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Richard Kastelic, MD

Family Medicine · Johnstown, PANPI 1548265986

Payments from drug & device makers

$699,531in general payments, 2019–2025

Across 1,334 payments — averaging $524.39 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Novo Nordisk AS$322K
  • AbbVie$165K
  • Esperion Therapeutics, Inc.$70K
  • AstraZeneca$60K
  • Astrazeneca UK Limited$23K
  • Boehringer Ingelheim International GmbH$15K
  • plus $44K from 48 others
$50in research payments, 2019–2025

Across 1 payment — averaging $50.00 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.

  • Novo Nordisk AS$50

What the payments were for

  • Food & beverage$11,139100%
  • Education$200%

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

19
20
21
22
23
24
25

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.

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

$699,531 in reported general payments places this provider in the 95th percentile of 4,967 family medicine providers in Pennsylvania.

See all family medicine providers in Pennsylvania

Medicare billing

Part B allowed, 2024
$112,807
Medicare patients
388
Services billed
1,604

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

DrugClaimsCost to plans & patients
EliquisApixaban466$378,338
Trelegy ElliptaFluticasone/Umeclidin/Vilanter144$112,299
OzempicSemaglutide94$103,566
TradjentaLinagliptin96$101,467
JardianceEmpagliflozin72$85,437
TrulicityDulaglutide30$33,587
XareltoRivaroxaban39$31,490
Breo ElliptaFluticasone/Vilanterol60$29,851
MyrbetriqMirabegron41$28,425
JanuviaSitagliptin Phosphate32$25,465
Repatha SyringeEvolocumab32$22,627
EntrestoSacubitril/Valsartan31$21,461
DipentumOlsalazine Sodium12$20,612
Soliqua 100-33Insulin Glargine/Lixisenatide21$18,643
JanumetSitagliptin Phos/Metformin Hcl20$14,577

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.

CompanyPaid to this providerPart D cost of their drugs
PfizerEliquis, Premarin, Dilantin$12,573$389,481496 claims
Boehringer IngelheimTradjenta, Jardiance$276$186,904168 claims
GSKTrelegy Ellipta, Breo Ellipta, Anoro Ellipta$836$153,937223 claims
Novo NordiskOzempic$1,010$103,56694 claims
MerckJanuvia, Janumet$327$40,04152 claims
Lilly USA, LLCTrulicity$392$33,58730 claims
Johnson & JohnsonXarelto$141$31,49039 claims
Astellas Pharma US IncMyrbetriq$229$28,42541 claims
NovartisEntresto$7,158$21,46131 claims
Sanofi-aventis U.S. LLCSoliqua 100-33$33$18,64321 claims
AstraZenecaFarxiga, Symbicort$59,974$12,17623 claims
AbbVieSynthroid$165,154$7,141116 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 95th percentile of 4,967 family medicine providers in Pennsylvania.

Other family medicine in Johnstown

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Where these figures come from

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