Payment overview · 2025
General Payments
$2,723.71
40 reported records · 17 companies
Healthcare provider profile · identity verified
Cesar A Castillo Alicea
Allopathic & Osteopathic Physicians|Surgery · CELEBRATION, FL · NPI 1629475991
Verified facts
What the public records show
CMS Open Payments records show Cesar A Castillo Alicea received $2,723.71 in general payments during 2025 across 40 reported records.
Penumbra, Inc. accounted for 24.4% of that reported general-payment amount.
The Open Payments records used for this analysis explicitly named 29 associated products.
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 |
|---|---|---|---|---|---|
| Penumbra, Inc. | Unresolved — no canonical attribution shown | $663.93 | 24.4% | 5 | 2025 |
| Medtronic, Inc. |
Medtronic, Inc. exact · evidence 2025-07-22 |
$416.48 | 15.3% | 8 | 2025 |
| Shockwave Medical, Inc | Unresolved — no canonical attribution shown | $363.43 | 13.3% | 3 | 2025 |
| Integra LifeSciences Corporation | Unresolved — no canonical attribution shown | $347.56 | 12.8% | 3 | 2025 |
| Boston Scientific Corporation | Unresolved — no canonical attribution shown | $307.60 | 11.3% | 4 | 2025 |
| CVRx, Inc. | Unresolved — no canonical attribution shown | $176.31 | 6.5% | 2 | 2025 |
| W. L. Gore & Associates, Inc. | Unresolved — no canonical attribution shown | $148.00 | 5.4% | 5 | 2025 |
| Bolton Medical Inc | Unresolved — no canonical attribution shown | $107.99 | 4.0% | 1 | 2025 |
| Smith+Nephew, Inc. | Unresolved — no canonical attribution shown | $30.25 | 1.1% | 1 | 2025 |
| Stryker Corporation | Unresolved — no canonical attribution shown | $27.75 | 1.0% | 1 | 2025 |
| Philips North America LLC | Unresolved — no canonical attribution shown | $25.86 | 0.9% | 1 | 2025 |
| Bard Peripheral Vascular, Inc. | Unresolved — no canonical attribution shown | $24.81 | 0.9% | 1 | 2025 |
| Organogenesis Inc. | Unresolved — no canonical attribution shown | $24.35 | 0.9% | 1 | 2025 |
| DISTALMOTION US | Unresolved — no canonical attribution shown | $17.79 | 0.7% | 1 | 2025 |
| ConvaTec Inc. | Unresolved — no canonical attribution shown | $13.99 | 0.5% | 1 | 2025 |
| MIMEDX Group, Inc. | Unresolved — no canonical attribution shown | $13.87 | 0.5% | 1 | 2025 |
| Solventum Corporation | Unresolved — no canonical attribution shown | $13.74 | 0.5% | 1 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Food and Beverage | $2,723.71 | 40 |
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 |
|---|---|---|---|---|---|
| Indigo System Normalized: indigo system |
Device | Penumbra, Inc. | $518.14 | 4 | 2025 |
Source payment records
|
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| Shockwave IVL System with the Shockwave C2 Coronary IVL Catheter Normalized: shockwave ivl system with the shockwave c2 coronary ivl catheter |
Device | Shockwave Medical, Inc | $363.43 | 3 | 2025 |
Source payment records
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| Integra Normalized: integra |
Device | Integra LifeSciences Corporation | $347.56 | 3 | 2025 |
Source payment records
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| Integra Dermal Regeneration Template Normalized: integra dermal regeneration template |
Device | Integra LifeSciences Corporation | $347.56 | 3 | 2025 |
Source payment records
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| PRIMATRIX Normalized: primatrix |
Device | Integra LifeSciences Corporation | $347.56 | 3 | 2025 |
Source payment records
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| ENROUTE Transcarotid Stent Normalized: enroute transcarotid stent |
Device | Boston Scientific Corporation | $208.72 | 1 | 2025 |
Source payment records
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| HAWKONE Normalized: hawkone |
Device | Medtronic, Inc. | $196.48 | 2 | 2025 |
Source payment records
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| ENDURANT IIS Normalized: endurant iis |
Device | Medtronic, Inc. | $186.49 | 4 | 2025 |
Source payment records
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| Barostim Neo System Normalized: barostim neo system |
Device | CVRx, Inc. | $176.31 | 2 | 2025 |
Source payment records
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| Penumbra System Normalized: penumbra system |
Device | Penumbra, Inc. | $145.79 | 1 | 2025 |
Source payment records
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| TREO ABDOMINAL STENT-GRAFT SYSTEM Normalized: treo abdominal stent graft system |
Device | Bolton Medical Inc | $107.99 | 1 | 2025 |
Source payment records
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| GORE VIABAHN VBX Balloon Expandable Endo Normalized: gore viabahn vbx balloon expandable endo |
Device | W. L. Gore & Associates, Inc. | $90.76 | 3 | 2025 |
Source payment records
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| ENROUTE Transcarotid Neuroprotection System Normalized: enroute transcarotid neuroprotection system |
Device | Boston Scientific Corporation | $57.82 | 1 | 2025 |
Source payment records
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| GORE EXCLUDER Thoracoabdominal Branch Endoprosthesis Normalized: gore excluder thoracoabdominal branch endoprosthesis |
Device | W. L. Gore & Associates, Inc. | $41.88 | 1 | 2025 |
Source payment records
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| GRAFIX PL Normalized: grafix pl |
Biological | Smith+Nephew, Inc. | $30.25 | 1 | 2025 |
Source payment records
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| CLOTTRIEVER BOLD CATHETER Normalized: clottriever bold catheter |
Device | Stryker Corporation | $27.75 | 1 | 2025 |
Source payment records
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| IGT Devices Undivided Normalized: igt devices undivided |
Device | Philips North America LLC | $25.86 | 1 | 2025 |
Source payment records
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| RotarexS 6 F x 135 cm Normalized: rotarexs 6 f x 135 cm |
Device | Bard Peripheral Vascular, Inc. | $24.81 | 1 | 2025 |
Source payment records
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| PURAPLY WOUND MATRIX Normalized: puraply wound matrix |
Device | Organogenesis Inc. | $24.35 | 1 | 2025 |
Source payment records
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| Varithena Administration Pack Normalized: varithena administration pack |
Device | Boston Scientific Corporation | $22.71 | 1 | 2025 |
Source payment records
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| AngioJet Ultra 5000A Normalized: angiojet ultra 5000a |
Device | Boston Scientific Corporation | $18.35 | 1 | 2025 |
Source payment records
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| DEXTER L6 ROBOT Normalized: dexter l6 robot |
Device | DISTALMOTION US | $17.79 | 1 | 2025 |
Source payment records
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| GORE EXCLUDER Iliac Branch Endoprosthesis Normalized: gore excluder iliac branch endoprosthesis |
Device | W. L. Gore & Associates, Inc. | $15.36 | 1 | 2025 |
Source payment records
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| AQUACEL AG+ EXTRA Normalized: aquacel ag extra |
Device | ConvaTec Inc. | $13.99 | 1 | 2025 |
Source payment records
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| PREVENA Normalized: prevena |
Device | Solventum Corporation | $13.74 | 1 | 2025 |
Source payment records
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| V.A.C. GRANUFOAM Normalized: v a c granufoam |
Device | Solventum Corporation | $13.74 | 1 | 2025 |
Source payment records
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| V.A.C. VERAFLO CLEANSE CHOICE Normalized: v a c veraflo cleanse choice |
Device | Solventum Corporation | $13.74 | 1 | 2025 |
Source payment records
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| V.A.C.ULTA Normalized: v a c ulta |
Device | Solventum Corporation | $13.74 | 1 | 2025 |
Source payment records
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| SPIDERFX Normalized: spiderfx |
Device | Medtronic, Inc. | $6.89 | 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
No exact normalized or approved-alias overlap was found in the loaded Part D year. This does not mean the doctor never prescribed the product.
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.
No publishable same-company prescribing overlap was found in the loaded Part D year. This does not mean the doctor never prescribed a drug reported elsewhere by a paying company.
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 |
|---|---|---|---|
| Clopidogrel | Clopidogrel Bisulfate | 39 | 11 |
| Xarelto | Rivaroxaban | 22 | suppressed |
| Atorvastatin Calcium | Atorvastatin Calcium | 20 | 12 |
| Triamterene-Hydrochlorothiazid | Triamterene/Hydrochlorothiazid | 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 | $2,723.71 · 40 records | Penumbra, Inc. | AQUACEL AG+ EXTRA, AngioJet Ultra 5000A, Barostim Neo System, CLOTTRIEVER BOLD CATHETER, DEXTER L6 ROBOT, ENDURANT IIS, ENROUTE Transcarotid Neuroprotection System, ENROUTE Transcarotid Stent, GORE EXCLUDER Iliac Branch Endoprosthesis, GORE EXCLUDER Thoracoabdominal Branch Endoprosthesis, GORE VIABAHN VBX Balloon Expandable Endo, GRAFIX PL, HAWKONE, IGT Devices Undivided, Indigo System, Integra, Integra Dermal Regeneration Template, PREVENA, PRIMATRIX, PURAPLY WOUND MATRIX, Penumbra System, RotarexS 6 F x 135 cm, SPIDERFX, Shockwave IVL System with the Shockwave C2 Coronary IVL Catheter, TREO ABDOMINAL STENT-GRAFT SYSTEM, V.A.C. GRANUFOAM, V.A.C. VERAFLO CLEANSE CHOICE, V.A.C.ULTA, Varithena Administration Pack | — | — |
| 2024 | — | — | — | — | Complete |
Questions to ask
Questions you could discuss with your doctor
- 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