Dollars for Docs

How Industry Dollars Reach Your Doctors

ALFONSO CASTRO
Is This Your Doctor?

ALFONSO CASTRO

Listed Specialty: Pulmonary Disease
430 MORTON PLANT ST, SUITE 405, CLEARWATER, FL, 33756-3398
Is This Your Doctor?

ALFONSO CASTRO,
Yearly Payment Breakdown:

All Payments: At a Glance

2016

49

payments

$733

payment total

17

companies paid this doctor
2015

43

payments

$660

payment total

23

companies paid this doctor
2014

26

payments

$509

payment total

12

companies paid this doctor
2013

9

payments

$126

payment total

7

companies paid this doctor

Payment Calendar in

This doctor received a payment on days in .

Each box below represents a single day during the disclosure period. A gray box indicates no payments. The darker the color, the more payments a doctor received that day.

Types of Payments in

Category Payments Payment Value
Food and Beverage
49 $733
Food and Beverage
43 $660
Food and Beverage
25 $450
Food and Beverage
9 $126
Education
1 $60

Drugs & Devices in

Totals listed below account for all payments from that mention this product. Beginning in 2016, the government began classifying products as drugs, devices, biologics or medical supplies. Below, you will see drugs (drugs and biologics) and devices (devices and medical supplies). If a payment record mentions more than one product, the entire value will be included in each of those products. When no products are listed, they are not included in the list below.

This physician does not have any payments relating to a specific drug or device for this year.

Product Name Product Type Payments
ANORO

drug

$111
BROVANA

drug

$108
ESBRIET

drug

$75
XOLAIR

drug

$57
NUCALA

drug

$44
BREO

drug

$43
ELIQUIS

drug

$40
SYMBICORT

drug

$34
SILENOR

drug

$28
PREVNAR 13

drug

$25
UPTRAVI

drug

$24
OFEV

drug

$22
VIBATIV

drug

$18
ZEMAIRA

drug

$17
XYREM

drug

$16
GLASSIA

drug

$16
EPIPEN

drug

$13
PERFOROMIST

drug

$13
DULERA

drug

$12
PNEUMOVAX 23

drug

$12
† May not add up to dollar total at top of page, since a payment record may not be associated with any product or can be associated with several products.
Product Name Product Type Payments
BROVANA

drug

$95
OFEV

drug

$50
BIOTHERAPEUTICS - GLASSIA

drug

$44
OPSUMIT MACITENTAN

drug

$43
XYREM

drug

$38
SYMBICORT

drug

$37
PROLASTIN-C

drug

$31
ZEMAIRA

drug

$28
NUCALA

drug

$25
SLEEP DISORDERED BREATHING

device

$24
VIBATIV

drug

$21
BREO

drug

$20
ANORO

drug

$16
PNEUMOVAX 23

drug

$15
DULERA

drug

$15
XOLAIR

drug

$15
SAMSCA

drug

$15
EPIPEN

drug

$14
PERFOROMIST

drug

$14
ELIQUIS

drug

$14
DALIRESP

drug

$13
TUDORZA

drug

$13
VENTAVIS ILOPROST

drug

$13
VELETRI EPOPROSTENOL

drug

$13
ADEMPAS

drug

$13
STRIVERDI RESPIMAT

drug

$12
COMBIVENT RESPIMAT

drug

$12
SPIRIVA RESPIMAT

drug

$12
CRITICAL CARE - ANTIMICROBIAL COATED CATHETERS

device

$11
OTHER

drug

$10
HIGH FREQUENCY CHEST WALL OSCILLATION

drug

$10
ESBRIET

drug

$7
† May not add up to dollar total at top of page, since a payment record may not be associated with any product or can be associated with several products.
Product Name Product Type Payments
XYREM

drug

$93
SYMBICORT

drug

$81
TUDORZA

drug

$58
XOLAIR

drug

$50
BREO

drug

$48
DALIRESP

drug

$44
ANORO

drug

$44
BROVANA

drug

$37
SPIRIVA

drug

$33
COMBIVENT RESPIMAT

drug

$33
ESBRIET

drug

$24
PREVNAR 13

drug

$18
SAMSCA

drug

$17
OPSUMIT MACITENTAN

drug

$16
ADEMPAS

drug

$14
† May not add up to dollar total at top of page, since a payment record may not be associated with any product or can be associated with several products.
Product Name Product Type Payments
ARCAPTA NEOHALER

drug

$30
MYCAMINE

drug

$26
AMBISOME

drug

$26
XYREM

drug

$19
THROMBATE III

drug

$15
PREVNAR 13

drug

$14
ZYVOX

drug

$14
XOLAIR

drug

$11
KCENTRA

drug

$11
† May not add up to dollar total at top of page, since a payment record may not be associated with any product or can be associated with several products.

Payment Details in

When How Much Related To What For From Third Party Payee
Oct 16, 2014 $60

XYREM Education JAZZ PHARMACEUTICALS INC.
Oct 21, 2014 $37

BROVANA Food and Beverage SUNOVION PHARMACEUTICALS INC.
Jun 13, 2016 $28

SILENOR Food and Beverage PERNIX THERAPEUTICS HOLDINGS, INC.
Oct 14, 2015 $25

NUCALA Food and Beverage GLAXOSMITHKLINE, LLC.
Mar 10, 2014 $24

BREO Food and Beverage GLAXOSMITHKLINE, LLC.
Mar 17, 2015 $24

SYMBICORT Food and Beverage

Additional details on this payment →

Informational Meal

ASTRAZENECA PHARMACEUTICALS LP
Nov 20, 2014 $24

ESBRIET Food and Beverage INTERMUNE, INC.
May 7, 2015 $24

SLEEP DISORDERED BREATHING Food and Beverage RESMED CORP
Oct 16, 2014 $24

ANORO BREO Food and Beverage GLAXOSMITHKLINE, LLC.
Dec 2, 2016 $24

UPTRAVI Food and Beverage ACTELION PHARMACEUTICALS US, INC.
Oct 25, 2016 $23

ESBRIET Food and Beverage GENENTECH USA, INC.
Jun 30, 2016 $22

ANORO Food and Beverage GLAXOSMITHKLINE, LLC.
Jun 20, 2016 $22

OFEV Food and Beverage BOEHRINGER INGELHEIM PHARMACEUTICALS, INC.
Oct 2, 2015 $21

VIBATIV Food and Beverage THERAVANCE BIOPHARMA INC.
May 12, 2016 $21

ESBRIET Food and Beverage GENENTECH USA, INC.
Aug 24, 2015 $20

BREO Food and Beverage GLAXOSMITHKLINE, LLC.
Jul 16, 2014 $20

ANORO Food and Beverage GLAXOSMITHKLINE, LLC.
Aug 4, 2016 $19

ANORO Food and Beverage GLAXOSMITHKLINE, LLC.
Jun 26, 2014 $19

SYMBICORT Food and Beverage

Additional details on this payment →

Informational Meal

ASTRAZENECA PHARMACEUTICALS LP
Mar 9, 2015 $19

XYREM Food and Beverage JAZZ PHARMACEUTICALS INC.
Oct 28, 2013 $19

XYREM Food and Beverage JAZZ PHARMACEUTICALS INC.
May 26, 2016 $19

SYMBICORT Food and Beverage

Additional details on this payment →

Informational Meal

ASTRAZENECA PHARMACEUTICALS LP
Aug 19, 2015 $19

XYREM Food and Beverage JAZZ PHARMACEUTICALS INC.
Jan 27, 2014 $19

XOLAIR Food and Beverage NOVARTIS PHARMACEUTICALS CORPORATION
Oct 7, 2014 $19

XOLAIR Food and Beverage NOVARTIS PHARMACEUTICALS CORPORATION
Feb 15, 2016 $18

VIBATIV Food and Beverage THERAVANCE BIOPHARMA INC.
Apr 20, 2015 $18

OFEV Food and Beverage BOEHRINGER INGELHEIM PHARMACEUTICALS, INC.
Jan 9, 2014 $18

COMBIVENT RESPIMAT SPIRIVA Food and Beverage BOEHRINGER INGELHEIM PHARMACEUTICALS, INC.
Sep 27, 2016 $18

ANORO Food and Beverage GLAXOSMITHKLINE, LLC.
Oct 17, 2016 $18

NUCALA Food and Beverage GLAXOSMITHKLINE, LLC.
Mar 31, 2014 $18

PREVNAR 13 Food and Beverage PFIZER INC.
Mar 19, 2015 $18

BROVANA Food and Beverage SUNOVION PHARMACEUTICALS INC.
Dec 18, 2015 $17

PROLASTIN-C Food and Beverage GRIFOLS USA, LLC
Mar 6, 2015 $17

BROVANA Food and Beverage SUNOVION PHARMACEUTICALS INC.
Oct 2, 2014 $17

XYREM Food and Beverage JAZZ PHARMACEUTICALS INC.
Feb 11, 2015 $17

OPSUMIT MACITENTAN Food and Beverage ACTELION PHARMACEUTICALS US, INC.
Dec 19, 2014 $17

SYMBICORT Food and Beverage

Additional details on this payment →

Informational Meal

ASTRAZENECA PHARMACEUTICALS LP
Dec 15, 2015 $17

BROVANA Food and Beverage SUNOVION PHARMACEUTICALS INC.
Nov 10, 2016 $17

ZEMAIRA Food and Beverage CSL BEHRING
Mar 31, 2015 $17

BIOTHERAPEUTICS - GLASSIA Food and Beverage BAXTER HEALTHCARE
May 7, 2014 $17

SAMSCA Food and Beverage OTSUKA AMERICA PHARMACEUTICAL, INC.
Jul 26, 2016 $17

ESBRIET Food and Beverage GENENTECH USA, INC.
Oct 21, 2015 $17

OFEV Food and Beverage BOEHRINGER INGELHEIM PHARMACEUTICALS, INC.
Jan 12, 2016 $17

XOLAIR Food and Beverage NOVARTIS PHARMACEUTICALS CORPORATION
Oct 13, 2016 $16

BROVANA Food and Beverage SUNOVION PHARMACEUTICALS INC.
Feb 23, 2016 $16

XYREM Food and Beverage JAZZ PHARMACEUTICALS INC.
Apr 1, 2014 $16

XYREM Food and Beverage JAZZ PHARMACEUTICALS INC.
Sep 9, 2013 $16

ARCAPTA NEOHALER Food and Beverage NOVARTIS PHARMACEUTICALS CORPORATION
Jan 25, 2016 $16

GLASSIA Food and Beverage BAXALTA US INC
Oct 14, 2014 $16

OPSUMIT MACITENTAN Food and Beverage ACTELION PHARMACEUTICALS US, INC.
Feb 9, 2016 $16

XOLAIR Food and Beverage NOVARTIS PHARMACEUTICALS CORPORATION
Apr 21, 2015 $16

ANORO Food and Beverage GLAXOSMITHKLINE, LLC.
Jul 29, 2014 $16

SYMBICORT Food and Beverage

Additional details on this payment →

Informational Meal

ASTRAZENECA PHARMACEUTICALS LP
Mar 14, 2014 $15

DALIRESP TUDORZA Food and Beverage FOREST PHARMACEUTICALS, INC.
Aug 27, 2015 $15

DULERA PNEUMOVAX 23 Food and Beverage MERCK SHARP & DOHME CORPORATION
Dec 17, 2013 $15

THROMBATE III Food and Beverage GRIFOLS USA, LLC
Apr 28, 2016 $15

SYMBICORT Food and Beverage

Additional details on this payment →

Informational Meal

ASTRAZENECA PHARMACEUTICALS LP
Nov 21, 2014 $15

SYMBICORT Food and Beverage

Additional details on this payment →

Informational Meal

ASTRAZENECA PHARMACEUTICALS LP
Apr 29, 2016 $15

BROVANA Food and Beverage SUNOVION PHARMACEUTICALS INC.
Dec 2, 2015 $15

BROVANA Food and Beverage SUNOVION PHARMACEUTICALS INC.
Oct 6, 2015 $15

XOLAIR Food and Beverage NOVARTIS PHARMACEUTICALS CORPORATION
Feb 21, 2014 $15

COMBIVENT RESPIMAT SPIRIVA Food and Beverage BOEHRINGER INGELHEIM PHARMACEUTICALS, INC.
Mar 20, 2015 $15

ZEMAIRA Food and Beverage CSL BEHRING
Feb 23, 2015 $15

SAMSCA Food and Beverage OTSUKA AMERICA PHARMACEUTICAL, INC.
Apr 4, 2014 $15

DALIRESP TUDORZA Food and Beverage FOREST PHARMACEUTICALS, INC.
Aug 1, 2016 $15

ELIQUIS Food and Beverage PFIZER INC.
Sep 27, 2013 $14

PREVNAR 13 ZYVOX Food and Beverage PFIZER INC.
Jul 13, 2015 $14

EPIPEN PERFOROMIST Food and Beverage MYLAN SPECIALTY L.P.
May 19, 2015 $14

BIOTHERAPEUTICS - GLASSIA Food and Beverage BAXTER HEALTHCARE
Sep 17, 2014 $14

ADEMPAS Food and Beverage BAYER HEALTHCARE PHARMACEUTICALS INC.
Mar 11, 2015 $14

OFEV Food and Beverage BOEHRINGER INGELHEIM PHARMACEUTICALS, INC.
Jan 10, 2014 $14

DALIRESP TUDORZA Food and Beverage FOREST PHARMACEUTICALS, INC.
May 18, 2015 $14

ELIQUIS Food and Beverage E.R. SQUIBB & SONS, L.L.C.
Mar 16, 2016 $14

ESBRIET Food and Beverage GENENTECH USA, INC.
Apr 19, 2016 $14

BROVANA Food and Beverage SUNOVION PHARMACEUTICALS INC.
Nov 18, 2015 $14

BROVANA Food and Beverage SUNOVION PHARMACEUTICALS INC.
Aug 20, 2015 $14

BROVANA Food and Beverage SUNOVION PHARMACEUTICALS INC.
Jan 28, 2014 $14

TUDORZA Food and Beverage FOREST PHARMACEUTICALS, INC.
Apr 22, 2016 $14

NUCALA Food and Beverage GLAXOSMITHKLINE, LLC.
Aug 17, 2016 $14

BROVANA Food and Beverage SUNOVION PHARMACEUTICALS INC.
Jan 29, 2016 $14

XOLAIR Food and Beverage NOVARTIS PHARMACEUTICALS CORPORATION
Jan 7, 2014 $14

SYMBICORT Food and Beverage

Additional details on this payment →

Informational Meal

ASTRAZENECA PHARMACEUTICALS LP
Aug 18, 2016 $14

No Listed Product Food and Beverage RESPIRATORY TECHNOLOGIES, INC.
Apr 23, 2015 $14

PROLASTIN-C Food and Beverage GRIFOLS USA, LLC
Oct 11, 2016 $14

BREO Food and Beverage GLAXOSMITHKLINE, LLC.
Feb 12, 2016 $14

ANORO Food and Beverage GLAXOSMITHKLINE, LLC.
Jul 8, 2016 $14

BROVANA Food and Beverage SUNOVION PHARMACEUTICALS INC.
Nov 8, 2013 $14

ARCAPTA NEOHALER Food and Beverage NOVARTIS PHARMACEUTICALS CORPORATION
Nov 17, 2015 $14

No Listed Product Food and Beverage

Additional details on this payment →

CONCUR;5967341;946;11495027;VPL

GILEAD SCIENCES INC
Feb 12, 2015 $13

DALIRESP TUDORZA Food and Beverage ACTAVIS PHARMA INC
Aug 12, 2016 $13

No Listed Product Food and Beverage

Additional details on this payment →

;GS0001SS7L;CONCUR;6820000;78;11495027;VPL

GILEAD SCIENCES INC
Jun 16, 2016 $13

No Listed Product Food and Beverage RESPIRATORY TECHNOLOGIES, INC.
Nov 23, 2015 $13

OPSUMIT MACITENTAN VELETRI EPOPROSTENOL VENTAVIS ILOPROST Food and Beverage ACTELION PHARMACEUTICALS US, INC.
Aug 6, 2015 $13

ADEMPAS Food and Beverage BAYER HEALTHCARE PHARMACEUTICALS INC.
Oct 29, 2013 $13

AMBISOME MYCAMINE Food and Beverage ASTELLAS PHARMA US INC
Oct 5, 2015 $13

ZEMAIRA Food and Beverage CSL BEHRING
May 25, 2016 $13

ANORO Food and Beverage GLAXOSMITHKLINE, LLC.
Jul 28, 2015 $13

BIOTHERAPEUTICS - GLASSIA Food and Beverage BAXALTA US INC
Jul 26, 2016 $13

EPIPEN PERFOROMIST Food and Beverage MYLAN SPECIALTY L.P.
Jun 29, 2016 $13

BROVANA Food and Beverage SUNOVION PHARMACEUTICALS INC.
Jan 11, 2016 $13

ELIQUIS PREVNAR 13 Food and Beverage PFIZER INC.
Aug 25, 2016 $13

ANORO Food and Beverage GLAXOSMITHKLINE, LLC.
Jan 14, 2016 $13

No Listed Product Food and Beverage

Additional details on this payment →

;GS0001P6BU;CONCUR;6140735;215;11495027;VPL

GILEAD SCIENCES INC
May 11, 2016 $13

NUCALA Food and Beverage GLAXOSMITHKLINE, LLC.
Jun 24, 2016 $13

ELIQUIS PREVNAR 13 Food and Beverage PFIZER INC.
Aug 25, 2015 $13

SYMBICORT Food and Beverage

Additional details on this payment →

Informational Meal

ASTRAZENECA PHARMACEUTICALS LP
Dec 18, 2013 $13

AMBISOME MYCAMINE Food and Beverage ASTELLAS PHARMA US INC
Mar 4, 2015 $12

OPSUMIT MACITENTAN Food and Beverage ACTELION PHARMACEUTICALS US, INC.
Mar 22, 2016 $12

DULERA PNEUMOVAX 23 Food and Beverage MERCK SHARP & DOHME CORPORATION
Jun 17, 2014 $12

XOLAIR Food and Beverage NOVARTIS PHARMACEUTICALS CORPORATION
Oct 20, 2015 $12

No Listed Product Food and Beverage

Additional details on this payment →

CONCUR;5863538;129;11495027;VPL

GILEAD SCIENCES INC
Feb 18, 2016 $12

BROVANA Food and Beverage SUNOVION PHARMACEUTICALS INC.
Mar 16, 2015 $12

COMBIVENT RESPIMAT SPIRIVA RESPIMAT STRIVERDI RESPIMAT Food and Beverage BOEHRINGER INGELHEIM PHARMACEUTICALS, INC.
Jul 17, 2015 $12

No Listed Product Food and Beverage

Additional details on this payment →

CONCUR;5593664;124;11495027;VPL

GILEAD SCIENCES INC
Dec 21, 2016 $11

BREO Food and Beverage GLAXOSMITHKLINE, LLC.
Sep 5, 2013 $11

XOLAIR Food and Beverage GENENTECH USA, INC.
Jul 2, 2015 $11

CRITICAL CARE - ANTIMICROBIAL COATED CATHETERS Food and Beverage

Additional details on this payment →

Physicians are provided modest meals during the course of doing business with Cook Medical. The physician could be attending or presenting at an educational presentation or a product training session. Cook also invites physicians to dinners to give feedback on products or to advise on trends in medical procedures and treatments. The total cost of a groups food and beverages at a meal are averaged across attendees.

COOK INCORPORATED
Aug 16, 2016 $11

XOLAIR Food and Beverage GENENTECH USA, INC.
Oct 7, 2016 $11

BREO Food and Beverage GLAXOSMITHKLINE, LLC.
Sep 3, 2013 $11

KCENTRA Food and Beverage CSL BEHRING
Nov 25, 2015 $10

OTHER Food and Beverage MERCK SHARP & DOHME CORPORATION
Aug 21, 2015 $10

HIGH FREQUENCY CHEST WALL OSCILLATION Food and Beverage ELECTROMED, INC.
Nov 7, 2016 $10

BROVANA Food and Beverage SUNOVION PHARMACEUTICALS INC.
Jan 18, 2016 $8

BREO Food and Beverage GLAXOSMITHKLINE, LLC.
Jan 14, 2015 $7

ESBRIET Food and Beverage GENENTECH USA, INC.
Oct 19, 2016 $6

ANORO Food and Beverage GLAXOSMITHKLINE, LLC.
Dec 14, 2016 $6

ANORO Food and Beverage GLAXOSMITHKLINE, LLC.
See this doctor’s Open Payments page →

Note: We have made some effort to normalize the data and eliminate duplicates, but data is primarily as it has been reported by the companies to the Centers for Medicare and Medicaid Services. To purchase the normalized data, please visit the ProPublica Data Store. If you spot an error, please let us know at [email protected].