Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › DE › Milford › NPI 1023006434
Clinic

Bayhealth Medical Center, INC.

Bayhealth Medical Center, INC. was paid $39.52M by Medicaid between Jan 2018 and Dec 2024, across 284 billing codes. Its largest line is 99283, emergency room visit (moderate) — 15% of everything it billed.

33Billing provider infoBAYHEALTH MEDICAL CENTER, INC.
MILFORD, DE 19963
33aNPI1023006434assigned 10/10/2005
28Total paid$39.52M
24GClaims943,030
24DCodes billed284
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Urgent Care Clinic/Center providers in Delaware

Rank by total paid#1 of 13
Median peer was paid$396K
This provider vs. median100×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official TRETINA, MICHAEL controls 18+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$500K$1.0M$1.5M2018201920202021202220232024
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
YearClaimsPaid
2018318,868$1.26M
2019181,979$4.45M
2020168,319$10.31M
202155,259$4.59M
202280,343$7.44M
202384,855$7.17M
2024incomplete53,407$4.31M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 15% 33,961 24,853 $6.07M
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 9.3% 18,692 13,067 $3.68M
99282 Emergency department visit for the evaluation and management, low to moderate severity 7.4% 16,442 12,597 $2.92M
74177 Computed tomography, abdomen and pelvis; with contrast material 5.8% 6,249 4,093 $2.30M
99281 Emergency department visit for the evaluation and management, self-limited or minor 4.1% 10,230 8,093 $1.63M
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 4.0% 3,452 1,987 $1.59M
G0378 Hospital observation service, per hour 3.9% 9,854 3,031 $1.53M
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 3.0% 8,716 5,192 $1.20M
G0463 Hospital outpatient clinic visit for assessment and management of a patient 2.7% 14,447 10,532 $1.08M
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 2.6% 3,683 3,435 $1.03M
85025 Blood count; complete (CBC), automated, and automated differential WBC count 2.2% 60,862 38,296 $882K
70450 Computed tomography, head or brain; without contrast material 2.2% 6,780 4,409 $861K
272 more codes
96375 Therapeutic injection; each additional sequential IV push 2.1% 13,637 $836K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 1.9% 19,564 $745K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 1.7% 17,456 $667K
80053 Comprehensive metabolic panel 1.5% 50,106 $599K
71045 Radiologic examination, chest; single view 1.4% 15,561 $539K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 1.3% 9,665 $501K
96361 Intravenous infusion, hydration; each additional hour 1.2% 9,266 $463K
0240U 1.1% 2,241 $435K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 1.1% 5,410 $423K
76819 Fetal biophysical profile; without non-stress testing <1% 6,481 $386K
71275 Computed tomographic angiography, chest, with contrast material <1% 1,719 $377K
36415 Collection of venous blood by venipuncture <1% 80,761 $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 <1% 7,165 $321K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up <1% 4,967 $298K
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 2,737 $273K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets <1% 4,366 $264K
84484 <1% 15,272 $259K
83690 <1% 13,309 $259K
81001 <1% 24,981 $212K
87631 <1% 1,833 $210K
84703 <1% 7,638 $201K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets <1% 532 $186K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour <1% 5,869 $174K
74176 Computed tomography, abdomen and pelvis; without contrast material <1% 1,892 $161K
83735 <1% 20,607 $150K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 4,572 $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 <1% 2,589 $142K
72125 Computed tomography, cervical spine; without contrast material <1% 1,370 $133K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple <1% 673 $127K
93975 <1% 1,118 $124K
87070 <1% 5,169 $114K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed <1% 1,483 $114K
71046 Radiologic examination, chest; 2 views <1% 9,098 $112K
80061 Lipid panel <1% 10,555 $110K
80050 General health panel <1% 3,085 $100K
87086 Culture, bacterial; quantitative colony count, urine <1% 9,408 $99K
84443 Thyroid stimulating hormone (TSH) <1% 6,292 $98K
82550 <1% 12,477 $96K
71260 Computed tomography, thorax, diagnostic; with contrast material <1% 738 $95K
99213 Doctor's office visit, returning patient (routine) <1% 2,677 $92K
83036 Hemoglobin; glycosylated (A1C) <1% 6,743 $87K
90792 Psychiatric diagnostic evaluation with medical services <1% 729 $85K
85730 <1% 12,835 $84K
80048 Basic metabolic panel (calcium, ionized) <1% 16,664 $84K
83880 <1% 3,391 $83K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 2,005 $81K
76830 Ultrasound, transvaginal <1% 1,823 $79K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 4,569 $76K
99214 Doctor's office visit, returning patient (more involved) <1% 1,381 $74K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 1,303 $74K
93971 <1% 1,187 $73K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress <1% 986 $73K
93970 <1% 578 $69K
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 4,974 $68K
93017 <1% 1,063 $63K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe <1% 1,223 $63K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 2,567 $62K
77067 Screening mammography, bilateral, including computer-aided detection <1% 1,465 $53K
96376 <1% 1,675 $52K
87040 <1% 3,267 $51K
84439 <1% 3,619 $50K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 2,260 $49K
59025 Fetal non-stress test <1% 211 $49K
76801 <1% 1,254 $49K
81025 <1% 5,570 $47K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion <1% 2,818 $47K
85610 <1% 15,559 $46K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour <1% 1,295 $46K
86140 <1% 5,059 $44K
82553 <1% 4,436 $43K
71250 <1% 482 $42K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 2,259 $42K
85379 <1% 2,318 $40K
85027 <1% 6,928 $40K
45380 Colonoscopy, flexible; with biopsy, single or multiple <1% 148 $39K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 274 $39K
76700 Ultrasound, abdominal, real time with image documentation; complete <1% 1,041 $38K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 1,064 $37K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 1,377 $37K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 798 $37K
J2785 Injection, regadenoson, 0.1 mg <1% 800 $35K
J2704 Injection, propofol, 10 mg <1% 6,013 $33K
87486 <1% 465 $32K
J1756 Injection, iron sucrose, 1 mg <1% 161 $31K
84702 <1% 1,622 $30K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) <1% 618 $29K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance <1% 253 $29K
73564 <1% 1,950 $28K
94664 <1% 1,954 $28K
J3490 Unclassified drugs <1% 6,808 $27K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism <1% 455 $26K
83605 <1% 3,405 $25K
70486 <1% 209 $24K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited <1% 435 $24K
82728 <1% 2,008 $23K
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose <1% 1,012 $23K
88342 <1% 440 $22K
97803 <1% 1,782 $22K
73610 <1% 1,298 $22K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe <1% 811 $21K
73130 <1% 1,650 $21K
73630 <1% 1,822 $20K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 3,210 $20K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies <1% 1,269 $20K
84100 <1% 5,627 $20K
J0131 Injection, acetaminophen, not otherwise specified,10 mg <1% 2,725 $19K
82962 <1% 9,163 $19K
94760 <1% 3,158 $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 <1% 2,279 $18K
86850 <1% 2,534 $17K
73030 <1% 1,550 $17K
87077 <1% 2,417 $17K
93225 <1% 219 $17K
97530 Therapeutic activities, direct patient contact, each 15 minutes <1% 574 $17K
76770 <1% 407 $16K
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 10,376 $16K
85652 <1% 4,051 $16K
84466 <1% 1,281 $16K
82607 <1% 1,161 $16K
86901 <1% 2,834 $16K
99222 Initial hospital care, per day, moderate complexity <1% 335 $16K
87186 <1% 2,144 $14K
73110 <1% 1,208 $13K
99203 Doctor's office visit, new patient (routine) <1% 275 $13K
76820 <1% 538 $13K
82043 <1% 1,733 $13K
86900 <1% 2,612 $13K
90715 <1% 1,231 $13K
J1644 Injection, heparin sodium, per 1000 units <1% 7,351 $13K
83540 <1% 1,567 $12K
S9083 Global fee urgent care centers <1% 243 $12K
99215 Doctor's office visit, returning patient (complex) <1% 113 $12K
76536 <1% 292 $12K
80076 <1% 2,328 $12K
82570 <1% 2,217 $12K
87581 <1% 465 $12K
77063 Screening digital breast tomosynthesis, bilateral <1% 1,352 $11K
76642 <1% 816 $11K
87634 <1% 108 $11K
87507 <1% 69 $10K
86803 <1% 562 $10K
93226 <1% 134 $10K
82803 <1% 681 $10K
96367 <1% 210 $9K
A9575 Injection, gadoterate meglumine, 0.1 ml <1% 423 $9K
J2270 Injection, morphine sulfate, up to 10 mg <1% 5,615 $9K
73502 <1% 768 $9K
C1751 Catheter, infusion, inserted peripherally, centrally or midline (other than hemodialysis) <1% 1,146 $8K
74018 <1% 1,026 $8K
84145 <1% 271 $8K
82746 <1% 403 $8K
36591 <1% 1,565 $8K
84436 <1% 1,361 $8K
83874 <1% 2,654 $7K
G0416 Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method <1% 13 $7K
72100 <1% 755 $7K
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 2,483 $7K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) <1% 17 $7K
97161 <1% 394 $6K
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg <1% 1,307 $6K
J3010 Injection, fentanyl citrate, 0.1 mg <1% 5,210 $5K
84479 <1% 817 $5K
82150 <1% 1,450 $5K
87205 <1% 1,266 $5K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) <1% 13 $5K
86038 <1% 499 $5K
J1170 Injection, hydromorphone, up to 4 mg <1% 3,114 $5K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 5,916 $5K
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 12,869 $4K
72110 <1% 548 $4K
G0103 Prostate cancer screening; prostate specific antigen test (psa) <1% 228 $4K
82248 <1% 544 $4K
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg <1% 1,226 $4K
99205 Prolong outpt/office vis <1% 33 $4K
99231 Subsequent hospital care, per day, straightforward or low complexity <1% 308 $4K
99204 Doctor's office visit, new patient (more involved) <1% 51 $4K
94060 <1% 157 $4K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material <1% 38 $4K
70551 Magnetic resonance imaging, brain; without contrast material <1% 20 $4K
80074 <1% 88 $4K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination <1% 76 $4K
J0360 Injection, hydralazine hcl, up to 20 mg <1% 355 $3K
J3480 Injection, potassium chloride, per 2 meq <1% 594 $3K
73590 <1% 267 $3K
87340 <1% 570 $3K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc <1% 86 $3K
10060 <1% 144 $3K
83615 <1% 365 $3K
J0780 Injection, prochlorperazine, up to 10 mg <1% 636 $3K
97165 <1% 131 $2K
73080 <1% 185 $2K
83970 <1% 29 $2K
87210 <1% 464 $2K
72148 Magnetic resonance imaging, lumbar spine; without contrast material <1% 33 $2K
36600 <1% 287 $2K
80069 <1% 251 $2K
84550 <1% 598 $2K
99221 <1% 117 $2K
86780 <1% 125 $2K
73140 <1% 154 $2K
87147 <1% 407 $2K
77066 Tomosynthesis, mammo <1% 48 $2K
77065 Tomosynthesis, mammo <1% 115 $2K
73562 <1% 131 $2K
84156 <1% 247 $2K
72050 <1% 49 $2K
12001 <1% 98 $2K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences <1% 15 $1K
29125 <1% 23 $1K
86592 <1% 308 $1K
83655 <1% 98 $1K
94729 <1% 68 $1K
J2765 Injection, metoclopramide hcl, up to 10 mg <1% 2,063 $1K
J2060 Injection, lorazepam, 2 mg <1% 2,029 $1K
J1630 Injection, haloperidol, up to 5 mg <1% 106 $1K
J2250 Injection, midazolam hydrochloride, per 1 mg <1% 3,664 $1K
C9113 Injection, pantoprazole sodium, per vial <1% 631 $1K
J2543 Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) <1% 25 $1K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) <1% 156 $999.89
90686 <1% 206 $996.26
82272 <1% 193 $964.43
J0690 Injection, cefazolin sodium, 500 mg <1% 876 $920.94
J3475 Injection, magnesium sulfate, per 500 mg <1% 77 $839.87
73090 <1% 43 $766.39
80143 <1% 34 $730.42
80179 <1% 34 $730.42
J7512 Prednisone, immediate release or delayed release, oral, 1 mg <1% 2,021 $724.92
99233 Hospital visit by a doctor, follow-up day (complex) <1% 19 $676.98
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 358 $669.92
85018 <1% 451 $642.18
86762 <1% 103 $574.62
84460 <1% 51 $562.85
70491 <1% 21 $557.35
J3370 Injection, vancomycin hcl, 500 mg <1% 512 $544.45
J1650 Injection, enoxaparin sodium, 10 mg <1% 37 $507.29
C1753 Catheter, intravascular ultrasound <1% 265 $493.54
82565 <1% 120 $491.56
85014 <1% 334 $464.94
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source <1% 69 $460.76
96523 <1% 17 $386.70
73552 <1% 59 $336.09
J2550 Injection, promethazine hcl, up to 50 mg <1% 368 $235.40
J3411 Injection, thiamine hcl, 100 mg <1% 44 $230.73
82009 <1% 162 $204.65
97162 <1% 32 $172.56
85007 <1% 13 $135.97
94799 <1% 61 $119.25
85045 <1% 33 $115.43
86618 <1% 76 $96.64
87522 Neg quan hep c or qual rna <1% 19 $93.30
88307 <1% 39 $87.96
J2920 Injection, methylprednisolone sodium succinate, up to 40 mg <1% 66 $87.59
J7510 Prednisolone oral, per 5 mg <1% 421 $54.64
72072 <1% 41 $47.64
86431 <1% 35 $34.19
74022 <1% 105 $28.87
82270 <1% 101 $27.30
82247 <1% 24 $24.28
82950 <1% 19 $10.32
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program <1% 7,998 $7.22
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals <1% 266 $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 <1% 185 $0.01
85041 0% 15 $0.00
84520 0% 84 $0.00
A9577 Injection, gadobenate dimeglumine (multihance), per ml 0% 44 $0.00
86308 0% 26 $0.00
G8988 Self care functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 0% 45 $0.00
G8987 Self care functional limitation, current status, at therapy episode outset and at reporting intervals 0% 45 $0.00
J0500 Injection, dicyclomine hcl, up to 20 mg 0% 54 $0.00
83021 0% 15 $0.00
72040 0% 14 $0.00
73560 0% 41 $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 officialTRETINA, MICHAEL (CFO/SENIOR VP)
Same official

Other billing entities under TRETINA, MICHAEL

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