Rafael Castro
Internal Medicine · Langhorne, PANPI 1487604724
Payments from drug & device makers
Across 69 payments — averaging $17.22 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Amgen$105
- Novartis$101
- Novo Nordisk$87
- Pfizer$80
- Astellas Pharma US Inc$75
- Abbott$65
- plus $676 from 20 others
What the payments were for
- Food & beverage$1,09192%
- Education$605%
- Other$383%
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 |
|---|---|---|
| Amgen(2 entities) | 7 | $105 |
| Novartis | 7 | $101 |
| Novo Nordisk | 6 | $87 |
| Pfizer | 5 | $80 |
| Astellas Pharma US Inc | 2 | $75 |
| Abbott | 3 | $65 |
| Johnson & Johnson | 4 | $63 |
| GSK | 4 | $61 |
| Daiichi Sankyo Inc. | 3 | $58 |
| AstraZeneca | 4 | $54 |
| Reprise Biomedical, Inc. | 2 | $53 |
| Boehringer Ingelheim | 3 | $45 |
| Xeris Pharmaceuticals, Inc. | 2 | $40 |
| AbbVie | 2 | $39 |
| Baxter Healthcare | 1 | $38 |
| Inspire Medical Systems, Inc. | 2 | $37 |
| Exact Sciences | 2 | $35 |
| Kowa Pharmaceuticals America, Inc. | 2 | $25 |
| Bayer | 1 | $19 |
| Genentech USA, Inc. | 1 | $18 |
| Boston Scientific | 1 | $18 |
| Scilex Pharmaceuticals Inc. | 1 | $17 |
| Shire North American Group Inc | 1 | $14 |
| Lilly USA, LLC | 1 | $14 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 1 | $13 |
| E.r. Squibb & Sons, L.L.C. | 1 | $13 |
How this compares
$1,188 in reported general payments places this provider in the 75th percentile of 5,705 internal medicine providers in Pennsylvania.
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 |
|---|---|---|
| FarxigaDapagliflozin Propanediol | 104 | $80,581 |
| EliquisApixaban | 64 | $76,573 |
| JardianceEmpagliflozin | 50 | $64,289 |
| MounjaroTirzepatide | 50 | $49,352 |
| OzempicSemaglutide | 24 | $43,128 |
| JanuviaSitagliptin Phosphate | 32 | $33,515 |
| XareltoRivaroxaban | 15 | $19,305 |
| ProliaDenosumab | 11 | $18,984 |
| JanumetSitagliptin Phos/Metformin Hcl | 11 | $18,140 |
| GemtesaVibegron | 14 | $14,709 |
| LyricaPregabalin | 11 | $11,251 |
| LinzessLinaclotide | 11 | $7,820 |
| Rosuvastatin Calcium | 414 | $7,078 |
| Atorvastatin Calcium | 458 | $5,899 |
| Losartan Potassium | 370 | $4,562 |
Paid to pharmacies, not to this prescriber.
Companies that both paid and supply prescribed drugs
These companies both reported payments to this provider and make drugs the provider prescribed under Medicare Part D in 2024. For most specialties this overlap is expected — a cardiologist who is paid by a cardiology drugmaker also treats heart disease. It is shown so the reader can see it, not because it implies anything on its own.
| Company | Paid to this provider | Part D cost of their drugs |
|---|---|---|
| PfizerEliquis, Lyrica | $80 | $87,82575 claims |
| AstraZenecaFarxiga | $54 | $80,581104 claims |
| Boehringer IngelheimJardiance | $45 | $64,28950 claims |
| Lilly USA, LLCMounjaro | $14 | $49,35250 claims |
| Novo NordiskOzempic | $87 | $43,12824 claims |
| Johnson & JohnsonXarelto | $63 | $19,30515 claims |
| AmgenProlia | $105 | $18,98411 claims |
| AbbVieLinzess, Synthroid | $39 | $9,94242 claims |
Reading this fairly. The Part D column is what drug plans and patients paid pharmacies — this provider received none of it, and it reflects how many patients they treat and what those drugs cost. Against peers, this provider's reported payments sit in the 75th percentile of 5,705 internal medicine providers in Pennsylvania.
Other internal medicine in Langhorne
- Jonathan EpsteinPhiladelphia$13.1M
- Siddharth ShethPittsburgh$11M
- Nathan PatelTannersville$9.5M
- Pitamber DevgonPhiladelphia$7.5M
- Christopher StillDanville$7.1M
- Liza VillaruzPittsburgh$6.6M
- Paul HartleyUniontown$4.9M
- Victor KoladeSayre$4.7M
- Michael OliverBeaver$4.7M
- Raman PurighallaPittsburgh$3.9M
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.