Payment overview · 2025
General Payments
$322.45
12 reported records · 7 companies
Healthcare provider profile · identity verified
Emily Grace Castillo, ARNP
Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner|Adult Health · WALLA WALLA, WA · NPI 1114261229
Verified facts
What the public records show
CMS Open Payments records show Emily Grace Castillo, ARNP received $322.45 in general payments during 2025 across 12 reported records.
Medtronic, Inc. accounted for 59.4% of that reported general-payment amount.
The Open Payments records used for this analysis explicitly named 9 associated products.
A separate comparison found the same explicitly named product in public Medicare Part D data: Kerendia.
Bayer Healthcare Pharmaceuticals Inc. reported payments to this doctor in 2025. Across the 2025 Open Payments General Payment records loaded for this analysis, that same reporting entity reported Kerendia as an associated drug or biological on 138674 records involving 48458 distinct recipient NPIs. Public Medicare Part D data also shows 89 claims for Kerendia by this doctor in 2024.
These records do not establish that a payment influenced prescribing or medical care.
Separate record types
Research & Ownership
Research Payments (direct recipient): not present in the loaded data
Associated Research Funding (for example, named PI): not present in the loaded data
Ownership / Investment: not present in the loaded data
These categories are never added into the General Payments headline. Associated research funding must not be described as money the doctor personally received unless the source record supports that conclusion.
Who paid this doctor?
Companies in 2025 General Payments
| Reported company | Canonical company | Amount | Share | Records | Year |
|---|---|---|---|---|---|
| Medtronic, Inc. |
Medtronic, Inc. exact · evidence 2025-07-22 |
$191.42 | 59.4% | 6 | 2025 |
| BETA BIONICS, INC. | Unresolved — no canonical attribution shown | $26.67 | 8.3% | 1 | 2025 |
| Bayer Healthcare Pharmaceuticals Inc. | Unresolved — no canonical attribution shown | $26.50 | 8.2% | 1 | 2025 |
| Insulet Corporation | Unresolved — no canonical attribution shown | $23.14 | 7.2% | 1 | 2025 |
| Amgen Inc. | Unresolved — no canonical attribution shown | $21.22 | 6.6% | 1 | 2025 |
| Novartis Pharmaceuticals Corporation | Unresolved — no canonical attribution shown | $18.93 | 5.9% | 1 | 2025 |
| Xeris Pharmaceuticals, Inc. | Unresolved — no canonical attribution shown | $14.57 | 4.5% | 1 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Food and Beverage | $322.45 | 12 |
A meal, consulting fee, royalty, and travel payment describe different kinds of reported relationships and should not be interpreted as equivalent.
Analysis 1 · Payment-linked products
Products named in Open Payments records
| Reported product | Type | Reported company | Related amount* | Records | Year |
|---|---|---|---|---|---|
| MINIMED 780G Normalized: minimed 780g |
Device | Medtronic, Inc. | $191.42 | 6 | 2025 |
Source payment records
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| iLet Bionic Pancreas Normalized: ilet bionic pancreas |
Device | BETA BIONICS, INC. | $26.67 | 1 | 2025 |
Source payment records
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| iLet Insulin Infusion Kit Contact Detach Normalized: ilet insulin infusion kit contact detach |
Device | BETA BIONICS, INC. | $26.67 | 1 | 2025 |
Source payment records
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| iLet Insulin Infusion Kit Inset Normalized: ilet insulin infusion kit inset |
Device | BETA BIONICS, INC. | $26.67 | 1 | 2025 |
Source payment records
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| Kerendia Normalized: kerendia |
Drug | Bayer Healthcare Pharmaceuticals Inc. | $26.50 | 1 | 2025 |
Source payment records
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| Omnipod Normalized: omnipod |
Device | Insulet Corporation | $23.14 | 1 | 2025 |
Source payment records
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| EVENITY Normalized: evenity |
Biological | Amgen Inc. | $21.22 | 1 | 2025 |
Source payment records
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| LEQVIO Normalized: leqvio |
Drug | Novartis Pharmaceuticals Corporation | $18.93 | 1 | 2025 |
Source payment records
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| RECORLEV Normalized: recorlev |
Drug | Xeris Pharmaceuticals, Inc. | $14.57 | 1 | 2025 |
Source payment records
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* Product-associated amounts are non-additive because one payment record may name more than one product.
These products were named on specific Open Payments records. A named product does not show that the payment influenced treatment or prescribing.
Public prescribing for products named in payments
| Open Payments product | Payment year | Part D brand | Part D year | Claims | Match method | Source |
|---|---|---|---|---|---|---|
| Kerendia kerendia |
2025 | Kerendia | 2024 | 89 | exact normalized | Medicare Part D |
The presence of the same drug in both datasets does not show that a payment caused or influenced a prescription.
Analysis 2 · Same-company prescribing overlap
Drugs reported in other payments from the same company that also appear in Medicare Part D
This analysis is independent from products named on this doctor’s individual payment records. A row appears only when the exact Open Payments reporting entity paid this doctor, that same reporting entity reported the drug or biological on at least 10 loaded General Payment records involving at least 2 distinct recipient NPIs, and this doctor has the same non-generic brand in public Part D data. This does not mean the company owns or manufactures the drug.
| Paying company | Payment year | Drug reported by same entity | Open Payments evidence | Part D | Claims | Beneficiaries |
|---|---|---|---|---|---|---|
| Bayer Healthcare Pharmaceuticals Inc. Exact reporting entity; no affiliate inference |
2025 | Kerendia open payments reported associated product |
CMS Open Payments — General Payments 138674 supporting records · 48458 recipient NPIs · example record 1225434663 |
Kerendia · 2024 Exact normalized brand match · 1 Part D row |
89 | 15 |
These facts do not show that a payment was for the drug, that the company owns or manufactures the drug, or that a payment caused or influenced prescribing.
Public Medicare Part D data
Provider-and-drug rows loaded for 2024
| Brand | Generic | Claims | Beneficiaries |
|---|---|---|---|
| Ozempic | Semaglutide | 481 | 93 |
| Levothyroxine Sodium | Levothyroxine Sodium | 359 | 96 |
| Jardiance | Empagliflozin | 258 | 54 |
| Metformin Hcl | Metformin Hcl | 223 | 56 |
| Metformin Hcl Er | Metformin Hcl | 169 | 52 |
| Farxiga | Dapagliflozin Propanediol | 134 | 33 |
| Trulicity | Dulaglutide | 134 | 22 |
| Atorvastatin Calcium | Atorvastatin Calcium | 113 | 33 |
| Lantus Solostar | Insulin Glargine,hum.Rec.Anlog | 113 | 31 |
| Mounjaro | Tirzepatide | 99 | 20 |
| Losartan Potassium | Losartan Potassium | 96 | 26 |
| Lisinopril | Lisinopril | 94 | 28 |
| Humalog Kwikpen U-100 | Insulin Lispro | 93 | 24 |
| Liothyronine Sodium | Liothyronine Sodium | 93 | 26 |
| Kerendia | Finerenone | 89 | 15 |
| Humalog | Insulin Lispro | 79 | 19 |
| Toujeo Solostar | Insulin Glargine,hum.Rec.Anlog | 75 | 16 |
| Tresiba Flextouch U-100 | Insulin Degludec | 75 | 26 |
| Amlodipine Besylate | Amlodipine Besylate | 72 | 16 |
| Novolog | Insulin Aspart | 64 | 12 |
| Nano 2nd Gen Pen Needle | Pen Needle, Diabetic | 59 | 25 |
| Novolog Flexpen | Insulin Aspart | 59 | 22 |
| Basaglar Kwikpen U-100 | Insulin Glargine,hum.Rec.Anlog | 53 | 22 |
| Glimepiride | Glimepiride | 52 | 14 |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 51 | 19 |
| Gabapentin | Gabapentin | 47 | suppressed |
| Humulin R U-500 Kwikpen | Insulin Regular, Human | 47 | suppressed |
| Rybelsus | Semaglutide | 44 | 12 |
| Hydrochlorothiazide | Hydrochlorothiazide | 40 | 11 |
| Synthroid | Levothyroxine Sodium | 38 | 13 |
| Glipizide Er | Glipizide | 32 | suppressed |
| Droplet Pen Needle | Pen Needle, Diabetic | 31 | suppressed |
| Metoprolol Succinate | Metoprolol Succinate | 31 | suppressed |
| Toujeo Max Solostar | Insulin Glargine,hum.Rec.Anlog | 30 | suppressed |
| Fiasp Flextouch | Insulin Aspart (Niacinamide) | 29 | suppressed |
| Ultra-Fine Mini Pen Needle | Pen Needle, Diabetic | 29 | 13 |
| Omnipod 5 Dexg7g6 Pods (Gen 5) | Insulin Pump Cart,auto,bt,g6/7 | 27 | suppressed |
| Insulin Lispro | Insulin Lispro | 26 | 11 |
| Methimazole | Methimazole | 25 | suppressed |
| Pregabalin | Pregabalin | 25 | suppressed |
| Lantus | Insulin Glargine,hum.Rec.Anlog | 23 | suppressed |
| Lyumjev Kwikpen U-100 | Insulin Lispro-Aabc | 23 | suppressed |
| Simvastatin | Simvastatin | 23 | suppressed |
| Novolin 70-30 | Insulin Nph Hum/Reg Insulin Hm | 21 | suppressed |
| Repaglinide | Repaglinide | 21 | suppressed |
| Pioglitazone Hcl | Pioglitazone Hcl | 19 | suppressed |
| Ultra-Fine Short Pen Needle | Pen Needle, Diabetic | 19 | 11 |
| Admelog | Insulin Lispro | 18 | suppressed |
| Glipizide | Glipizide | 17 | suppressed |
| Novolin N | Insulin Nph Human Isophane | 17 | suppressed |
| Pravastatin Sodium | Pravastatin Sodium | 17 | suppressed |
| Bydureon Bcise | Exenatide Microspheres | 16 | suppressed |
| Repatha Syringe | Evolocumab | 16 | suppressed |
| Tresiba Flextouch U-200 | Insulin Degludec | 16 | suppressed |
| Euthyrox | Levothyroxine Sodium | 15 | suppressed |
| Insulin Lispro Kwikpen U-100 | Insulin Lispro | 15 | suppressed |
| Irbesartan | Irbesartan | 15 | suppressed |
| Insulin Syringe | Syringe-Needle,insulin,0.5 Ml | 14 | suppressed |
| Ezetimibe | Ezetimibe | 13 | suppressed |
| Ultra-Fine Nano Pen Needle | Pen Needle, Diabetic | 13 | suppressed |
| Fenofibrate | Fenofibrate | 12 | suppressed |
| Insulin Aspart Flexpen | Insulin Aspart | 12 | suppressed |
| Liraglutide | Liraglutide | 12 | suppressed |
| Novolin 70-30 Flexpen | Insulin Nph Hum/Reg Insulin Hm | 12 | suppressed |
| Olmesartan Medoxomil | Olmesartan Medoxomil | 12 | suppressed |
| Tresiba | Insulin Degludec | 12 | suppressed |
| Humalog Kwikpen U-200 | Insulin Lispro | 11 | suppressed |
| Invokana | Canagliflozin | 11 | suppressed |
| Prednisone | Prednisone | 11 | suppressed |
| Techlite Pen Needle | Pen Needle, Diabetic | 11 | suppressed |
Timeline
Payment and prescribing data by year
Open Payments and Medicare Part D may refer to different years. They are shown separately rather than aligned as if they describe the same period.
| Year | General Payments | Main payer | Explicit products | Company overlaps | Part D coverage |
|---|---|---|---|---|---|
| 2025 | $322.45 · 12 records | Medtronic, Inc. | EVENITY, Kerendia, LEQVIO, MINIMED 780G, Omnipod, RECORLEV, iLet Bionic Pancreas, iLet Insulin Infusion Kit Contact Detach, iLet Insulin Infusion Kit Inset | 1 | — |
| 2024 | — | — | — | — | Complete |
Questions to ask
Questions you could discuss with your doctor
- What role, if any, does Kerendia play in your treatment recommendations for me?
- How do you evaluate evidence when you have a financial relationship with Bayer Healthcare Pharmaceuticals Inc.?
- Are there reasonable alternatives I should understand when we discuss treatment options?
- How should I interpret the industry-payment records shown here in the context of my care?
These are general questions generated from reviewed templates. They are not personalized medical advice.
Sources and limitations
How to read this page
- Payment and Medicare prescribing data can cover different years; every comparison shows both years explicitly.
- Part D does not represent a doctor’s entire practice; it excludes many patients and is subject to CMS public-release thresholds.
- Company–drug relationships must have an auditable source, a precise relationship type, and a valid evidence period. Unresolved mappings are not published.
- Generic drug claims are not attributed to a specific manufacturer without manufacturer-level evidence.
- When a source extract is incomplete, missing rows are never treated as proof of no payments or no prescriptions.
Loaded source releases
| Dataset | Year | Publication | Source |
|---|---|---|---|
| CMS Open Payments — General Payments | 2025 | 2026-06-30 | Original source |
| Medicare Part D Prescribers by Provider and Drug | 2024 | 2026-05-06 | Original source |
| NPPES Data Dissemination V2 | current / reference data | 2026-08-10 | Original source |
Full methodology · Questions & answers · Report a possible error