Newsroom · CMS Open Payments

What do drug and device companies pay your doctor?

CMS Open Payments records what drug and device companies report paying U.S. physicians and teaching hospitals, including meals, fees, travel, royalties, and research funding. Reported payments totaled $78 billion from 2018 to 2024. Select a state or search any doctor by name.

Analysis by , Chief Technology Officer at Civly · built from the complete CMS Open Payments release, program years 2018–2024.

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.

$78.3B
reported since 2018
1.6M
physicians paid
88.3M
individual payments
$52.9B
in research funding
$211M
biggest single recipient

The national picture

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.

Total reported payments by year

Where the $78B went

2018–2024 payments by type. Research funding, mainly for institutions and clinical trials, accounts for most reported dollars.

By the numbers, 2018–2024

1,599,382

physicians and teaching hospitals took at least one payment.

88.3M

individual transfers — 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, 2018–2024, nationwide

Biggest individual recipients

Physicians by total received, 2018–2024

How to read this

1

A payment is not wrongdoing

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.

2

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.

3

Every figure is traceable

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

4

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$783M · 27,890 doctors paid Alaska$28M · 3,848 doctors paid Arizona$1.48B · 39,165 doctors paid Arkansas$288M · 14,998 doctors paid California$11.42B · 177,638 doctors paid Colorado$1.20B · 32,886 doctors paid Connecticut$925M · 25,480 doctors paid Delaware$67M · 6,889 doctors paid District of Columbia$332M · 9,984 doctors paid Florida$6.67B · 137,444 doctors paid Georgia$1.84B · 60,446 doctors paid Hawaii$126M · 7,566 doctors paid Idaho$324M · 8,999 doctors paid Illinois$2.39B · 75,581 doctors paid Indiana$748M · 37,412 doctors paid Iowa$348M · 16,179 doctors paid Kansas$739M · 17,107 doctors paid Kentucky$522M · 29,320 doctors paid Louisiana$678M · 28,897 doctors paid Maine$73M · 6,843 doctors paid Maryland$2.77B · 40,888 doctors paid Massachusetts$4.93B · 46,683 doctors paid Michigan$1.62B · 62,500 doctors paid Minnesota$1.16B · 23,336 doctors paid Mississippi$178M · 17,192 doctors paid Missouri$1.53B · 39,997 doctors paid Montana$73M · 5,469 doctors paid Nebraska$679M · 12,364 doctors paid Nevada$447M · 15,882 doctors paid New Hampshire$99M · 7,859 doctors paid New Jersey$1.16B · 57,332 doctors paid New Mexico$166M · 10,441 doctors paid New York$4.81B · 132,798 doctors paid North Carolina$3.28B · 61,608 doctors paid North Dakota$75M · 4,453 doctors paid Ohio$2.38B · 76,698 doctors paid Oklahoma$385M · 20,254 doctors paid Oregon$648M · 19,245 doctors paid Pennsylvania$4.86B · 89,489 doctors paid Rhode Island$210M · 7,245 doctors paid South Carolina$709M · 30,704 doctors paid South Dakota$123M · 5,461 doctors paid Tennessee$1.84B · 44,170 doctors paid Texas$8.00B · 142,768 doctors paid Utah$850M · 16,167 doctors paid Vermont$47M · 1,764 doctors paid Virginia$1.30B · 48,395 doctors paid Washington$1.59B · 33,808 doctors paid West Virginia$99M · 11,837 doctors paid Wisconsin$963M · 25,488 doctors paid Wyoming$12M · 2,749 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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