Physician
Tidalhealth Peninsula Regional, INC.
Tidalhealth Peninsula Regional, INC. was paid $3.55M by Medicaid between Jan 2018 and Aug 2020, across 62 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 21% of everything it billed.
33Billing provider infoTIDALHEALTH PENINSULA REGIONAL, INC.
SALISBURY, MD 21801
SALISBURY, MD 21801
33aNPI1184832040assigned 05/21/2007
33bProvider typeEmergency Medicine Physician
28Total paid$3.55M
24GClaims76,857
24DCodes billed62
24AFirst – last monthJan 2018 – Aug 2020
Compared with peers
Next to other Emergency Medicine Physician providers in Maryland
Rank by total paid#13 of 100
Median peer was paid$35K
This provider vs. median101×
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.
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 | |
|---|---|---|---|
| 2018 | 19,508 | $1.36M | |
| 2019 | 24,487 | $1.08M | |
| 2020 | 32,862 | $1.10M |
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 | 21% | 13,444 | 10,634 | $753K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 15% | 8,096 | 2,774 | $534K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 13% | 12,508 | 9,682 | $461K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 11% | 9,088 | 2,782 | $408K |
| 99223 | Prolong inpt eval add15 m | 9.1% | 2,612 | 1,936 | $323K |
| 99239 | Hospital discharge day management, more than 30 minutes | 5.1% | 2,543 | 2,193 | $180K |
| 99220 | 4.8% | 1,531 | 1,380 | $172K | |
| 99222 | Initial hospital care, per day, moderate complexity | 3.3% | 1,262 | 994 | $117K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 2.8% | 1,289 | 1,088 | $100K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 1.7% | 273 | 209 | $59K |
| 99226 | 1.4% | 807 | 681 | $50K | |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 1.3% | 759 | 697 | $45K |
50 more codes
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 1.2% | 406 | $44K |
| 99217 | 1.2% | 870 | $41K | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | 1.0% | 1,410 | $37K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 281 | $29K |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | <1% | 1,762 | $26K |
| 99219 | <1% | 197 | $19K | |
| 93000 | <1% | 671 | $16K | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 3,492 | $13K |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | <1% | 107 | $12K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 2,731 | $12K |
| 99442 | <1% | 693 | $10K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 152 | $10K |
| 99221 | <1% | 89 | $9K | |
| 96413 | Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance | <1% | 72 | $8K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 232 | $8K |
| 99225 | <1% | 185 | $6K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 80 | $6K |
| 99495 | <1% | 41 | $5K | |
| 95811 | <1% | 46 | $5K | |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | <1% | 30 | $4K |
| 99441 | <1% | 243 | $3K | |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 31 | $3K |
| 90686 | <1% | 272 | $3K | |
| 99443 | <1% | 145 | $3K | |
| 99406 | <1% | 100 | $2K | |
| 90732 | <1% | 21 | $2K | |
| 94726 | <1% | 252 | $2K | |
| 94729 | <1% | 347 | $2K | |
| 62323 | <1% | 33 | $2K | |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 85 | $2K |
| 94375 | <1% | 109 | $1K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 67 | $734.00 |
| 95816 | <1% | 18 | $720.16 | |
| 27096 | <1% | 38 | $613.12 | |
| 90715 | <1% | 14 | $574.63 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 370 | $432.77 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | <1% | 160 | $366.48 |
| G0008 | Administration of influenza virus vaccine | <1% | 67 | $202.62 |
| 99497 | <1% | 144 | $134.46 | |
| 96127 | <1% | 18 | $86.86 | |
| 99490 | Ccm add 20min | <1% | 614 | $80.65 |
| 90674 | <1% | 204 | $80.01 | |
| 3074F | <1% | 2,060 | $80.00 | |
| 3078F | 0% | 1,578 | $0.00 | |
| 3077F | 0% | 982 | $0.00 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 33 | $0.00 |
| 0298T | 0% | 13 | $0.00 | |
| INVCD | 0% | 178 | $0.00 | |
| 3079F | 0% | 771 | $0.00 | |
| 3080F | 0% | 131 | $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 officialGARY, STEPHANIE (CFO)
| Provider | Location | Paid |
|---|---|---|
| Tidalhealth Nanticoke, INC | Seaford, DE | $19.24M |
| Atlantic General Hospital Corporation | Berlin, MD | $5.46M |
| Atlantic General Hospital Corporation | Berlin, MD | $1.89M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.