RI Doctors Paid Over $9 Million by Drug Companies

Monday, July 06, 2015

 

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Over 2,700 doctors in Rhode Island received $9.6 million in payments from pharmaceutical and medical device companies between August 2013 and December 2014 - with the top twenty five getting over $3.5 million.

New data released by the Centers for Medicare and Medicaid Services (CMS) -- and compiled by nonprofit ProPublica.org -- shows that across the country, thousands of doctors, dentists, optometrists, podiatrists and chiropractors received at least one industry payment for consulting, promotional speaking, travel and lodging expenses, and and royalties.

SLIDES:  See the Top Paid RI Doctors by Drug and Medical Device Companies BELOW

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In RI, the top five doctors each recorded over $200,000 in payments, whose specialties are orthopedic surgery, and psychiatry and neurology.  Nationally, the top five doctors reported payments of over $20 million each. 

Data in Context

Upon release of the data, the American Medical Association weighed in on the disclosure of the information, which was required under the Physician Payment Sunshine Act, a part of the 2010 Affordable Care Act, mandating that all drug and device companies publicly report payments to doctors.

"The AMA strongly opposes inappropriate, unethical interactions between physicians and industry. However, some relationships with industry can help drive innovation in patient care, contribute to the economic well-being of communities, and provide significant resources for professional medical education, to the ultimate benefit of patients, "said the AMA in a statement. "An urgent challenge for both physicians and industry is to preserve strong, productive collaborations for the benefit of patients and the public and at the same time take clear, effective action to avoid conflicts of interest and relationships that would undermine trust."

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In Rhode Island, the top paid doctors reported payments by companies including such activities as promotional speaking for AbbVie, Inc. for rheumatoid arthritis treatment Humira and Sunovia Pharmaceuticals for bipolar medication Latuda, among hundreds of activities paid for by drug and medical device companies.  

Amgen ranked thirty third in the country for payments made to doctors, at $27.7 million.  The top drug company -- biotechnology corporation Genentech, doled out over $388 million during the year and a half period.  

Pro Publica's Charles Ornstein and Ryann Grochowski Jones commented on the average amount paid to doctors nationally -- and variations between specialties. 

"ProPublica's analysis turned up big differences in the number of industry interactions among physicians in different specialties. On average, doctors who received payments interacted with drug and device companies on 14 days last year, receiving an average of $3,325 in total," wrote the authors.

"The nation's 3,900 rheumatologists in the data averaged 40 days of interactions with drug and device companies, more than doctors in any other large specialty. They were followed closely by endocrinologists, electrophysiologists and interventional cardiologists. On the other end of the spectrum, dentists, chiropractors, neonatologists and pathologists had among the fewest interactions with drug and device makers."

In Rhode Island, 20 doctors reported receiving less than $10 over the time frame.  

Addressing Inconsistencies

The AMA said that the ability for doctors to contest erroneous information was hampered by communications from the CMS

"For the 600,000 physicians affected by the Sunshine Act, CMS provided a short, 45 day window to review and correct any inaccurate data. Unfortunately, several factors hindered participation by many of the physicians impacted," said the AMA, citing "inadequate notification inadequate notification to the physician community about key implementation deadlines for the program" and a "time-consuming, non-user friendly and complicated registration process."

ProPublica however cited that inconsistencies in data reporting had been address. 

"The government initially released some data last fall, covering the period of August to December 2013, but it was significantly redacted because of data inconsistencies," wrote Ornstein and Grochowski. "The data released Tuesday covers the period of August 2013 to December 2014. The data inconsistencies have been resolved."

 

Related Slideshow: Rhode Island Doctors Getting the Most Drug Company Money

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#25

Doctor: Christopher Born

Specialty: Orthopaedic Trauma

Location: Providence, RI

Amount Paid: $83,353

Payments Exceeding $5,000 From: Stryker Corporation

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#24

Doctor: Robert Marchand

Specialty: Orthopaedic Surgery

Location: Wakefield, RI

Amount Paid: $83,400

Payments Exceeding $4,000 From: Stryker Corporation and MAKO Surgical Corp

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#23

Doctor: Jon Ruel

Specialty: Prosthodontics 

Location: Portsmouth, RI

Amount Paid: $85,412

Payments Exceeding $5,000 From: BIomet 3i LLC

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#22

Doctor: Edward Akelman

Specialty: Orthopaedic & Hand Surgery

Location: Providence, RI

Amount Paid: $86,978

Payments Exceeding $5,000 From: Integra LifeSciences Corporation

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#21

Doctor: Samir Shah

Specialty: Internal Medicine and Gastroenterology

Location: Providence, RI

Amount Paid: $88,840

Payments Exceeding $4,000 From: Takeda Pharmaceuticals America Inc and AbbVie Inc

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#20

Doctor: Robert Bierwirth

Specialty: Internal Medicine & Gastroenterology

Location: Cranston, RI

Amount Paid: $92,107

Payments Exceeding $4,000 From: Janssen Products, LP

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#19

Doctor: Stephen Chabot

Specialty: Neurology & Psychiatry

Location: Pawtucket, RI

Amount Paid: $94,892

Payments Exceeding $4,000 From: Takeda Pharmaceuticals U.S.A. Inc.

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#18

Doctor: Damian Dupuy

Specialty: Diagnostic Radiology

Location: East Providence,RI

Amount Paid: $96,840

Payments Exceeding $5,000 From: BSD Medical Corporation

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#17

Doctor: Joseph Renzulli

Specialty: Urology

Location: Providence, RI

Amount Paid: $101,000

Payments Exceeding $4,000 From: Algeta US LLC and Bayer HealthCare Pharmaceuticals Inc

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#16

Doctor: Albert Marano

Specialty: Psychiatry & Neurology

Location: Johnston, RI

Amount Paid: $105,000

Payments Exceeding $2,000 From: Teva Pharmaceuticals USA Inc and Biogen Idec Inc.

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#15

Doctor: David Caldarella

Specialty: Primary Podiatric Medicine

Location: Pawtucket, RI

Amount Paid: $106,000

Payments Exceeding $5,000 From: Biomet Orthopedics LLC and Trilliant Surgical Ltd

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#14

Doctor: J Easton

Specialty: Psychiatry & Neurology

Location: Providence, RI

Amount Paid: $117,000

Payments Exceeding $5,000 From: Novartis Pharmaceuticals Corporation, AstraZeneca Pharmaceuticals LP, Boehringer Ingelheim Pharmaceuticals Inc, Novartis Pharma AG, and Sanofi-Aventis U.S. LLC

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#13

Doctor: Paul Akerman

Specialty: Gastroenterology

Location: Providence, RI

Amount Paid: $121,000

Payments Exceeding $5,000 From: CONMED Corporation, Spirus Medical LLC, Olympus Corporation of the Americas, Covidien LP

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#12

Doctor: Thomas Sepe

Specialty: Gastroenterology

Location: Providence, RI

Amount Paid: $131,000

Payments Exceeding $5,000 From: CONMED Corporation

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#11

Doctor: Anthony Mega

Specialty: Internal Medicine, Hematology & Oncology

Location: Providence, RI

Amount Paid: $133,000

Payments Exceeding $4,000 From: Bayer HealthCare Pharmaceuticals Inc

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#10

Doctor: Russell Settipane

Specialty: Allergy & Immunology

Location:Providence, RI

Amount Paid: $133,000

Payments Exceeding $5,000 From: Mylan Specialty L.P

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#9

Doctor: Jerrold Rosenberg

Specialty: Physical Medicine & Rehabilitation

Location: Providence, RI

Amount Paid: $152,000

Payments Exceeding $4,000 From: INSYS Therapeutics Inc 

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#8

Doctor: Ellen Frankel

Specialty: Procedural Dermatology

Location: Cranston, RI

Amount Paid: $162,000

Payments Exceeding $3,000 From: AbbVie Inc and Merz North America Inc

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#7

Doctor: Joseph Lowney

Specialty: Medicine, Gastroenterology

Location: Warwick, RI

Amount Paid: $172,000

Payments Exceeding $3,000 From: AbbVie Inc and Cubist Pharmaceuticals Inc

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#6

Doctor: Arnold-Peter Weiss

Specialty: Orthopaedic & Hand Surgery

Location: Providence, RI

Amount Paid: $173,000

Payments Exceeding $5,000 From: Medartis Inc and DePuy Synthes Products LLC

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#5

Doctor: Christopher Digiovanni

Specialty: Foot and Ankle Surgery

Location: Providence, RI

Amount Paid: $212,000

Payments Exceeding $5,000 From: Extremity Medical and BioMimetic Therapeutics LLC

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#4

Doctor: Andrew Green

Specialty: Sports Medicine

Location: Providence, RI

Amount Paid: $224,000

Payments Exceeding $5,000 From: Tornier Inc and Encore Medical LP 

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#3

Doctor: Syed Rizvi

Specialty: Psychiatry & Neurology

Location: Providence, RI

Amount Paid: $242,000

Payments Exceeding $5,000 From: Biogen Idec Inc and Teva Pharmaceuticals USA Inc

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#2

Doctor: Michael Bradley

Specialty: Orthopaedic Surgery

Location: Wakefield, RI

Amount Paid: $261,000

Payments Exceeding $5,000 From: Arthrex Inc, Encore Medical LP, Arthrex Inc, 

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#1

Doctor: Warren Ong

Specialty: Psychiatry & Neurology

Location: Johnston, RI

Amount Paid: $304,000

Payments Exceeding $4,000 From: Takeda Pharmaceuticals U.S.A. Inc

 
 

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