Covered recipient · General Payments record

JOHANA B CASTRO WAGNER

Allopathic & Osteopathic Physicians Allergy & Immunology

NPI: 1003175126
CMS profile: 391589
Location: LARGO, FL

General Payments · PY2018–2024

$13,352.26

Reported across 563 records
CMS publication 2026-01-23

Latest program year · PY2024

$2,865.42

117 records · 0 disputed

Financial relationships do not necessarily indicate an improper relationship; the data is open to interpretation.

How these totals are calculated

The total is the sum of the General Payments records CMS published for the labeled program year(s), exactly as published. Nothing is estimated, weighted, or combined across categories.
General Payments only. Research and Ownership/Investment are separate datasets and are never summed with these figures; amounts are kept separate per program year.
Featured-page threshold (a presentation gate, not a judgment): records>=3 OR total>=100 (all years).
Methodology & Data — sourcing, labeling, and limitations.

By nature of payment

PY2024 · sorted by reported total

Nature of payment	Amount	Records
Food and Beverage	$2,684.61	115
Education	$180.81	2

By paying entity

PY2024 · sorted by reported total

Paying entity	Amount	Records
CSL Behring	$602.18	23
Regeneron Healthcare Solutions, Inc.	$312.13	9
GENZYME CORPORATION	$296.20	10
Acerta Pharma LLC	$280.35	16
NOVARTIS PHARMACEUTICALS CORPORATION	$235.19	8
Takeda Pharmaceuticals U.S.A., Inc.	$199.20	15
OptiNose US, Inc.	$160.83	7
Octapharma USA, Inc.	$148.83	5
GlaxoSmithKline, LLC.	$112.79	5
SANOFI-AVENTIS U.S. LLC	$99.95	1
Amgen Inc.	$90.75	4
BioCryst US Sales Co., LLC	$86.16	3
Grifols USA, LLC	$47.87	2
Blueprint Medicines Corporation	$45.99	2
Genentech USA, Inc.	$41.35	2
PFIZER INC.	$41.01	2
Greer Laboratories, Inc.	$26.76	1
CYCLE PHARMACEUTICALS INC	$22.59	1
Pharming Healthcare, Inc.	$15.29	1

By program year

All program years on this page · sorted by year

Program year	Amount	Records
PY2018	$1,935.02	64
PY2019	$1,787.82	88
PY2020	$830.04	37
PY2021	$1,106.66	58
PY2022	$2,292.18	99
PY2023	$2,535.12	100
PY2024	$2,865.42	117

Payment records · PY2024 (117)

Sorted by paying entity, then date · as published by CMS

Program year 2024 2018 2019 2020 2021 2022 2023 Record-level detail is published for PY2024; earlier years are summarised in “By program year”.

Paying entity	Amount	Date	Nature of payment	Dispute status	Published	Record ID	Source
Amgen Inc.	$23.66	03/26/2024	Food and Beverage	Undisputed	01/23/2026	1111544275	CMS
Amgen Inc.	$14.82	06/18/2024	Food and Beverage	Undisputed	01/23/2026	1111544277	CMS
Amgen Inc.	$26.46	07/16/2024	Food and Beverage	Undisputed	01/23/2026	1111544279	CMS
Amgen Inc.	$25.81	11/12/2024	Food and Beverage	Undisputed	01/23/2026	1111544281	CMS
AstraZeneca Pharmaceuticals LP	$16.36	01/23/2024	Food and Beverage	Undisputed	01/23/2026	1104330732	CMS
AstraZeneca Pharmaceuticals LP	$14.23	01/26/2024	Food and Beverage	Undisputed	01/23/2026	1104520036	CMS
AstraZeneca Pharmaceuticals LP	$14.46	04/02/2024	Food and Beverage	Undisputed	01/23/2026	1104627964	CMS
AstraZeneca Pharmaceuticals LP	$15.38	04/09/2024	Food and Beverage	Undisputed	01/23/2026	1104674835	CMS
AstraZeneca Pharmaceuticals LP	$17.04	04/11/2024	Food and Beverage	Undisputed	01/23/2026	1104587120	CMS
AstraZeneca Pharmaceuticals LP	$15.14	04/26/2024	Food and Beverage	Undisputed	01/23/2026	1104468438	CMS
AstraZeneca Pharmaceuticals LP	$18.99	05/21/2024	Food and Beverage	Undisputed	01/23/2026	1104706667	CMS
AstraZeneca Pharmaceuticals LP	$22.07	05/30/2024	Food and Beverage	Undisputed	01/23/2026	1104557614	CMS
AstraZeneca Pharmaceuticals LP	$22.19	07/23/2024	Food and Beverage	Undisputed	01/23/2026	1105244907	CMS
AstraZeneca Pharmaceuticals LP	$20.59	08/13/2024	Food and Beverage	Undisputed	01/23/2026	1104431995	CMS
AstraZeneca Pharmaceuticals LP	$20.59	09/10/2024	Food and Beverage	Undisputed	01/23/2026	1104373237	CMS
AstraZeneca Pharmaceuticals LP	$13.74	09/11/2024	Food and Beverage	Undisputed	01/23/2026	1104260297	CMS
AstraZeneca Pharmaceuticals LP	$17.70	09/17/2024	Food and Beverage	Undisputed	01/23/2026	1104289670	CMS
AstraZeneca Pharmaceuticals LP	$10.57	10/22/2024	Food and Beverage	Undisputed	01/23/2026	1105734927	CMS
AstraZeneca Pharmaceuticals LP	$18.95	12/03/2024	Food and Beverage	Undisputed	01/23/2026	1104502658	CMS
AstraZeneca Pharmaceuticals LP	$22.35	12/17/2024	Food and Beverage	Undisputed	01/23/2026	1104694920	CMS
BioCryst US Sales Co., LLC	$33.61	05/15/2024	Food and Beverage	Undisputed	01/23/2026	1117478838	CMS
BioCryst US Sales Co., LLC	$34.30	10/21/2024	Food and Beverage	Undisputed	01/23/2026	1117473932	CMS
BioCryst US Sales Co., LLC	$18.25	12/16/2024	Food and Beverage	Undisputed	01/23/2026	1117478840	CMS
Blueprint Medicines Corporation	$26.15	04/03/2024	Food and Beverage	Undisputed	01/23/2026	1147455009	CMS
Blueprint Medicines Corporation	$19.84	07/30/2024	Food and Beverage	Undisputed	01/23/2026	1147455083	CMS
CSL Behring	$29.67	01/11/2024	Food and Beverage	Undisputed	01/23/2026	1134600563	CMS
CSL Behring	$28.78	01/12/2024	Food and Beverage	Undisputed	01/23/2026	1134600565	CMS
CSL Behring	$19.72	01/30/2024	Food and Beverage	Undisputed	01/23/2026	1134600571	CMS
CSL Behring	$18.65	02/07/2024	Food and Beverage	Undisputed	01/23/2026	1134600579	CMS
CSL Behring	$7.80	02/15/2024	Food and Beverage	Undisputed	01/23/2026	1134600687	CMS
CSL Behring	$25.71	02/20/2024	Food and Beverage	Undisputed	01/23/2026	1134600581	CMS
CSL Behring	$40.27	03/06/2024	Food and Beverage	Undisputed	01/23/2026	1134600589	CMS
CSL Behring	$10.08	03/21/2024	Food and Beverage	Undisputed	01/23/2026	1134600593	CMS
CSL Behring	$24.07	03/27/2024	Food and Beverage	Undisputed	01/23/2026	1134600595	CMS
CSL Behring	$20.06	04/10/2024	Food and Beverage	Undisputed	01/23/2026	1134600601	CMS
CSL Behring	$17.83	05/07/2024	Food and Beverage	Undisputed	01/23/2026	1134600607	CMS
CSL Behring	$22.46	05/14/2024	Food and Beverage	Undisputed	01/23/2026	1134600611	CMS
CSL Behring	$22.93	06/04/2024	Food and Beverage	Undisputed	01/23/2026	1134600619	CMS
CSL Behring	$22.93	07/04/2024	Food and Beverage	Undisputed	01/23/2026	1134600623	CMS
CSL Behring	$116.18	08/01/2024	Food and Beverage	Undisputed	01/23/2026	1134600795	CMS
CSL Behring	$20.29	08/20/2024	Food and Beverage	Undisputed	01/23/2026	1134600635	CMS
CSL Behring	$28.77	08/26/2024	Food and Beverage	Undisputed	01/23/2026	1134600637	CMS
CSL Behring	$16.69	09/19/2024	Food and Beverage	Undisputed	01/23/2026	1134600645	CMS
CSL Behring	$18.86	10/01/2024	Food and Beverage	Undisputed	01/23/2026	1134600647	CMS
CSL Behring	$30.41	10/30/2024	Food and Beverage	Undisputed	01/23/2026	1134600653	CMS
CSL Behring	$13.66	11/21/2024	Food and Beverage	Undisputed	01/23/2026	1134600809	CMS
CSL Behring	$24.24	12/12/2024	Food and Beverage	Undisputed	01/23/2026	1134600811	CMS
CSL Behring	$22.12	12/17/2024	Food and Beverage	Undisputed	01/23/2026	1134600663	CMS
Cycle Pharmaceuticals Inc	$22.59	12/23/2024	Food and Beverage	Undisputed	01/23/2026	1154919174	CMS
Genentech USA, Inc.	$16.38	08/01/2024	Food and Beverage	Undisputed	01/23/2026	1133034015	CMS
Genentech USA, Inc.	$24.97	08/14/2024	Food and Beverage	Undisputed	01/23/2026	1133034020	CMS
GENZYME CORPORATION	$27.60	01/02/2024	Food and Beverage	Undisputed	01/23/2026	1139862872	CMS
GENZYME CORPORATION	$24.50	02/07/2024	Food and Beverage	Undisputed	01/23/2026	1139862876	CMS
GENZYME CORPORATION	$19.39	04/18/2024	Food and Beverage	Undisputed	01/23/2026	1139862892	CMS
GENZYME CORPORATION	$25.05	05/16/2024	Food and Beverage	Undisputed	01/23/2026	1139862912	CMS
GENZYME CORPORATION	$19.78	06/13/2024	Food and Beverage	Undisputed	01/23/2026	1139862914	CMS
GENZYME CORPORATION	$39.97	08/06/2024	Food and Beverage	Undisputed	01/23/2026	1139862920	CMS
GENZYME CORPORATION	$32.97	08/15/2024	Food and Beverage	Undisputed	01/23/2026	1139862956	CMS
GENZYME CORPORATION	$36.24	10/15/2024	Food and Beverage	Undisputed	01/23/2026	1139862968	CMS
GENZYME CORPORATION	$31.20	11/05/2024	Food and Beverage	Undisputed	01/23/2026	1139862978	CMS
GENZYME CORPORATION	$39.50	12/05/2024	Food and Beverage	Undisputed	01/23/2026	1139862990	CMS
GlaxoSmithKline, LLC.	$29.12	02/15/2024	Food and Beverage	Undisputed	01/23/2026	1116051990	CMS
GlaxoSmithKline, LLC.	$14.03	03/20/2024	Food and Beverage	Undisputed	01/23/2026	1115889490	CMS
GlaxoSmithKline, LLC.	$22.41	06/27/2024	Food and Beverage	Undisputed	01/23/2026	1116302388	CMS
GlaxoSmithKline, LLC.	$23.55	09/16/2024	Food and Beverage	Undisputed	01/23/2026	1116037389	CMS
GlaxoSmithKline, LLC.	$23.68	11/18/2024	Food and Beverage	Undisputed	01/23/2026	1116413363	CMS
Greer Laboratories, Inc.	$26.76	08/29/2024	Food and Beverage	Undisputed	01/23/2026	1131113395	CMS
Grifols USA, LLC	$24.49	10/07/2024	Food and Beverage	Undisputed	01/23/2026	1124719328	CMS
Grifols USA, LLC	$23.38	12/09/2024	Food and Beverage	Undisputed	01/23/2026	1124719330	CMS
Novartis Pharmaceuticals Corporation	$14.30	03/26/2024	Food and Beverage	Undisputed	01/23/2026	1086656529	CMS
Novartis Pharmaceuticals Corporation	$11.98	04/30/2024	Food and Beverage	Undisputed	01/23/2026	1086656539	CMS
Novartis Pharmaceuticals Corporation	$4.12	05/13/2024	Food and Beverage	Undisputed	01/23/2026	1086656541	CMS
Novartis Pharmaceuticals Corporation	$24.37	06/05/2024	Food and Beverage	Undisputed	01/23/2026	1086656543	CMS
Novartis Pharmaceuticals Corporation	$15.74	07/15/2024	Food and Beverage	Undisputed	01/23/2026	1086656551	CMS
Novartis Pharmaceuticals Corporation	$18.70	09/05/2024	Food and Beverage	Undisputed	01/23/2026	1086656555	CMS
Novartis Pharmaceuticals Corporation	$112.53	09/06/2024	Food and Beverage	Undisputed	01/23/2026	1086656553	CMS
Novartis Pharmaceuticals Corporation	$33.45	10/31/2024	Food and Beverage	Undisputed	01/23/2026	1086656561	CMS
Octapharma USA, Inc.	$32.22	02/13/2024	Food and Beverage	Undisputed	01/23/2026	1142313120	CMS
Octapharma USA, Inc.	$21.92	04/30/2024	Food and Beverage	Undisputed	01/23/2026	1142313122	CMS
Octapharma USA, Inc.	$31.47	06/11/2024	Food and Beverage	Undisputed	01/23/2026	1142313124	CMS
Octapharma USA, Inc.	$44.08	08/27/2024	Food and Beverage	Undisputed	01/23/2026	1142313126	CMS
Octapharma USA, Inc.	$19.14	11/19/2024	Food and Beverage	Undisputed	01/23/2026	1142313128	CMS
Optinose US, Inc.	$23.84	02/02/2024	Food and Beverage	Undisputed	01/23/2026	1142187036	CMS
Optinose US, Inc.	$20.94	02/29/2024	Food and Beverage	Undisputed	01/23/2026	1142187042	CMS
Optinose US, Inc.	$20.85	03/07/2024	Food and Beverage	Undisputed	01/23/2026	1142187040	CMS
Optinose US, Inc.	$23.53	04/11/2024	Food and Beverage	Undisputed	01/23/2026	1142187098	CMS
Optinose US, Inc.	$22.99	05/09/2024	Food and Beverage	Undisputed	01/23/2026	1142187084	CMS
Optinose US, Inc.	$24.87	06/06/2024	Food and Beverage	Undisputed	01/23/2026	1142187068	CMS
Optinose US, Inc.	$23.81	09/23/2024	Food and Beverage	Undisputed	01/23/2026	1142187154	CMS
PFIZER INC.	$18.28	01/23/2024	Food and Beverage	Undisputed	01/23/2026	1130976703	CMS
PFIZER INC.	$22.73	05/30/2024	Food and Beverage	Undisputed	01/23/2026	1131427003	CMS
Pharming Healthcare, Inc.	$15.29	08/06/2024	Food and Beverage	Undisputed	01/23/2026	1132144579	CMS
Regeneron Healthcare Solutions, Inc.	$80.86	01/09/2024	Education	Undisputed	01/23/2026	1114020350	CMS
Regeneron Healthcare Solutions, Inc.	$25.56	02/22/2024	Food and Beverage	Undisputed	01/23/2026	1114020352	CMS
Regeneron Healthcare Solutions, Inc.	$29.89	04/24/2024	Food and Beverage	Undisputed	01/23/2026	1114020354	CMS
Regeneron Healthcare Solutions, Inc.	$20.07	06/19/2024	Food and Beverage	Undisputed	01/23/2026	1114020356	CMS
Regeneron Healthcare Solutions, Inc.	$23.35	07/31/2024	Food and Beverage	Undisputed	01/23/2026	1114020358	CMS
Regeneron Healthcare Solutions, Inc.	$38.83	08/29/2024	Food and Beverage	Undisputed	01/23/2026	1114020360	CMS
Regeneron Healthcare Solutions, Inc.	$36.20	10/17/2024	Food and Beverage	Undisputed	01/23/2026	1114020362	CMS
Regeneron Healthcare Solutions, Inc.	$24.87	11/11/2024	Food and Beverage	Undisputed	01/23/2026	1114020364	CMS
Regeneron Healthcare Solutions, Inc.	$32.50	12/19/2024	Food and Beverage	Undisputed	01/23/2026	1114020366	CMS
SANOFI-AVENTIS U.S. LLC	$99.95	05/30/2024	Education	Undisputed	01/23/2026	1139862904	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$21.28	01/25/2024	Food and Beverage	Undisputed	01/23/2026	1137505209	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$14.94	02/15/2024	Food and Beverage	Undisputed	01/23/2026	1137505212	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$18.55	02/29/2024	Food and Beverage	Undisputed	01/23/2026	1137505216	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$15.50	03/07/2024	Food and Beverage	Undisputed	01/23/2026	1137505220	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$2.42	03/07/2024	Food and Beverage	Undisputed	01/23/2026	1137505224	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$3.92	03/07/2024	Food and Beverage	Undisputed	01/23/2026	1137505227	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$1.39	04/23/2024	Food and Beverage	Undisputed	01/23/2026	1137505231	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$10.11	04/23/2024	Food and Beverage	Undisputed	01/23/2026	1137505235	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$13.38	05/16/2024	Food and Beverage	Undisputed	01/23/2026	1137505239	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$2.44	05/16/2024	Food and Beverage	Undisputed	01/23/2026	1137505243	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$3.36	05/16/2024	Food and Beverage	Undisputed	01/23/2026	1137505246	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$24.91	06/18/2024	Food and Beverage	Undisputed	01/23/2026	1137505250	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$24.34	09/10/2024	Food and Beverage	Undisputed	01/23/2026	1137505254	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$20.12	10/14/2024	Food and Beverage	Undisputed	01/23/2026	1137505258	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$22.54	12/12/2024	Food and Beverage	Undisputed	01/23/2026	1137505262	CMS

Source & provenance

Dataset: CMS Open Payments — General Payments
Publisher of source data: Centers for Medicare & Medicaid Services
CMS publication date: 2026-01-23
Program years on this page: 2018, 2019, 2020, 2021, 2022, 2023, 2024
Source files: Dataset page · Bulk file · PY2018 , PY2019 , PY2020 , PY2021 , PY2022 , PY2023 , PY2024
Generated from: OP_DTL_GNRL_PGYR2024_P01232026_01102026.csv

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Corrections to the substance of a record route to CMS through its review-and-dispute process; errors in how this site mirrors or displays a record route to us. Both paths are described in Methodology & Data.