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

IRMA Y CASTRO

Allopathic & Osteopathic Physicians Family Medicine

NPI
1285652669
CMS profile
58552
Location
FRESNO, CA

General Payments · PY2018–2024

$15,783.49

  • Reported across 778 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$1,745.94

52 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
Food and Beverage $1,745.94 52

By paying entity

PY2024 · sorted by reported total

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2018 $2,323.93 161
PY2019 $2,918.63 144
PY2020 $1,677.59 93
PY2021 $3,198.64 159
PY2022 $1,925.50 93
PY2023 $1,993.26 76
PY2024 $1,745.94 52

Payment records · PY2024 (52)

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

Program year 2024 201820192020202120222023 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
Abbott Laboratories $14.80 04/16/2024 Food and Beverage Undisputed 01/23/2026 1124956621 CMS
Abbott Laboratories $24.08 11/25/2024 Food and Beverage Undisputed 01/23/2026 1124956625 CMS
Amgen Inc. $19.11 01/23/2024 Food and Beverage Undisputed 01/23/2026 1111544235 CMS
Amgen Inc. $22.17 05/30/2024 Food and Beverage Undisputed 01/23/2026 1111544237 CMS
Amgen Inc. $18.11 11/21/2024 Food and Beverage Undisputed 01/23/2026 1111544239 CMS
Astellas Pharma US Inc $15.09 01/25/2024 Food and Beverage Undisputed 01/23/2026 1139280426 CMS
AstraZeneca Pharmaceuticals LP $18.24 04/04/2024 Food and Beverage Undisputed 01/23/2026 1105303062 CMS
AstraZeneca Pharmaceuticals LP $22.81 09/11/2024 Food and Beverage Undisputed 01/23/2026 1104208953 CMS
AstraZeneca Pharmaceuticals LP $7.15 09/30/2024 Food and Beverage Undisputed 01/23/2026 1104284235 CMS
AstraZeneca Pharmaceuticals LP $21.95 10/11/2024 Food and Beverage Undisputed 01/23/2026 1105249332 CMS
AstraZeneca Pharmaceuticals LP $121.83 10/29/2024 Food and Beverage Undisputed 01/23/2026 1104689882 CMS
Bayer Healthcare Pharmaceuticals Inc. $26.17 03/21/2024 Food and Beverage Undisputed 01/23/2026 1086262992 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $21.69 01/30/2024 Food and Beverage Undisputed 01/23/2026 1117948579 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $21.25 05/22/2024 Food and Beverage Undisputed 01/23/2026 1117948577 CMS
Esperion Therapeutics, Inc. $16.02 04/30/2024 Food and Beverage Undisputed 01/23/2026 1129430262 CMS
Esperion Therapeutics, Inc. $124.99 07/10/2024 Food and Beverage Undisputed 01/23/2026 1129430264 CMS
Exact Sciences Corporation $24.63 01/22/2024 Food and Beverage Undisputed 01/23/2026 1114610279 CMS
Exact Sciences Corporation $24.75 10/25/2024 Food and Beverage Undisputed 01/23/2026 1114610283 CMS
GlaxoSmithKline, LLC. $9.74 02/08/2024 Food and Beverage Undisputed 01/23/2026 1116025364 CMS
GlaxoSmithKline, LLC. $9.50 02/20/2024 Food and Beverage Undisputed 01/23/2026 1116449671 CMS
GlaxoSmithKline, LLC. $18.91 03/11/2024 Food and Beverage Undisputed 01/23/2026 1116583055 CMS
GlaxoSmithKline, LLC. $12.57 03/12/2024 Food and Beverage Undisputed 01/23/2026 1116597893 CMS
GlaxoSmithKline, LLC. $124.99 03/20/2024 Food and Beverage Undisputed 01/23/2026 1116552493 CMS
GlaxoSmithKline, LLC. $6.73 04/25/2024 Food and Beverage Undisputed 01/23/2026 1116627074 CMS
GlaxoSmithKline, LLC. $11.85 09/19/2024 Food and Beverage Undisputed 01/23/2026 1116025815 CMS
GlaxoSmithKline, LLC. $5.78 11/01/2024 Food and Beverage Undisputed 01/23/2026 1116374416 CMS
IDORSIA PHARMACEUTICALS US INC $15.44 02/21/2024 Food and Beverage Undisputed 01/23/2026 1146754391 CMS
Lilly USA, LLC $15.16 01/24/2024 Food and Beverage Undisputed 01/23/2026 1135010269 CMS
Lilly USA, LLC $109.72 01/24/2024 Food and Beverage Undisputed 01/23/2026 1135010271 CMS
Lilly USA, LLC $23.00 04/19/2024 Food and Beverage Undisputed 01/23/2026 1135035276 CMS
Lilly USA, LLC $121.83 05/30/2024 Food and Beverage Undisputed 01/23/2026 1135035274 CMS
Lilly USA, LLC $12.67 10/07/2024 Food and Beverage Undisputed 01/23/2026 1135036348 CMS
Novo Nordisk Inc $16.78 01/09/2024 Food and Beverage Undisputed 01/23/2026 1097089517 CMS
Novo Nordisk Inc $119.99 01/18/2024 Food and Beverage Undisputed 01/23/2026 1097221436 CMS
Novo Nordisk Inc $20.00 04/11/2024 Food and Beverage Undisputed 01/23/2026 1097690724 CMS
Novo Nordisk Inc $22.47 07/22/2024 Food and Beverage Undisputed 01/23/2026 1097762804 CMS
Novo Nordisk Inc $23.44 10/02/2024 Food and Beverage Undisputed 01/23/2026 1096579727 CMS
Novo Nordisk Inc $6.26 10/05/2024 Food and Beverage Undisputed 01/23/2026 1097533845 CMS
Novo Nordisk Inc $7.47 10/11/2024 Food and Beverage Undisputed 01/23/2026 1097047014 CMS
Novo Nordisk Inc $16.47 10/22/2024 Food and Beverage Undisputed 01/23/2026 1096854872 CMS
Novo Nordisk Inc $6.23 11/01/2024 Food and Beverage Undisputed 01/23/2026 1096800381 CMS
Novo Nordisk Inc $19.12 12/16/2024 Food and Beverage Undisputed 01/23/2026 1096790357 CMS
Otsuka America Pharmaceutical, Inc. $121.83 03/12/2024 Food and Beverage Undisputed 01/23/2026 1118872552 CMS
Otsuka America Pharmaceutical, Inc. $23.08 09/30/2024 Food and Beverage Undisputed 01/23/2026 1118872554 CMS
Phathom Pharmaceuticals, Inc. $19.27 05/13/2024 Food and Beverage Undisputed 01/23/2026 1151046790 CMS
Radius Health, Inc. $21.09 06/23/2024 Food and Beverage Undisputed 01/23/2026 1089956378 CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC $24.56 06/26/2024 Food and Beverage Undisputed 01/23/2026 1153459913 CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC $25.90 12/18/2024 Food and Beverage Undisputed 01/23/2026 1153514744 CMS
SANOFI-AVENTIS U.S. LLC $125.00 11/08/2024 Food and Beverage Undisputed 01/23/2026 1139609088 CMS
SCILEX PHARMACEUTICALS INC. $22.81 02/21/2024 Food and Beverage Undisputed 01/23/2026 1136226130 CMS
Tactile Systems Technology Inc $22.20 06/28/2024 Food and Beverage Undisputed 01/23/2026 1082363379 CMS
Xeris Pharmaceuticals, Inc. $19.24 11/13/2024 Food and Beverage Undisputed 01/23/2026 1144596954 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

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.