Medicaid Provider Spending

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

TIDALHEALTH PENINSULA REGIONAL, INC.

NPI: 1184832040 · SALISBURY, MD 21801 · Emergency Medicine Physician · NPI assigned 05/21/2007

$3.55M
Total Medicaid Paid
76,857
Total Claims
52,401
Beneficiaries
62
Codes Billed
2018-01
First Month
2020-08
Last Month

Provider Details

Authorized OfficialGARY, STEPHANIE (CFO)
NPI Enumeration Date05/21/2007

Related Entities

Other providers sharing the same authorized official: GARY, STEPHANIE

ProviderCityStateTotal Paid
TIDALHEALTH NANTICOKE, INC SEAFORD DE $19.24M
ATLANTIC GENERAL HOSPITAL CORPORATION BERLIN MD $5.46M
ATLANTIC GENERAL HOSPITAL CORPORATION BERLIN MD $1.89M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 19,508 $1.36M
2019 24,487 $1.08M
2020 32,862 $1.10M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 13,444 10,634 $753K
99233 Prolong inpt eval add15 m 8,096 2,774 $534K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 12,508 9,682 $461K
99232 Subsequent hospital care, per day, moderate complexity 9,088 2,782 $408K
99223 Prolong inpt eval add15 m 2,612 1,936 $323K
99239 Hospital discharge day management, more than 30 minutes 2,543 2,193 $180K
99220 1,531 1,380 $172K
99222 Initial hospital care, per day, moderate complexity 1,262 994 $117K
99215 Prolong outpt/office vis 1,289 1,088 $100K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 273 209 $59K
99226 807 681 $50K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 759 697 $45K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 406 197 $44K
99217 870 802 $41K
99231 Subsequent hospital care, per day, straightforward or low complexity 1,410 566 $37K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 281 261 $29K
G8420 Bmi is documented within normal parameters and no follow-up plan is required 1,762 1,349 $26K
99219 197 181 $19K
93000 671 599 $16K
G8510 Screening for depression is documented as negative, a follow-up plan is not required 3,492 2,665 $13K
95810 Polysomnography; sleep staging with 4 or more additional parameters 107 102 $12K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 2,731 2,370 $12K
99442 693 571 $10K
99238 Hospital discharge day management, 30 minutes or less 152 132 $10K
99221 89 80 $9K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 72 37 $8K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 232 222 $8K
99225 185 140 $6K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 80 78 $6K
99495 41 21 $5K
95811 46 39 $5K
45380 Colonoscopy, flexible; with biopsy, single or multiple 30 25 $4K
99441 243 233 $3K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 31 28 $3K
90686 272 181 $3K
99443 145 124 $3K
99406 100 95 $2K
90732 21 18 $2K
94726 252 227 $2K
94729 347 311 $2K
62323 33 27 $2K
99309 Subsequent nursing facility care, per day, low to moderate complexity 85 78 $2K
94375 109 102 $1K
83036 Hemoglobin; glycosylated (A1C) 67 63 $734.00
95816 18 14 $720.16
27096 38 26 $613.12
90715 14 13 $574.63
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 370 188 $432.77
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 160 137 $366.48
G0008 Administration of influenza virus vaccine 67 67 $202.62
99497 144 132 $134.46
96127 18 18 $86.86
99490 Ccm add 20min 614 602 $80.65
90674 204 94 $80.01
3074F 2,060 1,479 $80.00
3078F 1,578 1,123 $0.00
3077F 982 688 $0.00
90460 Immunization administration through 18 years of age via any route, first or only component 33 14 $0.00
0298T 13 12 $0.00
INVCD 178 147 $0.00
3079F 771 580 $0.00
3080F 131 93 $0.00