Bayhealth Emergency Physicians LLC

Bayhealth Emergency Physicians LLC was paid $16.74M by Medicaid between Feb 2018 and Dec 2024, across 14 billing codes. Its largest line is 99285, emergency room visit (most serious) — 46% of everything it billed.

33Billing provider infoBAYHEALTH EMERGENCY PHYSICIANS LLC
DOVER, DE 19901

33aNPI1073012696assigned 02/09/2018

33bProvider typeEmergency Medicine Physician

28Total paid$16.74M

24GClaims269,359

24DCodes billed14

24AFirst – last monthFeb 2018 – Dec 2024

Compared with peers

Next to other Emergency Medicine Physician providers in Delaware

Rank by total paid#2 of 24

Median peer was paid$17K

This provider vs. median990×

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

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	35,305	$260K
2019	58,076	$1.81M
2020	42,073	$3.03M
2021	32,314	$2.86M
2022	35,129	$3.12M
2023	41,833	$3.47M
2024incomplete	24,629	$2.18M

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99285	Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life	46%	84,142	66,533	$7.78M
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	35%	86,391	68,553	$5.85M
99291	Critical care, evaluation and management of the critically ill patient, first 30-74 minutes	8.3%	11,203	9,291	$1.39M
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	6.3%	34,602	27,147	$1.06M
99053		2.2%	45,384	35,644	$374K
10061		<1%	680	555	$64K
12001		<1%	1,456	1,176	$62K
12011		<1%	1,160	841	$53K
99282	Emergency department visit for the evaluation and management, low to moderate severity	<1%	1,836	1,487	$41K
31500		<1%	434	350	$25K
12002		<1%	554	408	$23K
99292		<1%	190	163	$18K

2 more codes

25600		<1%	22	$1K
93042		<1%	1,305	$1K

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 (SENIOR VP/ CFO)

Parent organizationBAYHEALTH MEDICAL CENTER, INC.

Same official

Other billing entities under TRETINA, MICHAEL

Full network →

Provider	Location	Paid
Bayhealth Medical Center, INC.	Milford, DE	$39.52M
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

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.