Newsroom · CMS Open Payments

What do drug and device companies pay your doctor?

Drug and device companies reported paying U.S. physicians and teaching hospitals $93 billion from 2018 to 2025, including meals, fees, travel, royalties, and research funding. The payments are recorded in CMS Open Payments. Select a state or search any doctor by name.

Analysis by Matthew Hanauer, PhD, Chief Technology Officer at Civly · built from the complete CMS Open Payments release, program years 2018–2025.

Color states by

Source: CMS Open Payments, loaded by Civly · program years 2018–2025. States are shaded by total reported payments. Hover for detail, or click a state to open its full report.

$93.1B

reported since 2018

1.7M

physicians paid

105.7M

individual payments

$63.6B

in research funding

$211M

biggest single recipient

The national picture

Companies reported $93 billion between 2018 and 2025. Most of it was research funding paid to hospitals and trial sites. General payments, the meals, fees, trips, and royalties recorded under an individual doctor's name, totaled $26.8 billion.

Total reported payments by year

Where the $93B went

2018–2025 payments by type. Research funding, mainly for institutions and clinical trials, accounts for most reported dollars.

By the numbers, 2018–2025

1,732,079

physicians and teaching hospitals took at least one payment.

105.7M

individual payments, ranging from $12 lunches to multimillion-dollar royalty checks.

Who pays, and who gets paid

The largest payers are pharmaceutical and vaccine companies. The largest individual recipients include device inventors receiving royalties. Select a state on the map to see its payers and recipients.

Top payers

Drug & device companies, 2018–2025, nationwide

Biggest individual recipients

Physicians by total received, 2018–2025

Look up any doctor

Search a physician's name to see reported payment totals. Select a result to view the largest individual payments.

Try a common name like “Smith” or “Patel.”

Results come from Civly's loaded copy of CMS Open Payments. Totals combine all reported program years on file. Being listed does not imply wrongdoing. Most payments are routine, such as a sandwich at a lunch talk or a conference registration. Several physicians can share a name, so confirm the city and specialty.

How to read this

What a reported payment means

Open Payments records financial relationships between companies and healthcare providers. A reported payment alone does not indicate wrongdoing. Consulting, speaking, and royalty arrangements can be legitimate.

Research vs. general payments

Most reported dollars fund research at institutions and trial sites. General payments include meals, fees, travel, and royalties associated with individual physicians.

Source records

Figures come from the CMS Open Payments public dataset without adjustment. Each transaction includes a CMS record identifier.

Whether a meal changes prescribing

Research including DeJong et al., JAMA Intern Med 2016 found an association between industry-sponsored meals and prescribing branded drugs. That finding does not establish the effect of a particular payment shown here.

Browse every state

Each state report includes payments by congressional district and county, leading payers and specialties, individual recipients, and a physician search.

Alabama$942M · 30,168 doctors paid Alaska$33M · 4,229 doctors paid Arizona$1.88B · 43,278 doctors paid Arkansas$349M · 16,176 doctors paid California$13.07B · 194,000 doctors paid Colorado$1.44B · 36,344 doctors paid Connecticut$1.08B · 27,900 doctors paid Delaware$77M · 7,691 doctors paid District of Columbia$393M · 11,430 doctors paid Florida$8.33B · 151,553 doctors paid Georgia$2.26B · 66,757 doctors paid Hawaii$147M · 8,239 doctors paid Idaho$404M · 9,848 doctors paid Illinois$2.78B · 83,017 doctors paid Indiana$882M · 40,925 doctors paid Iowa$413M · 17,839 doctors paid Kansas$904M · 18,677 doctors paid Kentucky$631M · 31,703 doctors paid Louisiana$792M · 31,366 doctors paid Maine$82M · 7,753 doctors paid Maryland$3.18B · 45,162 doctors paid Massachusetts$5.66B · 52,162 doctors paid Michigan$1.92B · 68,127 doctors paid Minnesota$1.46B · 26,250 doctors paid Mississippi$208M · 18,460 doctors paid Missouri$1.85B · 43,511 doctors paid Montana$84M · 6,007 doctors paid Nebraska$764M · 13,576 doctors paid Nevada$547M · 17,390 doctors paid New Hampshire$116M · 8,694 doctors paid New Jersey$1.36B · 62,789 doctors paid New Mexico$187M · 11,599 doctors paid New York$5.73B · 144,995 doctors paid North Carolina$3.95B · 67,916 doctors paid North Dakota$85M · 4,955 doctors paid Ohio$2.81B · 83,797 doctors paid Oklahoma$448M · 22,063 doctors paid Oregon$768M · 21,395 doctors paid Pennsylvania$5.93B · 97,634 doctors paid Rhode Island$245M · 8,058 doctors paid South Carolina$830M · 33,847 doctors paid South Dakota$153M · 6,126 doctors paid Tennessee$2.19B · 48,285 doctors paid Texas$9.59B · 156,079 doctors paid Utah$1000M · 17,775 doctors paid Vermont$55M · 1,976 doctors paid Virginia$1.54B · 53,142 doctors paid Washington$1.87B · 37,543 doctors paid West Virginia$122M · 12,927 doctors paid Wisconsin$1.22B · 28,440 doctors paid Wyoming$14M · 2,983 doctors paid

Request Open Payments data or analysis

Civly uses CMS Open Payments alongside other public records for research. Contact us for the underlying data, a state report, or a custom analysis.

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