About OpenScript
OpenScript makes public drug- and device-industry payment data easy to explore. It exists so patients can walk into an appointment already knowing whether — and how — their doctor is paid by the companies whose products they may be prescribed.
The data
Under the Physician Payments Sunshine Act, drug and medical-device companies must report every payment and transfer of value they make to U.S. physicians. CMS publishes this as the Open Payments database. For program year 2024 that file contains 15,385,047 general-payment records totalling $2,647,900,618 across 984,034 physicians and 1,730 paying companies.
We aggregate that file in a single streaming pass — grouping by physician profile, summing amounts, and keeping per-payment-type and per-payer breakdowns — and publish the 500 physicians with the largest disclosed totals, along with the top paying companies. The aggregation script is open source in the repository, so every number is reproducible from the official file.
The grades
Each provider gets a single-factor A–F grade based on the total dollar amount of disclosed general payments in the program year:
| Grade | Score | Total Disclosed Payments |
|---|---|---|
| A | 5/5 | $0 (none disclosed) |
| B | 4/5 | $1 – $999 |
| C | 3/5 | $1,000 – $9,999 |
| D | 2/5 | $10,000 – $99,999 |
| F | 1/5 | $100,000+ |
A grade is a conversation starter, not a verdict. Read what the grades do and don't mean before drawing conclusions about any individual provider.
Frequently asked questions
Where does the data come from?
Every figure comes from the official CMS Open Payments database (openpaymentsdata.cms.gov), published by the U.S. Centers for Medicare & Medicaid Services under the Physician Payments Sunshine Act. We aggregate the program-year 2024 general-payment file — 15,385,047 records — and show the 500 physicians with the largest disclosed totals.
Is my doctor listed here?
Only if they are among the 500 highest-paid physicians by disclosed general payments. The full dataset covers 984,034 providers — any of them can be looked up by name or NPI on the official CMS portal, which we link from every page.
Does a low grade mean my doctor is doing something wrong?
No. Payments in this data include legitimate royalties for inventions, compensation for bona-fide consulting, and speaking at accredited education events. The grade is a transparency signal that tells you a financial relationship exists and is worth asking about — it is not a measure of clinical quality or ethics.
Why do you only show general payments?
CMS reports three categories: general payments, research payments, and ownership/investment interest. We aggregate general payments — the category that includes speaking fees, consulting, meals, travel, and royalties paid directly to physicians — because it is the most direct signal of industry-to-prescriber financial relationships. Research payments often fund clinical trials and are better judged in context on the official portal.
How current is the data?
The site currently reflects program year 2024, the most recent full-year file we have aggregated. CMS refreshes Open Payments data annually (with corrections published mid-year).
Is this site free? Do you have any industry funding?
Yes, it is free, and no — this is an independent, open-source project with no pharmaceutical or device industry funding. The code is MIT-licensed.