018 $21 SANTYL Food and Beverage SMITH & NEPHEW, INC.
Mar 22, 2018 $19 BIOVANCE Food and Beverage ALLIQUA BIOMEDICAL, INC.
Dec 18, 2018 $19 PROMO Food and Beverage PARAGON 28, INC.
Dec 19, 2018 $18 REGRANEX Food and Beverage SMITH & NEPHEW, INC.
Sep 19, 2018 $17 No Listed Product Food and Beverage ARTERIOCYTE MEDICAL SYSTEMS, 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/959717

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.