Jacqueline Castagno, PA
Physician Assistant · Wentzville, MONPI 1073852885
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $16,931 of the $19,340 with a category attached, or 87.5%. It is spread thinly across 31 manufacturers, the largest accounting for just 17.1% — the pattern of someone who eats at a lot of different presentations. 2025 is the largest year on record at $5,667, 3.0 times the $1,910 reported in 2021. Among physician assistant clinicians in MO 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 951 payments — averaging $20.34 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$3K
- LEO Pharma Inc.$2K
- Novartis$2K
- E.r. Squibb & Sons, L.L.C.$2K
- Arcutis Biotherapeutics, Inc.$1K
- Johnson & Johnson$1K
- plus $8K from 25 others
What the payments were for
- Consulting fees$2,10011%
- Speaking & faculty fees$750%
- Food & beverage$16,93188%
- Education$2341%
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 |
|---|---|---|
| AbbVie | 217 | $3,308 |
| LEO Pharma Inc. | 49 | $1,704 |
| Novartis | 80 | $1,607 |
| E.r. Squibb & Sons, L.L.C. | 63 | $1,596 |
| Arcutis Biotherapeutics, Inc. | 30 | $1,447 |
| Johnson & Johnson | 84 | $1,319 |
| UCB, Inc. | 53 | $1,139 |
| Dermavant Sciences, Inc. | 97 | $963 |
| EPI Health, LLC | 9 | $962 |
| Lilly USA, LLC | 35 | $735 |
| Regeneron Healthcare Solutions, Inc. | 26 | $608 |
| Pfizer | 28 | $563 |
| Sun Pharmaceutical Industries Inc. | 19 | $549 |
| Sanofi | 16 | $398 |
| Incyte Corporation | 17 | $338 |
| Galderma Laboratories, L.p. | 19 | $267 |
| Organogenesis Inc. | 10 | $256 |
| Organon | 22 | $238 |
| Ortho Dermatologics, A Division Of Bausch Health US, LLC | 16 | $227 |
| Amgen | 9 | $217 |
| Botanix SB Inc | 18 | $156 |
| Almirall LLC | 8 | $140 |
| Janssen Scientific Affairs, LLC | 1 | $140 |
| Mayne Pharma Commercial LLC | 6 | $102 |
| Journey Medical Corporation | 6 | $101 |
| Boehringer Ingelheim | 3 | $80 |
| Biofrontera Inc. | 4 | $57 |
| VYNE Pharmaceuticals Inc. | 2 | $42 |
| Kyowa Kirin, Inc. | 2 | $41 |
| Kerecis Limited | 1 | $24 |
| Helsinn Therapeutics (U.S.), Inc. | 1 | $16 |
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
$19,340 in reported general payments places this provider in the 95th percentile of 1,380 physician assistant providers in Missouri.
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 |
|---|---|---|
| Dupixent PenDupilumab | 21 | $78,714 |
| Clobetasol Propionate | 73 | $3,706 |
| Fluorouracil | 43 | $2,903 |
| Doxycycline Hyclate | 80 | $2,079 |
| Ketoconazole | 79 | $1,281 |
| Tacrolimus | 13 | $1,011 |
| Betamethasone Diprop AugmentedBetamethasone/Propylene Glyc | 30 | $945 |
| Triamcinolone Acetonide | 85 | $924 |
| Tretinoin | 18 | $829 |
| Clindamycin Phosphate | 26 | $778 |
| ValacyclovirValacyclovir Hcl | 27 | $319 |
| Econazole Nitrate | 18 | $277 |
| Mupirocin | 28 | $206 |
| Minoxidil | 22 | $159 |
| Spironolactone | 11 | $120 |
Paid to pharmacies, not to this prescriber.
Other physician assistant in Wentzville
- Brenley DetersWentzville$8K
- Jennifer DavissonKansas City$343K
- Andrew BergLees Summit$245K
- Sileen DowisKansas City$117K
- Daniel BeckSikeston$114K
- Amee RozancO Fallon$101K
- Autumn WillsCape Girardeau$37K
- Kimberly BrownSaint Louis$28K
- Marc ReitznerSpringfield$24K
- Justin AllphinOzark$23K
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.