GUARIONEX DECASTRO

Allopathic & Osteopathic Physicians|Urology NEW YORK, NY NPI 1679733463

General Payments — all program years on this page

$6,042.77

  • Category: General Payments
  • Program years: PY2018–2024
  • Record count: 27
  • As of (CMS publication): 2026-01-23

Latest program year (PY2024): $74.98 across 3 records · disputed records: 0

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

How this figure is 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

Latest program year (PY2024) · sorted by reported total.

Nature of paymentAmountRecords
Food and Beverage $56.892
Education $18.091

By paying entity

Latest program year (PY2024) · sorted by reported total.

Paying entityAmountRecords
Astellas Pharma US Inc $56.892
Merck Sharp & Dohme Corporation $18.091

By program year

Program yearAmountRecords
2018 $115.757
2019 $5,515.212
2020 $18.121
2021 $58.963
2022 $129.926
2023 $129.835
2024 $74.983

Records — PY2024 (3)

Record IDPaying entityAmountDate Nature of paymentDispute statusPublishedSource
1139269880 Astellas Pharma US Inc $27.01 02/22/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1139274818 Astellas Pharma US Inc $29.88 01/18/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1141782413 Merck Sharp & Dohme LLC $18.09 10/09/2024 Education Undisputed 01/23/2026 View at CMS

Provenance & corrections

  • Dataset: CMS Open Payments — General Payments
  • Source: CMS Open Payments dataset (bulk file)
  • Publisher of source data: Centers for Medicare & Medicaid Services
  • 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.