Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

BAYHEALTH MEDICAL CENTER, INC.

NPI: 1023006434 · MILFORD, DE 19963 · Urgent Care Clinic/Center · NPI assigned 10/10/2005

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official TRETINA, MICHAEL controls 18+ related entities in our dataset. Read more

$39.52M
Total Medicaid Paid
943,030
Total Claims
578,873
Beneficiaries
284
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialTRETINA, MICHAEL (CFO/SENIOR VP)
NPI Enumeration Date10/10/2005

Related Entities

Other providers sharing the same authorized official: TRETINA, MICHAEL

ProviderCityStateTotal Paid
BAYHEALTH EMERGENCY PHYSICIANS LLC DOVER DE $16.74M
BAYHEALTH MEDICAL CENTER, INC. MILFORD DE $3.68M
BAYHEALTH MEDICAL CENTER, INC DOVER DE $505K
BAYHEALTH MEDICAL CENTER, INC DOVER DE $481K
BAYHEALTH MEDICAL CENTER, INC. DOVER DE $354K
BAYHEALTH MEDICAL CENTER, INC DOVER DE $304K
BAYHEALTH MEDICAL CENTER, INC DOVER DE $241K
BAYHEALTH RADIOLOGISTS LLC DOVER DE $223K
BAYHEALTH MEDICAL CENTER, INC. MILFORD DE $151K
BAYHEALTH MEDICAL CENTER, INC MILFORD DE $129K
BAYHEALTH MEDICAL CENTER, INC. MILFORD DE $127K
BAYHEALTH MEDICAL CENTER, INC MILFORD DE $116K
BAYHEALTH MEDICAL CENTER, INC. DOVER DE $65K
BAYHEALTH MEDICAL CENTER, INC DOVER DE $24K
BAYHEALTH MEDICAL CENTER, INC DOVER DE $7K
BAYHEALTH MEDICAL CENTER, INC DOVER DE $3K
BAYHEALTH MEDICAL CENTER, INC DOVER DE $2K
BAYHEALTH MEDICAL CENTER, INC DOVER DE $399.16

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 318,868 $1.26M
2019 181,979 $4.45M
2020 168,319 $10.31M
2021 55,259 $4.59M
2022 80,343 $7.44M
2023 84,855 $7.17M
2024 53,407 $4.31M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 33,961 24,853 $6.07M
99284 Emergency department visit for the evaluation and management, high severity 18,692 13,067 $3.68M
99282 Emergency department visit for the evaluation and management, low to moderate severity 16,442 12,597 $2.92M
74177 Computed tomography, abdomen and pelvis; with contrast material 6,249 4,093 $2.30M
99281 Emergency department visit for the evaluation and management, self-limited or minor 10,230 8,093 $1.63M
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 3,452 1,987 $1.59M
G0378 Hospital observation service, per hour 9,854 3,031 $1.53M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 8,716 5,192 $1.20M
G0463 Hospital outpatient clinic visit for assessment and management of a patient 14,447 10,532 $1.08M
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 3,683 3,435 $1.03M
85025 Blood count; complete (CBC), automated, and automated differential WBC count 60,862 38,296 $882K
70450 Computed tomography, head or brain; without contrast material 6,780 4,409 $861K
96375 Therapeutic injection; each additional sequential IV push 13,637 8,220 $836K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 19,564 12,963 $745K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 17,456 11,149 $667K
80053 Comprehensive metabolic panel 50,106 34,384 $599K
71045 Radiologic examination, chest; single view 15,561 11,421 $539K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 9,665 6,386 $501K
96361 Intravenous infusion, hydration; each additional hour 9,266 5,749 $463K
0240U 2,241 2,047 $435K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 5,410 2,885 $423K
76819 Fetal biophysical profile; without non-stress testing 6,481 3,806 $386K
71275 Computed tomographic angiography, chest, with contrast material 1,719 1,037 $377K
36415 Collection of venous blood by venipuncture 80,761 50,364 $348K
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed 7,165 4,049 $321K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 4,967 3,852 $298K
88305 Level IV - Surgical pathology, gross and microscopic examination 2,737 1,358 $273K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 4,366 2,705 $264K
84484 15,272 9,546 $259K
83690 13,309 9,072 $259K
81001 24,981 17,201 $212K
87631 1,833 1,217 $210K
84703 7,638 5,634 $201K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 532 385 $186K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 5,869 2,788 $174K
74176 Computed tomography, abdomen and pelvis; without contrast material 1,892 1,061 $161K
83735 20,607 11,371 $150K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 4,572 2,111 $147K
U0004 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r 2,589 1,663 $142K
72125 Computed tomography, cervical spine; without contrast material 1,370 864 $133K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 673 389 $127K
93975 1,118 676 $124K
87070 5,169 3,666 $114K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 1,483 1,181 $114K
71046 Radiologic examination, chest; 2 views 9,098 6,100 $112K
80061 Lipid panel 10,555 7,605 $110K
80050 General health panel 3,085 2,180 $100K
87086 Culture, bacterial; quantitative colony count, urine 9,408 6,213 $99K
84443 Thyroid stimulating hormone (TSH) 6,292 4,544 $98K
82550 12,477 8,400 $96K
71260 Computed tomography, thorax, diagnostic; with contrast material 738 470 $95K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,677 2,053 $92K
83036 Hemoglobin; glycosylated (A1C) 6,743 4,769 $87K
90792 Psychiatric diagnostic evaluation with medical services 729 585 $85K
85730 12,835 7,992 $84K
80048 Basic metabolic panel (calcium, ionized) 16,664 8,812 $84K
83880 3,391 1,888 $83K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 2,005 1,354 $81K
76830 Ultrasound, transvaginal 1,823 1,222 $79K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 4,569 2,739 $76K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,381 1,046 $74K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 1,303 1,055 $74K
93971 1,187 731 $73K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 986 511 $73K
93970 578 366 $69K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 4,974 1,846 $68K
93017 1,063 559 $63K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 1,223 1,151 $63K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 2,567 1,844 $62K
77067 Screening mammography, bilateral, including computer-aided detection 1,465 1,075 $53K
96376 1,675 881 $52K
87040 3,267 1,693 $51K
84439 3,619 2,409 $50K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 2,260 1,421 $49K
59025 Fetal non-stress test 211 177 $49K
76801 1,254 731 $49K
81025 5,570 2,988 $47K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 2,818 444 $47K
85610 15,559 9,330 $46K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 1,295 571 $46K
86140 5,059 3,590 $44K
82553 4,436 2,579 $43K
71250 482 347 $42K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 2,259 1,420 $42K
85379 2,318 1,348 $40K
85027 6,928 4,113 $40K
45380 Colonoscopy, flexible; with biopsy, single or multiple 148 88 $39K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 274 233 $39K
76700 Ultrasound, abdominal, real time with image documentation; complete 1,041 719 $38K
76705 Ultrasound, abdominal, real time with image documentation; limited 1,064 638 $37K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,377 997 $37K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 798 515 $37K
J2785 Injection, regadenoson, 0.1 mg 800 441 $35K
J2704 Injection, propofol, 10 mg 6,013 2,338 $33K
87486 465 362 $32K
J1756 Injection, iron sucrose, 1 mg 161 67 $31K
84702 1,622 927 $30K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 618 130 $29K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 253 81 $29K
73564 1,950 1,137 $28K
94664 1,954 872 $28K
J3490 Unclassified drugs 6,808 2,298 $27K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 455 364 $26K
83605 3,405 1,770 $25K
70486 209 148 $24K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 435 293 $24K
82728 2,008 1,336 $23K
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose 1,012 521 $23K
88342 440 209 $22K
97803 1,782 810 $22K
73610 1,298 831 $22K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 811 563 $21K
73130 1,650 963 $21K
73630 1,822 1,078 $20K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 3,210 2,092 $20K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 1,269 695 $20K
84100 5,627 2,504 $20K
J0131 Injection, acetaminophen, not otherwise specified,10 mg 2,725 803 $19K
82962 9,163 3,199 $19K
94760 3,158 785 $19K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 2,279 1,442 $18K
86850 2,534 1,441 $17K
73030 1,550 944 $17K
87077 2,417 1,513 $17K
93225 219 118 $17K
97530 Therapeutic activities, direct patient contact, each 15 minutes 574 218 $17K
76770 407 301 $16K
J1885 Injection, ketorolac tromethamine, per 15 mg 10,376 5,989 $16K
85652 4,051 2,868 $16K
84466 1,281 933 $16K
82607 1,161 750 $16K
86901 2,834 1,643 $16K
99222 Initial hospital care, per day, moderate complexity 335 211 $16K
87186 2,144 1,287 $14K
73110 1,208 708 $13K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 275 222 $13K
76820 538 309 $13K
82043 1,733 1,201 $13K
86900 2,612 1,485 $13K
90715 1,231 655 $13K
J1644 Injection, heparin sodium, per 1000 units 7,351 1,278 $13K
83540 1,567 1,132 $12K
S9083 Global fee urgent care centers 243 192 $12K
99215 Prolong outpt/office vis 113 98 $12K
76536 292 210 $12K
80076 2,328 1,509 $12K
82570 2,217 1,546 $12K
87581 465 362 $12K
77063 Screening digital breast tomosynthesis, bilateral 1,352 991 $11K
76642 816 475 $11K
87634 108 107 $11K
87507 69 56 $10K
86803 562 352 $10K
93226 134 65 $10K
82803 681 395 $10K
96367 210 113 $9K
A9575 Injection, gadoterate meglumine, 0.1 ml 423 315 $9K
J2270 Injection, morphine sulfate, up to 10 mg 5,615 2,293 $9K
73502 768 534 $9K
C1751 Catheter, infusion, inserted peripherally, centrally or midline (other than hemodialysis) 1,146 428 $8K
74018 1,026 668 $8K
84145 271 232 $8K
82746 403 267 $8K
36591 1,565 471 $8K
84436 1,361 882 $8K
83874 2,654 1,561 $7K
G0416 Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method 13 12 $7K
72100 755 525 $7K
J0696 Injection, ceftriaxone sodium, per 250 mg 2,483 1,005 $7K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 17 13 $7K
97161 394 219 $6K
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg 1,307 339 $6K
J3010 Injection, fentanyl citrate, 0.1 mg 5,210 1,884 $5K
84479 817 520 $5K
82150 1,450 771 $5K
87205 1,266 698 $5K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 13 12 $5K
86038 499 216 $5K
J1170 Injection, hydromorphone, up to 4 mg 3,114 812 $5K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 5,916 3,947 $5K
J2405 Injection, ondansetron hydrochloride, per 1 mg 12,869 6,017 $4K
72110 548 389 $4K
G0103 Prostate cancer screening; prostate specific antigen test (psa) 228 156 $4K
82248 544 334 $4K
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 1,226 650 $4K
99205 Prolong outpt/office vis 33 26 $4K
99231 Subsequent hospital care, per day, straightforward or low complexity 308 62 $4K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 51 43 $4K
94060 157 87 $4K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 38 37 $4K
70551 Magnetic resonance imaging, brain; without contrast material 20 13 $4K
80074 88 63 $4K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 76 26 $4K
J0360 Injection, hydralazine hcl, up to 20 mg 355 168 $3K
J3480 Injection, potassium chloride, per 2 meq 594 195 $3K
73590 267 99 $3K
87340 570 343 $3K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 86 72 $3K
10060 144 76 $3K
83615 365 210 $3K
J0780 Injection, prochlorperazine, up to 10 mg 636 325 $3K
97165 131 78 $2K
73080 185 124 $2K
83970 29 24 $2K
87210 464 311 $2K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 33 28 $2K
36600 287 155 $2K
80069 251 146 $2K
84550 598 349 $2K
99221 117 95 $2K
86780 125 92 $2K
73140 154 83 $2K
87147 407 248 $2K
77066 Tomosynthesis, mammo 48 41 $2K
77065 Tomosynthesis, mammo 115 70 $2K
73562 131 81 $2K
84156 247 150 $2K
72050 49 37 $2K
12001 98 65 $2K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 15 12 $1K
29125 23 12 $1K
86592 308 158 $1K
83655 98 63 $1K
94729 68 40 $1K
J2765 Injection, metoclopramide hcl, up to 10 mg 2,063 871 $1K
J2060 Injection, lorazepam, 2 mg 2,029 758 $1K
J1630 Injection, haloperidol, up to 5 mg 106 53 $1K
J2250 Injection, midazolam hydrochloride, per 1 mg 3,664 1,211 $1K
C9113 Injection, pantoprazole sodium, per vial 631 199 $1K
J2543 Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) 25 13 $1K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) 156 90 $999.89
90686 206 85 $996.26
82272 193 159 $964.43
J0690 Injection, cefazolin sodium, 500 mg 876 137 $920.94
J3475 Injection, magnesium sulfate, per 500 mg 77 36 $839.87
73090 43 28 $766.39
80143 34 28 $730.42
80179 34 28 $730.42
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 2,021 1,065 $724.92
99233 Prolong inpt eval add15 m 19 14 $676.98
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 358 43 $669.92
85018 451 259 $642.18
86762 103 67 $574.62
84460 51 36 $562.85
70491 21 13 $557.35
J3370 Injection, vancomycin hcl, 500 mg 512 15 $544.45
J1650 Injection, enoxaparin sodium, 10 mg 37 14 $507.29
C1753 Catheter, intravascular ultrasound 265 33 $493.54
82565 120 68 $491.56
85014 334 179 $464.94
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 69 67 $460.76
96523 17 13 $386.70
73552 59 38 $336.09
J2550 Injection, promethazine hcl, up to 50 mg 368 173 $235.40
J3411 Injection, thiamine hcl, 100 mg 44 24 $230.73
82009 162 97 $204.65
97162 32 13 $172.56
85007 13 12 $135.97
94799 61 24 $119.25
85045 33 26 $115.43
86618 76 52 $96.64
87522 Neg quan hep c or qual rna 19 15 $93.30
88307 39 16 $87.96
J2920 Injection, methylprednisolone sodium succinate, up to 40 mg 66 38 $87.59
J7510 Prednisolone oral, per 5 mg 421 229 $54.64
72072 41 30 $47.64
86431 35 16 $34.19
74022 105 54 $28.87
82270 101 66 $27.30
82247 24 12 $24.28
82950 19 14 $10.32
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 7,998 5,642 $7.22
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals 266 85 $0.02
G8979 Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 185 84 $0.01
85041 15 15 $0.00
84520 84 43 $0.00
A9577 Injection, gadobenate dimeglumine (multihance), per ml 44 30 $0.00
86308 26 12 $0.00
G8988 Self care functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 45 12 $0.00
G8987 Self care functional limitation, current status, at therapy episode outset and at reporting intervals 45 12 $0.00
J0500 Injection, dicyclomine hcl, up to 20 mg 54 12 $0.00
83021 15 15 $0.00
72040 14 13 $0.00
73560 41 27 $0.00