Nicholas Romeo, DO
Orthopaedic Trauma · Cleveland, OHNPI 1033408224
Payments from drug & device makers
What this record shows
The money is spread across several categories — travel and lodging (41.4%), speaking fees and food and beverage — rather than concentrated in one kind of arrangement. Synthes GmbH accounts for 67.6% of it on its own, with 6 other manufacturers making up the rest. 2025 is the largest year on record at $8,286, 2.2 times the $3,739 reported in 2019.
Across 72 payments — averaging $303.64 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Synthes GmbH$15K
- Smith+Nephew$5K
- Stryker$1K
- Medical Device Business Services, Inc.$194
- Johnson & Johnson$120
- Next Science LLC$87
- plus $12 from 1 others
Across 6 payments — averaging $3149.70 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- Stryker$19K
What the payments were for
- Speaking & faculty fees$9,00041%
- Travel & lodging$9,05741%
- Food & beverage$3,80517%
General payments by program year
Who reported the general payments
Companies are grouped under their corporate parent — a single manufacturer often files under several CMS reporting entities. Research and ownership payments are counted separately and are not in this table.
| Company | Payments | Total |
|---|---|---|
| Synthes GmbH | 19 | $14,773 |
| Smith+Nephew | 26 | $5,401 |
| Stryker | 15 | $1,274 |
| Medical Device Business Services, Inc. | 9 | $194 |
| Johnson & Johnson | 1 | $120 |
| Next Science LLC | 1 | $87 |
| Globus Medical | 1 | $12 |
What the payments were tied to
Products named in the reported payments. Only payments of $100 or more are attributed here — the typical reported payment nationally is a meal worth about $16, and listing those product-by-product would be noise.
- Journey II$3,572
- RI.HIP NAVIGATION$2,863
- JOURNEY$2,476
- REAL INTELLIGENCE$2,096
- Legion Revision$1,151
- OR3O Dual Mobility$1,151
- EVOS$1,024
- TRIGEN InterTAN$1,024
- POLARSTEM$423
- SPS$172
- HYDROSET$172
- TRIATHLON$170
- MAKO$170
- Tandem$135
- AXSOS$134
- FIXOS$134
- VARIAX$126
- EVOS MINI$121
- FIBERGRAFT$120
- ViviGen$120
How this compares
$21,862 in reported general payments places this provider in the 60th percentile of 38 orthopaedic trauma providers in Ohio.
Medicare billing
What this is not: this is the amount Original Medicare Part B allowed for services this provider billed in 2024. It is not their income. It excludes Medicare Advantage — now more than half of all Medicare enrollment — along with Medicaid and all commercial insurance, and it is gross practice revenue before staff, rent, supplies and malpractice premiums. CMS also suppresses any figure covering ten or fewer patients, so low-volume providers appear smaller than they are.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Meloxicam | 34 | $109 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic trauma in Cleveland
- Robert WetzelCleveland$574K
- George OchenjeleCleveland$344K
- Nathan MeskoCleveland$228K
- Joshua NaporaCleveland$69K
- Lukas NystromCleveland$56K
- Christopher MatsonCleveland$50K
- Damien BillowCleveland$48K
- Anokha PadubidriCleveland$47K
- Cesar CereijoCleveland$39K
- Adam HirschfeldCleveland$13K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Billing: Medicare Physician & Other Practitioners, data year 2024. Original Medicare Part B only.
- Identity: NPPES NPI Registry, July 2026.