Michelle Costello
Physician Assistant · Weatherford, TXNPI 1528238524
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $704 of the $804 with a category attached, or 87.6%. It is spread thinly across 17 manufacturers, the largest accounting for just 23.5% — the pattern of someone who eats at a lot of different presentations. Reporting peaked in 2023 at $501 and has fallen 77.9% since, to $111 in 2024.
Across 44 payments — averaging $18.27 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Astellas Pharma US Inc$189
- Organon$82
- Mayne Pharma Commercial LLC$76
- Sumitomo Pharma America, Inc.$73
- Pfizer$53
- Exeltis, USA Inc.$52
- plus $279 from 11 others
What the payments were for
- Food & beverage$70488%
- Education$10012%
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 |
|---|---|---|
| Astellas Pharma US Inc | 7 | $189 |
| Organon | 8 | $82 |
| Mayne Pharma Commercial LLC | 4 | $76 |
| Sumitomo Pharma America, Inc. | 4 | $73 |
| Pfizer | 3 | $53 |
| Exeltis, USA Inc. | 3 | $52 |
| Agile Therapeutics, Inc. | 3 | $43 |
| Shield Therapeutics Inc | 2 | $38 |
| Mycovia Pharmaceuticals, Inc. | 2 | $36 |
| Pacira Pharmaceuticals Incorporated | 1 | $31 |
| Bayer | 1 | $24 |
| AbbVie | 1 | $22 |
| Millicent US Inc | 1 | $20 |
| Merck | 1 | $20 |
| Coopersurgical, Inc. | 1 | $17 |
| Evofem Biosciences, Inc. | 1 | $15 |
| Therapeuticsmd, Inc. | 1 | $13 |
How this compares
$804 in reported general payments places this provider in the 60th percentile of 8,308 physician assistant providers in Texas.
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 |
|---|---|---|
| Estradiol | 77 | $4,565 |
| ProgesteroneProgesterone, Micronized | 29 | $1,151 |
| Fluconazole | 11 | $67 |
Paid to pharmacies, not to this prescriber.
Other physician assistant in Weatherford
- Cynthia TrickettDallas$1.3M
- Kristine KuceraMelissa$797K
- Selina SantosAustin$543K
- Matthew BrunoMcKinney$538K
- Brooke HodnickSouthlake$479K
- Holly GloverArlington$418K
- Kirk GautierAthens$416K
- Jaime RomanPlano$338K
- Michael WhiteDallas$276K
- Heidi JeffreysLubbock$259K
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.