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

MICHELLE L CASTO

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Adult Health

NPI
1578937843
CMS profile
10591298
Location
PALATKA, FL

General Payments · PY2021–2024

$4,342.44

  • Reported across 274 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$910.98

46 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 $910.98 46

By paying entity

PY2024 · sorted by reported total

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2021 $1,382.93 93
PY2022 $808.03 55
PY2023 $1,240.50 80
PY2024 $910.98 46

Payment records · PY2024 (46)

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

Program year 2024 202120222023 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
ABBVIE INC. $17.03 02/21/2024 Food and Beverage Undisputed 01/23/2026 1106893475 CMS
ABBVIE INC. $24.94 06/05/2024 Food and Beverage Undisputed 01/23/2026 1106893477 CMS
AstraZeneca Pharmaceuticals LP $126.30 01/17/2024 Food and Beverage Undisputed 01/23/2026 1104246507 CMS
AstraZeneca Pharmaceuticals LP $17.33 03/27/2024 Food and Beverage Undisputed 01/23/2026 1104589842 CMS
AstraZeneca Pharmaceuticals LP $17.91 05/28/2024 Food and Beverage Undisputed 01/23/2026 1104431657 CMS
AstraZeneca Pharmaceuticals LP $14.09 07/10/2024 Food and Beverage Undisputed 01/23/2026 1104738407 CMS
AstraZeneca Pharmaceuticals LP $14.99 08/01/2024 Food and Beverage Undisputed 01/23/2026 1105654612 CMS
AstraZeneca Pharmaceuticals LP $13.84 08/09/2024 Food and Beverage Undisputed 01/23/2026 1104219347 CMS
AstraZeneca Pharmaceuticals LP $20.56 09/12/2024 Food and Beverage Undisputed 01/23/2026 1105490263 CMS
AstraZeneca Pharmaceuticals LP $15.70 11/06/2024 Food and Beverage Undisputed 01/23/2026 1105529874 CMS
Axsome Therapeutics, Inc. $13.60 12/13/2024 Food and Beverage Undisputed 01/23/2026 1148394695 CMS
Corcept Therapeutics $22.06 05/08/2024 Food and Beverage Undisputed 01/23/2026 1117793580 CMS
Corcept Therapeutics $22.79 06/04/2024 Food and Beverage Undisputed 01/23/2026 1117793594 CMS
Corcept Therapeutics $20.59 06/24/2024 Food and Beverage Undisputed 01/23/2026 1117793614 CMS
Exact Sciences Corporation $14.74 04/10/2024 Food and Beverage Undisputed 01/23/2026 1114504777 CMS
Exact Sciences Corporation $16.29 08/07/2024 Food and Beverage Undisputed 01/23/2026 1114504782 CMS
GlaxoSmithKline, LLC. $19.26 03/06/2024 Food and Beverage Undisputed 01/23/2026 1116235936 CMS
IDORSIA PHARMACEUTICALS US INC $20.24 03/03/2024 Food and Beverage Undisputed 01/23/2026 1146772702 CMS
Insulet Corporation $17.04 04/29/2024 Food and Beverage Undisputed 01/23/2026 1116794861 CMS
Lilly USA, LLC $20.22 01/25/2024 Food and Beverage Undisputed 01/23/2026 1135901858 CMS
Lilly USA, LLC $12.42 02/09/2024 Food and Beverage Undisputed 01/23/2026 1135905481 CMS
Lilly USA, LLC $20.67 02/15/2024 Food and Beverage Undisputed 01/23/2026 1135746984 CMS
Lilly USA, LLC $1.47 02/22/2024 Food and Beverage Undisputed 01/23/2026 1135746986 CMS
Lilly USA, LLC $22.37 02/22/2024 Food and Beverage Undisputed 01/23/2026 1135901860 CMS
Lilly USA, LLC $22.58 03/21/2024 Food and Beverage Undisputed 01/23/2026 1135746990 CMS
Lilly USA, LLC $2.32 03/21/2024 Food and Beverage Undisputed 01/23/2026 1135905483 CMS
Lilly USA, LLC $0.82 03/28/2024 Food and Beverage Undisputed 01/23/2026 1135795944 CMS
Lilly USA, LLC $16.76 03/29/2024 Food and Beverage Undisputed 01/23/2026 1135746988 CMS
Lilly USA, LLC $16.73 04/18/2024 Food and Beverage Undisputed 01/23/2026 1135835601 CMS
Lilly USA, LLC $3.46 04/18/2024 Food and Beverage Undisputed 01/23/2026 1135905485 CMS
Lilly USA, LLC $19.80 04/25/2024 Food and Beverage Undisputed 01/23/2026 1135795946 CMS
Lilly USA, LLC $22.78 05/24/2024 Food and Beverage Undisputed 01/23/2026 1135758954 CMS
Lilly USA, LLC $20.70 06/27/2024 Food and Beverage Undisputed 01/23/2026 1135758952 CMS
Lilly USA, LLC $1.16 06/27/2024 Food and Beverage Undisputed 01/23/2026 1135837534 CMS
Lilly USA, LLC $27.64 08/02/2024 Food and Beverage Undisputed 01/23/2026 1135835605 CMS
Lilly USA, LLC $19.46 09/17/2024 Food and Beverage Undisputed 01/23/2026 1135901862 CMS
Merck Sharp & Dohme LLC $26.34 09/03/2024 Food and Beverage Undisputed 01/23/2026 1141652351 CMS
Mylan Specialty L.P. $17.08 03/12/2024 Food and Beverage Undisputed 01/23/2026 1147339241 CMS
Mylan Specialty L.P. $23.91 04/16/2024 Food and Beverage Undisputed 01/23/2026 1147380071 CMS
Mylan Specialty L.P. $25.54 07/29/2024 Food and Beverage Undisputed 01/23/2026 1147284408 CMS
Mylan Specialty L.P. $26.04 08/21/2024 Food and Beverage Undisputed 01/23/2026 1147300209 CMS
Novo Nordisk Inc $21.47 03/05/2024 Food and Beverage Undisputed 01/23/2026 1100420769 CMS
Novo Nordisk Inc $16.53 10/05/2024 Food and Beverage Undisputed 01/23/2026 1100260747 CMS
PFIZER INC. $20.27 07/15/2024 Food and Beverage Undisputed 01/23/2026 1131749508 CMS
Vanda Pharmaceuticals Inc. $17.22 10/24/2024 Food and Beverage Undisputed 01/23/2026 1133935328 CMS
Vanda Pharmaceuticals Inc. $15.92 11/04/2024 Food and Beverage Undisputed 01/23/2026 1133935330 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
2021, 2022, 2023, 2024
Source files
Dataset page · Bulk file · PY2021 , PY2022 , PY2023 , PY2024
Generated from
OP_DTL_GNRL_PGYR2024_P01232026_01102026.csv

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