Medicaid Provider Spending

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

BAYHEALTH MEDICAL CENTER, INC

NPI: 1295292183 · DOVER, DE 19901 · Medical Oncology Physician · NPI assigned 02/27/2019

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

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

$304K
Total Medicaid Paid
6,328
Total Claims
5,480
Beneficiaries
13
Codes Billed
2019-06
First Month
2024-12
Last Month

Provider Details

Authorized OfficialTRETINA, MICHAEL (SR. VICE PRESIDENT/ CFO)
NPI Enumeration Date02/27/2019

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. 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 770 $21K
2020 1,272 $54K
2021 1,156 $53K
2022 921 $52K
2023 1,405 $83K
2024 804 $41K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,080 1,791 $108K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,888 1,664 $71K
99442 1,068 959 $49K
99215 Prolong outpt/office vis 465 397 $35K
99222 Initial hospital care, per day, moderate complexity 205 184 $16K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 174 137 $11K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 110 91 $8K
99441 122 102 $2K
99443 101 71 $2K
99232 Subsequent hospital care, per day, moderate complexity 26 12 $646.07
99231 Subsequent hospital care, per day, straightforward or low complexity 19 13 $426.25
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 13 13 $402.21
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) 57 46 $278.27