Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Bayhealth Medical Center, INC

Bayhealth Medical Center, INC was paid $12.38M by Medicaid between Jan 2018 and Dec 2024, across 163 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 31% of everything it billed.

33Billing provider infoBAYHEALTH MEDICAL CENTER, INC
DOVER, DE 19901
33aNPI1285809509assigned 04/28/2008
33bProvider typeFamily Medicine Physician
28Total paid$12.38M
24GClaims470,299
24DCodes billed163
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Family Medicine Physician providers in Delaware

Rank by total paid#3 of 97
Median peer was paid$101K
This provider vs. median123×

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.

Box 24A · Dates of service

Paid by month

$0$100K$200K$300K2018201920202021202220232024
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
201842,515$119K
201962,232$739K
202041,601$1.96M
202173,739$2.44M
202276,980$2.67M
2023108,156$2.57M
2024incomplete65,076$1.88M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 31% 76,287 58,391 $3.86M
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 15% 54,975 41,543 $1.84M
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 9.5% 12,549 10,237 $1.18M
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 5.9% 15,414 12,199 $732K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 3.1% 11,094 9,310 $385K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 2.6% 11,181 4,090 $327K
99222 Initial hospital care, per day, moderate complexity 2.6% 5,018 3,822 $321K
59409 Vaginal delivery only (with or without episiotomy and/or forceps) 2.4% 511 412 $302K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 2.1% 4,324 3,426 $259K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 1.8% 1,548 1,332 $223K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 1.6% 2,438 1,939 $193K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 1.3% 2,257 1,818 $162K
151 more codes
93000 1.2% 26,063 $155K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1.2% 2,337 $151K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1.2% 7,793 $146K
99223 Prolong inpt eval add15 m 1.2% 1,641 $145K
45380 Colonoscopy, flexible; with biopsy, single or multiple <1% 576 $115K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress <1% 1,630 $114K
99442 <1% 2,642 $110K
99238 Hospital discharge day management, 30 minutes or less <1% 1,981 $103K
20610 <1% 3,713 $97K
99233 Hospital visit by a doctor, follow-up day (complex) <1% 1,855 $92K
99231 Subsequent hospital care, per day, straightforward or low complexity <1% 3,841 $79K
99221 <1% 1,702 $73K
31575 <1% 1,312 $68K
99460 <1% 961 $66K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) <1% 264 $64K
59514 <1% 87 $59K
92557 <1% 3,439 $57K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) <1% 1,078 $56K
20611 <1% 721 $48K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 6,636 $43K
99205 Prolong outpt/office vis <1% 325 $42K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 1,230 $40K
90677 <1% 1,154 $40K
99495 <1% 524 $40K
90686 <1% 4,613 $38K
95251 <1% 1,358 $33K
92567 <1% 4,588 $29K
99441 <1% 1,392 $28K
93295 <1% 1,174 $25K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 1,785 $22K
99443 <1% 1,050 $22K
99406 <1% 3,760 $21K
93296 <1% 2,276 $19K
87428 <1% 584 $19K
95115 <1% 3,713 $18K
93298 <1% 1,410 $18K
90715 <1% 991 $17K
93297 <1% 1,460 $16K
99490 Ccm add 20min <1% 1,034 $15K
G2066 Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and technician review, technical support and distribution of results <1% 1,416 $15K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 1,212 $12K
93018 <1% 1,636 $11K
83036 Hemoglobin; glycosylated (A1C) <1% 2,353 $11K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg <1% 3,620 $11K
81002 <1% 7,184 $11K
S0612 Annual gynecological examination, established patient <1% 207 $10K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) <1% 60 $10K
51798 <1% 1,808 $9K
93458 <1% 44 $9K
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 1,179 $7K
93227 <1% 510 $7K
76819 Fetal biophysical profile; without non-stress testing <1% 280 $6K
31231 <1% 38 $6K
95117 <1% 1,183 $6K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) <1% 87 $5K
90834 Psychotherapy session, about 45 minutes <1% 87 $5K
95165 Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials <1% 112 $5K
99283 Emergency room visit (moderate) <1% 117 $5K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed <1% 56 $4K
99284 Emergency room visit (serious) <1% 68 $4K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up <1% 212 $4K
85610 <1% 2,347 $4K
59430 <1% 22 $4K
81025 <1% 970 $4K
69210 <1% 250 $4K
90732 <1% 162 $4K
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) <1% 1,507 $3K
93294 <1% 456 $3K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 49 $3K
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg <1% 797 $3K
59025 Fetal non-stress test <1% 187 $3K
90670 <1% 144 $3K
93016 <1% 400 $2K
52000 <1% 62 $2K
G0179 Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care <1% 148 $2K
83655 <1% 444 $2K
93308 <1% 115 $2K
99462 <1% 55 $2K
90656 <1% 323 $2K
90681 <1% 348 $2K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe <1% 74 $1K
90750 <1% 65 $1K
93880 <1% 42 $1K
90648 <1% 554 $1K
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care <1% 64 $1K
92504 <1% 67 $1K
99496 <1% 96 $1K
90723 <1% 444 $1K
81003 <1% 833 $1K
93299 <1% 114 $1K
90698 <1% 50 $946.80
90472 Immunization administration, each additional vaccine (list separately) <1% 213 $821.46
93015 <1% 15 $775.08
51741 <1% 190 $728.26
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 74 $716.95
90662 <1% 664 $706.37
54150 <1% 14 $687.36
20550 <1% 39 $560.96
99152 <1% 32 $553.50
93290 <1% 30 $548.98
92558 <1% 75 $499.13
90633 <1% 182 $478.55
90651 <1% 17 $418.18
90744 <1% 26 $417.12
G0506 Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) <1% 22 $416.91
59200 <1% 18 $416.20
99177 <1% 664 $414.40
85018 <1% 471 $411.61
G8754 Most recent diastolic blood pressure < 90 mmhg <1% 19,459 $255.91
95800 <1% 17 $253.26
S0610 Annual gynecological examination, new patient <1% 27 $187.89
99173 <1% 173 $178.72
3075F <1% 4,033 $159.49
3078F <1% 7,928 $159.49
92551 <1% 40 $157.61
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit <1% 57 $141.22
99385 <1% 63 $136.18
G8753 Most recent systolic blood pressure >= 140 mmhg <1% 5,669 $131.27
3080F <1% 2,276 $128.50
1111F <1% 632 $126.39
G8752 Most recent systolic blood pressure < 140 mmhg <1% 16,576 $124.66
90707 <1% 19 $100.54
86580 <1% 36 $82.66
G0008 Administration of influenza virus vaccine <1% 1,133 $59.76
93793 <1% 694 $57.32
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 204 $42.85
G0009 Administration of pneumococcal vaccine <1% 66 $27.29
90700 <1% 22 $8.08
3044F <1% 5,772 $0.04
90381 <1% 14 $0.03
G8755 Most recent diastolic blood pressure >= 90 mmhg <1% 2,781 $0.02
3008F <1% 24,812 $0.02
3046F <1% 8,207 $0.02
3051F <1% 2,523 $0.01
G8598 Aspirin or another antiplatelet therapy used <1% 244 $0.01
3052F 0% 1,167 $0.00
1220F 0% 1,405 $0.00
3079F 0% 5,925 $0.00
3074F 0% 8,481 $0.00
76820 0% 17 $0.00
82962 0% 416 $0.00
1125F 0% 124 $0.00
1126F 0% 118 $0.00
99386 0% 16 $0.00
90461 0% 1,816 $0.00
3077F 0% 3,955 $0.00
90460 Immunization administration through 18 years of age via any route, first or only component 0% 3,554 $0.00
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 0% 14 $0.00
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 0% 25 $0.00
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 0% 78 $0.00
76821 0% 18 $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 officialSIEGELMAN, GARY (SENIOR VP/CMO)