Medicaid Provider Spending

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

BAYHEALTH MEDICAL CENTER, INC.

NPI: 1265422828 · MILFORD, DE 19963 · Clinic/Center · NPI assigned 10/25/2005

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

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

$3.68M
Total Medicaid Paid
51,545
Total Claims
40,007
Beneficiaries
24
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialTRETINA, MICHAEL (CFO)
NPI Enumeration Date10/25/2005

Related Entities

Other providers sharing the same authorized official: TRETINA, MICHAEL

ProviderCityStateTotal Paid
BAYHEALTH MEDICAL CENTER, INC. MILFORD DE $39.52M
BAYHEALTH EMERGENCY PHYSICIANS LLC DOVER DE $16.74M
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 4,491 $7K
2019 6,665 $700K
2020 3,352 $429K
2021 4,589 $501K
2022 9,816 $996K
2023 13,564 $670K
2024 9,068 $377K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 17,815 11,771 $2.03M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 11,198 9,096 $529K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 5,183 4,498 $352K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,231 2,738 $251K
87428 4,388 3,702 $224K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 1,362 1,205 $159K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 1,621 1,459 $71K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 3,934 3,298 $40K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 160 151 $12K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 80 69 $5K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 209 175 $4K
81002 1,304 1,072 $3K
99442 42 41 $2K
81025 414 333 $2K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 22 20 $1K
71046 Radiologic examination, chest; 2 views 12 12 $284.90
73630 21 12 $189.75
94760 39 39 $105.60
90834 Psychotherapy, 45 minutes with patient 257 158 $0.84
90832 Psychotherapy, 30 minutes with patient 82 52 $0.32
90837 Psychotherapy, 53 minutes with patient 91 52 $0.30
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 32 21 $0.14
99384 33 21 $0.13
J8499 Prescription drug, oral, non chemotherapeutic, nos 15 12 $0.00