Guide ยท Updated 14 September 2026

Which drug and device companies pay doctors the most?

The companies that report the most in general payments to U.S. doctors and teaching hospitals are ranked below for the latest program year, from the federal Open Payments record.

The top 10 in program year 2025

Ranked by general payments reported to U.S. doctors, other covered clinicians and teaching hospitals. Across the whole year, companies reported $3,923,550,963 in general payments; the share column is measured against that figure, so the ten rows do not add up to 100%.

Companies that reported the most in general payments, program year 2025
Rank Company General payments Records Share of year
1 BioNTech SE $536,410,036 147 13.7%
2 AbbVie, Inc. $201,690,737 1,682,658 5.1%
3 Stryker Corporation $133,465,720 212,944 3.4%
4 Medtronic, Inc. $111,704,211 346,536 2.9%
5 Arthrex, Inc. $106,092,053 46,235 2.7%
6 Boston Scientific Corporation $101,694,139 298,380 2.6%
7 Zimmer Biomet Holdings, Inc. $88,547,398 38,508 2.3%
8 Intuitive Surgical, Inc. $70,039,237 102,573 1.8%
9 AstraZeneca Pharmaceuticals LP $69,553,694 555,048 1.8%
10 Advanced Accelerator Applications $64,340,900 331 1.6%

See the full ranking of the top 50, or browse every company.

Why this ranks general payments only

Companies also report research funding, often very large amounts paid to hospitals and research organisations to run clinical trials. Adding that to consulting fees, meals and royalties would produce one blended number that describes nothing, so this ranking uses general payments alone. Each company's own page shows its general payments and research funding side by side. See the three kinds of money for why they are kept apart.

What a high ranking does and does not mean

  • It reflects what was reported. Companies report under federal law; the figures are theirs, reproduced as published by CMS.
  • Size matters. Large manufacturers with many products pay more doctors, more often.
  • Royalties can dominate. A few royalty or licence agreements on successful devices can outweigh thousands of meals.
  • It is not a judgement. A payment record is not evidence of wrongdoing by the company or by any doctor it paid.

Who is included

The ranking includes both manufacturers of drugs, devices, biologicals and medical supplies, and group purchasing organizations, because both must report. Company names are shown as reported, so a corporate family can appear under more than one name.

Look closer

Common questions

Which company pays doctors the most?

It changes from year to year. The table on this page ranks companies by the general payments they reported for the latest program year in the federal Open Payments record.

Does this ranking include research funding?

No. It ranks general payments only: consulting, speaking, meals, travel, royalties and similar. Research funding follows different rules and is shown separately on each company's page.

Does a high ranking mean a company did something wrong?

No. Large payments often reflect royalties on successful products or the size of the company. The ranking describes what was reported, not whether it was appropriate.

Look it up yourself

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Source: CMS Open Payments · figures for program year 2025

A payment record is not evidence of wrongdoing. Financial relationships between industry and medicine are legal, common and often necessary for research. This guide explains the record; it is not legal or medical advice.

Who Paid My Doc is independent and is not affiliated with, endorsed by or sponsored by CMS or any U.S. government agency. It is not a consumer reporting agency and this is not a consumer report.