Flavia Castelino, MD
Rheumatology · Boston, MANPI 1962611301
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $66,443 of the $96,123 with a category attached, or 69.1%. Boehringer Ingelheim accounts for 97.0% of it on its own, with 2 other manufacturers making up the rest. Among rheumatology clinicians in MA with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 74 payments — averaging $1298.96 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Boehringer Ingelheim$93K
- Takeda Pharmaceuticals U.S.A., Inc.$2K
- Chugai Pharmaceutical Co., Ltd.$450
Across 112 payments — averaging $3108.15 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.
- Boehringer Ingelheim$83K
- Amgen$43K
- Genentech, Inc.$41K
- Sanofi US Services Inc.$41K
- Kadmon Corporation LLC$36K
- Cumberland Pharmaceuticals, Inc.$31K
- plus $72K from 4 others
What the payments were for
- Consulting fees$66,44369%
- Speaking & faculty fees$22,02723%
- Travel & lodging$6,2226%
- Food & beverage$1,4311%
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 |
|---|---|---|
| Boehringer Ingelheim | 72 | $93,273 |
| Takeda Pharmaceuticals U.S.A., Inc. | 1 | $2,400 |
| Chugai Pharmaceutical Co., Ltd. | 1 | $450 |
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.
- OFEV$58,326
- Non-Covered Product$450
How this compares
$96,123 in reported general payments places this provider in the 90th percentile of 265 rheumatology providers in Massachusetts.
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 |
|---|---|---|
| Humira(Cf) PenAdalimumab | 124 | $894,705 |
| Enbrel SureclickEtanercept | 40 | $283,949 |
| RinvoqUpadacitinib | 18 | $124,157 |
| Humira PenAdalimumab | 13 | $79,591 |
| Actemra ActpenTocilizumab | 24 | $68,833 |
| KevzaraSarilumab | 12 | $51,145 |
| Mycophenolate Mofetil | 86 | $46,129 |
| Sildenafil Citrate | 18 | $11,675 |
| MethotrexateMethotrexate Sodium | 203 | $7,014 |
| Cevimeline Hcl | 13 | $4,572 |
| Hydroxychloroquine Sulfate | 65 | $3,372 |
| Diclofenac Sodium | 16 | $1,747 |
| Nifedipine ErNifedipine | 20 | $941 |
| Prednisone | 142 | $870 |
| Omeprazole | 32 | $641 |
Paid to pharmacies, not to this prescriber.
Other rheumatology in Boston
- Marilyn PikeBoston$1.4M
- John StoneBoston$926K
- Lee SimonBoston$600K
- Jeffrey SparksBoston$299K
- Tanya LaidlawBoston$244K
- Tuhina NeogiBoston$242K
- Michael WeinblattBoston$228K
- Michael BrennerBoston$115K
- Zachary WallaceBoston$106K
- Joerg ErmannBoston$92K
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.