Federal law requires every drug and device company to report what it pays U.S. physicians — meals, consulting and speaking fees, travel, royalties. Since 2018 that's $78 billion, down to the individual doctor. Most people never see it. Click your state — or search any doctor by name.
Source: CMS Open Payments, loaded by Civly · program years 2018–2024. States shaded by total reported payments. Hover for detail; click a state to open its full report.
Companies reported $78 billion between 2018 and 2024. Most is research funding routed to hospitals and trial sites; $22.8 billion went out as general payments — the meals, fees, trips, and royalties that land in an individual doctor's record.
2018–2024, by payment type. Research dollars (clinical trials, mostly to institutions) dwarf the general payments that reach individual physicians.
physicians and teaching hospitals took at least one payment.
individual transfers — from $12 lunches to multimillion-dollar royalty checks.
The biggest payers are vaccine and pharma giants; the biggest individual recipients are device inventors collecting royalties. Click a state on the map to see these same lists for your state.
Type a name. This searches Civly's Open Payments database for every physician on record and totals what they were paid. Click a result to see their largest individual payments. A payment is a disclosure, not an accusation — see the note below.
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 (a sandwich at a lunch talk, a conference registration). Names can be shared by multiple physicians; confirm by city and specialty.
Open Payments is a transparency law, not an enforcement list. Consulting, speaking, and royalty payments are legal and often legitimate. The data shows relationships, not conclusions.
Most dollars are research funding routed to institutions and trial sites. We map general payments — the meals, fees, travel, and royalties tied to a named physician — because that's the "what pays my doctor" question.
Numbers come straight from the CMS Open Payments public dataset; each underlying transaction carries a CMS record_id. We don't adjust the figures.
Peer-reviewed studies (e.g. DeJong et al., JAMA Intern Med 2016) link even small meals to higher branded prescribing. That's the researchers' finding, not Civly's claim.
The same investigation, state by state — payments mapped by congressional district and county, top payers and specialties, the biggest recipients, and a doctor lookup scoped to that state.
This explorer runs on the complete CMS Open Payments dataset — one of dozens of public-records sources Civly loads, links, and turns into research. If you need the underlying data, a per-state breakdown, or a custom cut, talk to us.
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