Physician
Bayhealth Medical Center, INC
Bayhealth Medical Center, INC was paid $304K by Medicaid between Jun 2019 and Dec 2024, across 13 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 36% of everything it billed.
33Billing provider infoBAYHEALTH MEDICAL CENTER, INC
DOVER, DE 19901
DOVER, DE 19901
33aNPI1295292183assigned 02/27/2019
33bProvider typeMedical Oncology Physician
28Total paid$304K
24GClaims6,328
24DCodes billed13
24AFirst – last monthJun 2019 – Dec 2024
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 | |
|---|---|---|---|
| 2019 | 770 | $21K | |
| 2020 | 1,272 | $54K | |
| 2021 | 1,156 | $53K | |
| 2022 | 921 | $52K | |
| 2023 | 1,405 | $83K | |
| 2024incomplete | 804 | $41K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 36% | 2,080 | 1,791 | $108K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 23% | 1,888 | 1,664 | $71K |
| 99442 | 16% | 1,068 | 959 | $49K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 12% | 465 | 397 | $35K |
| 99222 | Initial hospital care, per day, moderate complexity | 5.2% | 205 | 184 | $16K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 3.6% | 174 | 137 | $11K |
| 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 | 2.6% | 110 | 91 | $8K |
| 99441 | <1% | 122 | 102 | $2K | |
| 99443 | <1% | 101 | 71 | $2K | |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | <1% | 26 | 12 | $646.07 |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 19 | 13 | $426.25 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 13 | 13 | $402.21 |
1 more codes
| 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% | 57 | $278.27 |
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 (SR. VICE PRESIDENT/ CFO)
| Provider | Location | Paid |
|---|---|---|
| Bayhealth Medical Center, INC. | Milford, DE | $39.52M |
| Bayhealth Emergency Physicians LLC | Dover, DE | $16.74M |
| 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 | $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.