Tidalhealth Specialty Care, LLC

Tidalhealth Specialty Care, LLC was paid $9K by Medicaid between Jan 2023 and Jul 2024, across 4 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 97% of everything it billed.

33Billing provider infoTIDALHEALTH SPECIALTY CARE, LLC
SALISBURY, MD 21804

33aNPI1083239933assigned 06/16/2020

33bProvider typePain Medicine (Anesthesiology) Physician

28Total paid$9K

24GClaims294

24DCodes billed4

24AFirst – last monthJan 2023 – Jul 2024

Compared with peers

Next to other Pain Medicine (Anesthesiology) Physician providers in Maryland

Rank by total paid#26 of 33

Median peer was paid$121K

This provider vs. median0.1×

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 PELOT, WILLIAM controls 15+ 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
2023	252	$7K
2024incomplete	42	$2K

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	97%	208	202	$8K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	3.5%	13	12	$297.71
3288F		0%	60	58	$0.00
1101F		0%	13	13	$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 officialPELOT, WILLIAM (CHIEF ADMINISTRATIVE OFFICER)

Parent organizationTIDALHEALTH SPECIALTY CARE, LLC

Same official

Other billing entities under PELOT, WILLIAM

Full network →

Provider	Location	Paid
Tidalhealth Specialty Care, LLC	Salisbury, MD	$11.72M
Tidalhealth Physician Network, INC.	Seaford, DE	$8.80M
Tidalhealth Physician Network, INC.	Seaford, DE	$2.86M
Tidalhealth Primary Care, LLC	Salisbury, MD	$2.44M
Tidalhealth Specialty Care, LLC	Salisbury, MD	$841K
Tidalhealth Specialty Care, LLC	Salisbury, MD	$39K
Tidalhealth Specialty Care, LLC	Salisbury, MD	$32K
Tidalhealth Specialty Care, LLC	Salisbury, MD	$5K
Tidalhealth Specialty Care, LLC	Salisbury, MD	$3K
Tidalhealth Specialty Care, LLC	Salisbury, MD	$3K
Tidalhealth Specialty Care, LLC	Salisbury, MD	$2K
Tidalhealth Specialty Care, LLC	Salisbury, MD	$1K
Tidalhealth Specialty Care, LLC	Salisbury, MD	$562.99
Tidalhealth Specialty Care, LLC	Salisbury, MD	$535.19
Tidalhealth Specialty Care, LLC	Salisbury, MD	$308.26

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.