Clinic
Bayhealth Medical Center, INC
Bayhealth Medical Center, INC was paid $481K by Medicaid between Jul 2021 and Nov 2024, across 26 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 41% of everything it billed.
33Billing provider infoBAYHEALTH MEDICAL CENTER, INC
DOVER, DE 19901
DOVER, DE 19901
33aNPI1952996563assigned 03/05/2021
33bProvider typeClinic/Center
28Total paid$481K
24GClaims11,975
24DCodes billed26
24AFirst – last monthJul 2021 – Nov 2024
Compared with peers
Next to other Clinic/Center providers in Delaware
Rank by total paid#2 of 9
Median peer was paid$142K
This provider vs. median3.4×
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 | |
|---|---|---|---|
| 2021 | 503 | $44K | |
| 2022 | 2,348 | $171K | |
| 2023 | 5,886 | $191K | |
| 2024incomplete | 3,238 | $75K |
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 | 41% | 2,828 | 2,212 | $198K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 31% | 2,928 | 2,093 | $149K |
| 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 | 22% | 967 | 787 | $105K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 2.0% | 238 | 112 | $9K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.9% | 162 | 101 | $9K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 488 | 339 | $4K |
| 90686 | <1% | 359 | 252 | $3K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 59 | 32 | $3K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 81 | 58 | $409.09 |
| 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% | 54 | 44 | $117.21 |
| 3079F | 0% | 343 | 298 | $0.00 | |
| 3080F | 0% | 41 | 26 | $0.00 |
14 more codes
| 3074F | 0% | 390 | $0.00 | |
| 3008F | 0% | 671 | $0.00 | |
| 1220F | 0% | 241 | $0.00 | |
| 3044F | 0% | 164 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 532 | $0.00 |
| G8755 | Most recent diastolic blood pressure >= 90 mmhg | 0% | 12 | $0.00 |
| 3075F | 0% | 54 | $0.00 | |
| 1126F | 0% | 16 | $0.00 | |
| 3046F | 0% | 281 | $0.00 | |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 431 | $0.00 |
| 3077F | 0% | 188 | $0.00 | |
| 3078F | 0% | 309 | $0.00 | |
| 3051F | 0% | 24 | $0.00 | |
| G8753 | Most recent systolic blood pressure >= 140 mmhg | 0% | 114 | $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 (SENIOR VP/ CFO)
Parent organizationBAYHEALTH MEDICAL CENTER, INC
| 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 | $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.