Physician
Eloy Romero MD INC a Professional Corporation
Eloy Romero MD INC a Professional Corporation was paid $315K by Medicaid between Apr 2021 and Nov 2024, across 40 billing codes. Its largest line is 59409, Vaginal delivery only (with or without episiotomy and/or forceps) — 31% of everything it billed.
33Billing provider infoELOY ROMERO MD INC A PROFESSIONAL CORPORATION
SALINAS, CA 93906
SALINAS, CA 93906
33aNPI1598364440assigned 10/21/2020
33bProvider typeInternal Medicine Physician
28Total paid$315K
24GClaims15,610
24DCodes billed40
24AFirst – last monthApr 2021 – Nov 2024
Compared with peers
Next to other Internal Medicine Physician providers in California
Rank by total paid#325 of 2,679
Median peer was paid$13K
This provider vs. median25×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2021 | 2,711 | $42K | |
| 2022 | 5,027 | $83K | |
| 2023 | 4,732 | $69K | |
| 2024incomplete | 3,140 | $121K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | 31% | 124 | 124 | $97K |
| 59514 | 13% | 178 | 177 | $42K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 9.9% | 349 | 349 | $31K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 9.4% | 404 | 394 | $30K |
| 59425 | 8.3% | 310 | 203 | $26K | |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 6.7% | 4,559 | 4,290 | $21K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4.9% | 6,002 | 5,438 | $16K |
| 90686 | 3.4% | 608 | 605 | $11K | |
| 90682 | 1.4% | 75 | 75 | $4K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 1.2% | 64 | 64 | $4K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.2% | 39 | 39 | $4K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.1% | 52 | 52 | $4K |
28 more codes
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.0% | 802 | $3K |
| H1003 | Prenatal care, at-risk enhanced service; education | <1% | 97 | $3K |
| 92552 | <1% | 95 | $3K | |
| 0013A | <1% | 55 | $2K | |
| 0012A | <1% | 53 | $2K | |
| 0011A | <1% | 45 | $2K | |
| Z1034 | <1% | 30 | $2K | |
| 90648 | <1% | 86 | $2K | |
| 90670 | <1% | 87 | $2K | |
| 96127 | <1% | 203 | $1K | |
| 90656 | <1% | 42 | $1K | |
| 90716 | <1% | 37 | $903.38 | |
| 90633 | <1% | 26 | $468.00 | |
| 0124A | <1% | 12 | $440.00 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 104 | $349.96 |
| 97803 | <1% | 13 | $336.40 | |
| 85018 | <1% | 144 | $270.47 | |
| 90651 | <1% | 13 | $234.00 | |
| 81003 | <1% | 140 | $225.60 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 25 | $216.72 |
| 90734 | <1% | 12 | $216.00 | |
| 90662 | <1% | 132 | $215.00 | |
| 90723 | <1% | 12 | $202.50 | |
| 99070 | <1% | 109 | $114.25 | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 45 | $16.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 188 | $0.00 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 73 | $0.00 |
| G0008 | Administration of influenza virus vaccine | 0% | 166 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialROMERO, ELOY (OWNER)