Physician
Romeo S. Miclat, M.D., INC
Romeo S. Miclat, M.D., INC was paid $69K by Medicaid between Jan 2018 and Jan 2023, across 18 billing codes. Its largest line is 90960, End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits — 69% of everything it billed.
33Billing provider infoROMEO S. MICLAT, M.D., INC
ELYRIA, OH 44035
ELYRIA, OH 44035
33aNPI1972669463assigned 12/29/2006
33bProvider typeInternal Medicine Physician
28Total paid$69K
24GClaims5,730
24DCodes billed18
24AFirst – last monthJan 2018 – Jan 2023
Compared with peers
Next to other Internal Medicine Physician providers in Ohio
Rank by total paid#233 of 663
Median peer was paid$17K
This provider vs. median4.0×
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 | |
|---|---|---|---|
| 2018 | 1,205 | $20K | |
| 2019 | 1,754 | $21K | |
| 2020 | 1,416 | $14K | |
| 2021 | 770 | $4K | |
| 2022 | 539 | $10K | |
| 2023 | 46 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90960 | End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits | 69% | 896 | 812 | $48K |
| 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 | 20% | 587 | 514 | $14K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 4.5% | 59 | 58 | $3K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 3.2% | 169 | 53 | $2K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 2.7% | 133 | 63 | $2K |
| 82570 | <1% | 42 | 40 | $128.55 | |
| 81003 | <1% | 43 | 41 | $57.01 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 649 | 610 | $0.00 |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 576 | 504 | $0.00 |
| G9231 | Documentation of end stage renal disease (esrd), dialysis, renal transplant before or during the measurement period or pregnancy during the measurement period | 0% | 148 | 127 | $0.00 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 39 | 37 | $0.00 |
| 1036F | 0% | 34 | 32 | $0.00 |
6 more codes
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 393 | $0.00 |
| G8482 | Influenza immunization administered or previously received | 0% | 582 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 405 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 936 | $0.00 |
| G8483 | Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) | 0% | 26 | $0.00 |
| 4040F | 0% | 13 | $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 officialMICLAT, ROMEO (PHYSICIAN)