Michael Castillo
Family Medicine · Graham, TXNPI 1407243033
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 83 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. It is spread thinly across 25 manufacturers, the largest accounting for just 18.6% — the pattern of someone who eats at a lot of different presentations.
Across 83 payments — averaging $17.51 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Inspire Medical Systems, Inc.$271
- Lilly USA, LLC$131
- AbbVie$99
- GSK$98
- Pfizer$96
- Novartis$94
- plus $665 from 19 others
What the payments were for
- Food & beverage$1,453100%
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 |
|---|---|---|
| Inspire Medical Systems, Inc. | 14 | $271 |
| Lilly USA, LLC | 9 | $131 |
| AbbVie | 4 | $99 |
| GSK | 6 | $98 |
| Pfizer | 6 | $96 |
| Novartis | 6 | $94 |
| Novo Nordisk | 6 | $86 |
| Bayer | 4 | $67 |
| Boehringer Ingelheim | 3 | $66 |
| AstraZeneca | 3 | $48 |
| Merck | 3 | $43 |
| Johnson & Johnson | 2 | $37 |
| Idorsia Pharmaceuticals US Inc | 2 | $33 |
| Biohaven Pharmaceutical Holding Company Ltd. | 2 | $33 |
| Tactile Systems Technology Inc | 1 | $33 |
| E.r. Squibb & Sons, L.L.C. | 2 | $31 |
| Takeda Pharmaceuticals U.S.A., Inc. | 2 | $28 |
| Pacira Therapeutics, Inc. | 1 | $26 |
| Optinose US, Inc. | 1 | $25 |
| Zogenix Inc. | 1 | $22 |
| Corium, LLC | 1 | $20 |
| Xeris Pharmaceuticals, Inc. | 1 | $20 |
| Exact Sciences | 1 | $17 |
| Amgen | 1 | $16 |
| Mylan Specialty L.p. | 1 | $13 |
How this compares
$1,453 in reported general payments places this provider in the 65th percentile of 8,760 family medicine providers in Texas.
Other family medicine in Graham
- Carlos CamposNew Braunfels$1.5M
- Aaron KingSan Antonio$1.1M
- Bradley WassonArlington$734K
- Cynthia BrinsonAustin$402K
- Michael MendezLubbock$368K
- Sang Tae KimAmarillo$368K
- Sumit PerakathuHarlingen$342K
- Joel SolisMcAllen$324K
- Robert CampbellFort Worth$318K
- Jose LedezmaEdinburg$300K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.