Alvaro Castillo, MD
Surgical Oncology · Lake Worth, FLNPI 1891939385
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $1,863 of the $2,841 with a category attached, or 65.6%. 14 manufacturers reported payments, led by Intuitive Surgical at 24.1% of the total. Reporting peaked in 2019 at $1,708 and has fallen 88.2% since, to $202 in 2025.
Across 36 payments — averaging $78.93 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Intuitive Surgical$684
- Cook Medical LLC$515
- Acera Surgical, Inc.$490
- Johnson & Johnson$375
- TELA Bio, Inc.$193
- Innovation Technologies Inc$188
- plus $396 from 8 others
What the payments were for
- Travel & lodging$97834%
- Food & beverage$1,86366%
Most of this is food and beverage — typically meals provided during product presentations at a clinic or hospital. Nationally that is the single largest category of reported payments by count.
General payments by program year
Who reported the general payments
Companies are grouped under their corporate parent — a single manufacturer often files under several CMS reporting entities. Research and ownership payments are counted separately and are not in this table.
| Company | Payments | Total |
|---|---|---|
| Intuitive Surgical | 2 | $684 |
| Cook Medical LLC | 6 | $515 |
| Acera Surgical, Inc. | 6 | $490 |
| Johnson & Johnson | 9 | $375 |
| TELA Bio, Inc. | 2 | $193 |
| Innovation Technologies Inc | 1 | $188 |
| Stryker | 1 | $145 |
| Asensus Surgical, Inc. | 1 | $127 |
| Boston Scientific | 2 | $36 |
| Avanos Medical | 2 | $29 |
| Novartis | 1 | $22 |
| Idorsia Pharmaceuticals US Inc | 1 | $14 |
| Acell, Inc. | 1 | $13 |
| Coopersurgical, Inc. | 1 | $11 |
What the payments were tied to
Products named in the reported payments. Only payments of $100 or more are attributed here — the typical reported payment nationally is a meal worth about $16, and listing those product-by-product would be noise.
How this compares
$2,841 in reported general payments places this provider in the 55th percentile of 133 surgical oncology providers in Florida.
Medicare billing
What this is not: this is the amount Original Medicare Part B allowed for services this provider billed in 2024. It is not their income. It excludes Medicare Advantage — now more than half of all Medicare enrollment — along with Medicaid and all commercial insurance, and it is gross practice revenue before staff, rent, supplies and malpractice premiums. CMS also suppresses any figure covering ten or fewer patients, so low-volume providers appear smaller than they are.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 36 | $124 |
Paid to pharmacies, not to this prescriber.
Other surgical oncology in Lake Worth
- Neha GoelMiami$200K
- Jonathan ZagerTampa$191K
- Horacio AsbunMiami$161K
- Adrian Legaspi SauterHialeah$116K
- Kenneth MeredithSarasota$113K
- Pamela HodulTampa$94K
- Mehran HabibiMiami$73K
- Paul BloomstonFort Myers$68K
- Kristin RojasMiami$57K
- Douglas ReintgenTarpon Springs$55K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Billing: Medicare Physician & Other Practitioners, data year 2024. Original Medicare Part B only.
- Identity: NPPES NPI Registry, July 2026.