Official source Data mirrored from Centers for Medicare & Medicaid Services Open Payments · General Payments · as published 2026-01-23 View official record Methodology

Covered recipient · General Payments record

RONALD CASTONGUAY

NPI
1154467074
CMS profile
1383901
Location
FRESNO, CA

General Payments · PY2018–2024

$1,633.70

  • Reported across 17 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$1,452.83

14 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 paymentAmountRecords
Travel and Lodging $833.52 4
Food and Beverage $619.31 10

By paying entity

PY2024 · sorted by reported total

Paying entityAmountRecords
Stryker Corporation $1,428.34 12
BOSTON SCIENTIFIC CORPORATION $24.49 2

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2018 $125.00 1
PY2019 $30.58 1
PY2023 $25.29 1
PY2024 $1,452.83 14

Payment records · PY2024 (14)

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

Program year 2024 201820192023 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
Boston Scientific Corporation $5.49 05/20/2024 Food and Beverage Undisputed 01/23/2026 1092233138 CMS
Boston Scientific Corporation $19.00 05/23/2024 Food and Beverage Undisputed 01/23/2026 1092233136 CMS
Stryker Corporation $159.61 05/16/2024 Food and Beverage Undisputed 01/23/2026 1126788211 CMS
Stryker Corporation $430.64 05/31/2024 Travel and Lodging Undisputed 01/23/2026 1126788213 CMS
Stryker Corporation $23.33 07/08/2024 Travel and Lodging Undisputed 01/23/2026 1126788215 CMS
Stryker Corporation $173.78 07/12/2024 Food and Beverage Undisputed 01/23/2026 1126788217 CMS
Stryker Corporation $49.91 07/12/2024 Food and Beverage Undisputed 01/23/2026 1126788219 CMS
Stryker Corporation $331.32 07/12/2024 Travel and Lodging Undisputed 01/23/2026 1126788221 CMS
Stryker Corporation $25.00 07/13/2024 Food and Beverage Undisputed 01/23/2026 1126788223 CMS
Stryker Corporation $88.02 07/13/2024 Food and Beverage Undisputed 01/23/2026 1126788225 CMS
Stryker Corporation $74.67 07/13/2024 Food and Beverage Undisputed 01/23/2026 1126788227 CMS
Stryker Corporation $48.23 07/13/2024 Travel and Lodging Undisputed 01/23/2026 1126788229 CMS
Stryker Corporation $22.44 12/09/2024 Food and Beverage Undisputed 01/23/2026 1126788231 CMS
Stryker Corporation $1.39 12/09/2024 Food and Beverage Undisputed 01/23/2026 1126788233 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, 2023, 2024
Source files
Dataset page · Bulk file · PY2018 , PY2019 , PY2023 , PY2024
Generated from
OP_DTL_GNRL_PGYR2024_P01232026_01102026.csv

One page per canonical provider; split Profile_IDs are merged via Associated_Covered_Recipient_Profile_ID_1/_2 from the Covered Recipient Profile Supplement.

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.