RxDoctor Payments Data

David Kastenberg, MD

Gastroenterology · Phila, PANPI 1205805439

Payments from drug & device makers

What this record shows

This record is dominated by speaking fees: $4,879 of the $5,824 with a category attached, or 83.8%. 10 manufacturers reported payments, led by Salix Pharmaceuticals, A Division Of Bausch Health US, LLC at 34.3% of the total. Reporting peaked in 2021 at $3,934 and has fallen 99.6% since, to $17 in 2025.

$5,824in general payments, 2019–2025

Across 17 payments — averaging $342.59 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Salix Pharmaceuticals, A Division Of Bausch Health US, LLC$2K
  • Medtronic$2K
  • Covidien LP$1K
  • Ferring Pharmaceuticals Inc.$499
  • Fujifilm Healthcare Americas Corporation$182
  • Shire North American Group Inc$35
  • plus $69 from 4 others
$31,686in research payments, 2019–2025

Across 10 payments — averaging $3168.58 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.

  • Covidien LP$22K
  • Takeda Pharmaceuticals U.S.A., Inc.$10K

What the payments were for

  • Speaking & faculty fees$4,87984%
  • Travel & lodging$4287%
  • Food & beverage$5189%

General payments by program year

19
20
21
22
24
25

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.

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

$5,824 in reported general payments places this provider in the 70th percentile of 935 gastroenterology providers in Pennsylvania.

See all gastroenterology providers in Pennsylvania →

Medicare billing

Part B allowed, 2024
$56,669
Medicare patients
287
Services billed
441

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

DrugClaimsCost to plans & patients
Humira(Cf) PenAdalimumab29$440,191
LinzessLinaclotide35$46,926
Mesalamine29$14,743
DexilantDexlansoprazole28$13,993
Dexlansoprazole DrDexlansoprazole33$12,192
Mesalamine ErMesalamine12$2,941
Esomeprazole Magnesium63$1,839
CholestyramineCholestyramine (With Sugar)11$1,211
Omeprazole77$1,138
Famotidine64$970
Pantoprazole Sodium73$904
Gavilyte-CPeg3350/Sod Sulf,bicarb,cl/Kcl11$220
Amitriptyline Hcl13$192
Gavilyte-GPeg3350/Sod Sulf,bicarb,cl/Kcl11$176

Paid to pharmacies, not to this prescriber.

Other gastroenterology in Phila

See the full list for Pennsylvania →

Where these figures come from

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