Irma Y Castro, MD

4 locations · Family Care Providers Medical Group Inc · Omni Family Health · Community Health Centers of America

Hospitals listed: 057248 · Adventist Health Hanford · Clovis Community Medical Center · Community Regional Medical Center. That is not proof they admit you there this week.

Licence A49161 · Current

Licensed to practise in California · since 1991 · expires 2028-12-31 · University of California, Los Angeles School of Medicine.

No disciplinary actions, convictions, malpractice judgments or citations in this record.

What this clinician told their state board, medical school and everything before it. Only some states publish this, so nothing here means the state does not say, not that there was no training or certification.

Specialty certification

• American Board of Family Medicine - Family Medicine

3 hospitals

These rate the hospital, not this clinician. Most measures at most hospitals are no different from the national rate.

• Adventist Health HanfordHanford, CAAcute Care Hospital · Voluntary non-profit - Church · Has an emergency department · Birthing-friendlyPart of Adventist Health, which runs 28 hospitals in 3 statesPatients rate it 3 of 5 · 65% would definitely recommend it
  Overall rating: 3 of 5 starsBetter than the national rate — Clostridium Difficile (C.Diff): 0.277, Oct 2024 – Sep 2025
• Clovis Community Medical CenterClovis, CAAcute Care Hospital · Voluntary non-profit - Private · Has an emergency department · Birthing-friendlyPart of Community Medical Centers, which runs 4 hospitalsPatients rate it 3 of 5 · 80% would definitely recommend it
  Overall rating: 2 of 5 starsWorse than the national rate — Rate of inpatient admissions for patients receiving outpatient chemotherapy: 14.7 (12.1 to 17.7) · 421 cases, Jan 2024 – Dec 2024Better than the national rate — Clostridium Difficile (C.Diff): 0.692, Oct 2024 – Sep 2025
• Community Regional Medical CenterFresno, CAAcute Care Hospital · Voluntary non-profit - Private · Has an emergency department · Birthing-friendlyPart of Community Medical Centers, which runs 4 hospitalsPatients rate it 3 of 5 · 70% would definitely recommend it
  Overall rating: 1 of 5 starsWorse than the national rate — Death rate among surgical inpatients with serious treatable complications: 211.21 (174.88 to 247.54) · 239 cases, Jul 2022 – Jun 2024Better than the national rate — Clostridium Difficile (C.Diff): 0.705, Oct 2024 – Sep 2025

$55,485

Medicare paid this office $55,485 for 171 people.

This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.

Procedures Medicare counted

Who their Medicare patients are

171 Original Medicare patients in 2024. Average age 68 · Under 65 23% · 85 and older 12% · Women 69% · Also on Medicaid 71% · Health risk score 1.46. Above the middle of the specialty; the typical family practice clinician is at 1.13.

Conditions among them: High blood pressure 75% · Chronic kidney disease 58% · Diabetes 56% · Coronary heart disease 23% · Depression 15% · COPD 14% · Heart failure 13% · Cancer 12% · Atrial fibrillation 10% · Stroke 6%.

The office billed $89,405, Medicare allowed $68,826 and paid $55,485; for 948 services of 41 kinds; $5,068 of it was for drugs given in the office and $50,417 for care.

Original Medicare patients only. A risk score of 1.0 is the average Medicare patient; higher means sicker. Any count under 11 is hidden.

Year by year

Original Medicare only. A service billed for fewer than 11 people in a year is hidden, so the lines can add up to less than the year's total.

$184 in 2024

Medicaid paid $184 for 3,512 billed services this clinician did in 2024, up to 108 people in a month for one service.

Medicaid and CHIP claims where this clinician did the service, fee-for-service and managed care together. Any month with fewer than 11 patients is hidden, so small Medicaid practices undercount.

$1,544,280

Pharmacies billed $1,544,280 in 2024.

This is pharmacy cost, not the office bill, and not what patients paid.

Opioids were 1% of their Part D prescriptions (85 of 12,702) in 2024. At or below the middle of the specialty; the typical family practice clinician is at 2%.

10,863 generic and 1,762 brand-name prescriptions · $1,544,280 in drug cost · 189 antibiotic prescriptions to 128 people · 112 antipsychotic prescriptions to people over 65.

Part D prescriptions only. The opioid rate is opioid prescriptions as a share of all this clinician's Part D prescriptions; surgeons and pain specialists run higher than others, so it is shown against the same specialty.

Year by year

Part D prescriptions only. A drug prescribed to fewer than 11 people in a year is hidden.