Clinic
Bayhealth Medical Center, INC.
Bayhealth Medical Center, INC. was paid $3.68M by Medicaid between Jan 2018 and Dec 2024, across 24 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 55% of everything it billed.
33Billing provider infoBAYHEALTH MEDICAL CENTER, INC.
MILFORD, DE 19963
MILFORD, DE 19963
33aNPI1265422828assigned 10/25/2005
33bProvider typeClinic/Center
28Total paid$3.68M
24GClaims51,545
24DCodes billed24
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Clinic/Center providers in Delaware
Rank by total paid#1 of 9
Median peer was paid$142K
This provider vs. median26×
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 | 4,491 | $7K | |
| 2019 | 6,665 | $700K | |
| 2020 | 3,352 | $429K | |
| 2021 | 4,589 | $501K | |
| 2022 | 9,816 | $996K | |
| 2023 | 13,564 | $670K | |
| 2024incomplete | 9,068 | $377K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 55% | 17,815 | 11,771 | $2.03M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 14% | 11,198 | 9,096 | $529K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 9.6% | 5,183 | 4,498 | $352K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 6.8% | 3,231 | 2,738 | $251K |
| 87428 | 6.1% | 4,388 | 3,702 | $224K | |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 4.3% | 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 | 1.9% | 1,621 | 1,459 | $71K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.1% | 3,934 | 3,298 | $40K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 160 | 151 | $12K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 80 | 69 | $5K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 209 | 175 | $4K |
| 81002 | <1% | 1,304 | 1,072 | $3K |
12 more codes
| 99442 | <1% | 42 | $2K | |
| 81025 | <1% | 414 | $2K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 22 | $1K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 12 | $284.90 |
| 73630 | <1% | 21 | $189.75 | |
| 94760 | <1% | 39 | $105.60 | |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 257 | $0.84 |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 82 | $0.32 |
| 90837 | Psychotherapy session, about an hour | <1% | 91 | $0.30 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 32 | $0.14 |
| 99384 | <1% | 33 | $0.13 | |
| J8499 | Prescription drug, oral, non chemotherapeutic, nos | 0% | 15 | $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)
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.