TIDALHEALTH SPECIALTY CARE, LLC

NPI: 1083239933 · SALISBURY, MD 21804 · Pain Medicine (Anesthesiology) Physician · NPI assigned 06/16/2020

Billing Flags · Automated signals — not evidence of fraud

Entity Proliferation

Authorized official PELOT, WILLIAM controls 15+ related entities in our dataset. Read more

$9K

Total Medicaid Paid

294

Total Claims

285

Beneficiaries

Codes Billed

2023-01

First Month

2024-07

Last Month

Provider Details

Authorized Official	PELOT, WILLIAM (CHIEF ADMINISTRATIVE OFFICER)
Parent Organization	TIDALHEALTH SPECIALTY CARE, LLC
NPI Enumeration Date	06/16/2020

Other providers sharing the same authorized official: PELOT, WILLIAM

Provider	City	State	Total 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

Year	Claims	Total Paid
2023	252	$7K
2024	42	$2K

Code	Description	Claims	Beneficiaries	Total Paid
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	208	202	$8K
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	13	12	$297.71
3288F		60	58	$0.00
1101F		13	13	$0.00