Igor de Castro, MD
Neurological Surgery · Macon, GANPI 1619161221
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $330,015 of the $450,260 with a category attached, or 73.3%. Arteriocyte Medical Systems, Inc. accounts for 61.9% of it on its own, with 26 other manufacturers making up the rest. Reporting peaked in 2022 at $99,804 and has fallen 80.7% since, to $19,215 in 2025. Among neurological surgery clinicians in GA with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 219 payments — averaging $2055.98 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Arteriocyte Medical Systems, Inc.$279K
- Medtronic$99K
- Globus Medical$62K
- Medical Device Business Services, Inc.$5K
- Mirus, LLC$3K
- 4web, Inc.$545
- plus $2K from 21 others
What the payments were for
- Consulting fees$330,01573%
- Speaking & faculty fees$84,38619%
- Travel & lodging$30,3847%
- Food & beverage$5,2971%
- Education$1780%
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 |
|---|---|---|
| Arteriocyte Medical Systems, Inc. | 8 | $278,720 |
| Medtronic(2 entities) | 73 | $99,230 |
| Globus Medical(2 entities) | 73 | $61,954 |
| Medical Device Business Services, Inc. | 1 | $5,265 |
| Mirus, LLC | 2 | $2,500 |
| 4web, Inc. | 4 | $545 |
| Stryker | 9 | $446 |
| Zimmer Biomet | 4 | $228 |
| Spineology Inc. | 1 | $198 |
| Boston Scientific | 5 | $177 |
| Integra Lifesciences Corporation | 7 | $177 |
| Procept Biorobotics Corporation | 1 | $149 |
| Si-bone, Inc. | 6 | $115 |
| Johnson & Johnson | 1 | $92 |
| Lemaitre Vascular, Inc. | 5 | $85 |
| DJO, LLC | 3 | $77 |
| Baxter Healthcare | 3 | $73 |
| Titan Spine, LLC | 1 | $50 |
| AstraZeneca(2 entities) | 2 | $31 |
| Brainlab, Inc. | 2 | $26 |
| Pacira Pharmaceuticals Incorporated | 1 | $26 |
| Innovation Technologies Inc | 1 | $20 |
| UCB, Inc. | 1 | $17 |
| Elutia, Inc. | 1 | $16 |
| Electronic Waveform Lab, Inc. | 2 | $15 |
| Spinal Elements, Inc. | 1 | $14 |
| Irras USA, Inc. | 1 | $13 |
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.
- Magellan$168,702
- MAZOR X SYSTEM$29,299
- TLIF$22,218
- VERTEX$16,578
- CAPSTONE$16,212
- O-ARM$15,000
- Anthem$7,200
- ELSA$5,600
- MOUNTAINEER$5,265
- SYNAPSE$5,265
- SYMPHONY$5,265
- XLIF$4,809
- INFINITY OCT System$2,630
- EUROPA Pedicle Screw System$2,500
- CYGNUS Anterior Cervical Plate$2,500
- MazorX - Renaissance$1,418
- CD HORIZON$1,246
- Pulse$1,228
- Mazor X Stealth Edition$974
- CD HORIZON SPINAL SYSTEM$512
How this compares
$450,260 in reported general payments places this provider in the 95th percentile of 201 neurological surgery providers in Georgia.
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 |
|---|---|---|
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 198 | $1,628 |
| Gabapentin | 73 | $837 |
| Cyclobenzaprine Hcl | 125 | $493 |
| Tizanidine Hcl | 44 | $477 |
| Acetaminophen-CodeineAcetaminophen With Codeine | 46 | $331 |
| Methylprednisolone | 39 | $300 |
| Levetiracetam | 16 | $300 |
| Methocarbamol | 28 | $235 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 15 | $189 |
| Pregabalin | 18 | $182 |
| Tramadol Hcl | 75 | $160 |
| Naproxen | 11 | $57 |
| Meloxicam | 20 | $53 |
| Cephalexin | 12 | $27 |
| Alprazolam | 11 | $5 |
Paid to pharmacies, not to this prescriber.
Other neurological surgery in Macon
- Kevin StevensonMacon$62K
- Regis HaidAtlanta$25.5M
- John CowanRome$3.2M
- Thomas MorrisonAtlanta$2.8M
- Christopher TomarasAtlanta$1.5M
- Daniel RefaiAtlanta$1.2M
- Gerald RodtsAtlanta$1.2M
- Betsy GrunchGainesville$1.1M
- James RobinsonAtlanta$993K
- Michele JohnsonAtlanta$540K
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.