Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › DE › Seaford › NPI 1245214477
Lab

Tidalhealth Nanticoke, INC

Tidalhealth Nanticoke, INC was paid $19.24M by Medicaid between Jan 2018 and Dec 2024, across 335 billing codes. Its largest line is 99284, emergency room visit (serious) — 18% of everything it billed.

33Billing provider infoTIDALHEALTH NANTICOKE, INC
SEAFORD, DE 19973
33aNPI1245214477assigned 12/01/2005
28Total paid$19.24M
24GClaims817,437
24DCodes billed335
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Clinical Medical Laboratory providers in Delaware

Rank by total paid#1 of 11
Median peer was paid$134K
This provider vs. median144×

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

$0$200K$400K$600K2018201920202021202220232024
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
YearClaimsPaid
2018232,681$453K
2019186,906$1.99M
2020127,831$4.37M
202167,985$2.64M
202276,196$3.98M
202376,164$3.62M
2024incomplete49,674$2.18M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 18% 31,786 27,250 $3.53M
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 18% 29,072 25,876 $3.47M
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 8.6% 13,953 13,176 $1.66M
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 5.2% 13,328 9,690 $993K
88305 Level IV - Surgical pathology, gross and microscopic examination 4.3% 6,318 3,041 $831K
99282 Emergency department visit for the evaluation and management, low to moderate severity 3.8% 5,819 5,406 $731K
74177 Computed tomography, abdomen and pelvis; with contrast material 2.4% 3,701 2,978 $453K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 2.2% 1,668 1,370 $422K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 1.9% 21,051 16,055 $357K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 1.6% 13,034 12,135 $315K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 1.1% 52,775 40,547 $214K
45380 Colonoscopy, flexible; with biopsy, single or multiple 1.1% 781 614 $207K
323 more codes
87631 <1% 6,285 $181K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance <1% 10,051 $175K
70450 Computed tomography, head or brain; without contrast material <1% 4,697 $175K
T1015 A visit at a community health center or clinic (one all-in rate) <1% 2,403 $175K
80048 Basic metabolic panel (calcium, ionized) <1% 35,841 $158K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 1,111 $149K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 6,768 $147K
96375 Therapeutic injection; each additional sequential IV push <1% 8,255 $138K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 6,637 $131K
80053 Comprehensive metabolic panel <1% 22,593 $130K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion <1% 4,799 $129K
74176 Computed tomography, abdomen and pelvis; without contrast material <1% 1,916 $123K
80050 General health panel <1% 5,032 $123K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour <1% 3,902 $115K
71045 Radiologic examination, chest; single view <1% 15,977 $107K
G0378 Hospital observation service, per hour <1% 992 $107K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc <1% 2,998 $101K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 5,160 $94K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) <1% 3,290 $93K
87801 Infectious agent detection by nucleic acid; amplified probe, multiple organisms <1% 1,326 $83K
36415 Collection of venous blood by venipuncture <1% 40,958 $81K
80061 Lipid panel <1% 10,799 $79K
87481 <1% 2,568 $78K
81220 CFTR (cystic fibrosis transmembrane conductance regulator) gene analysis; common variants <1% 705 $77K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance <1% 1,678 $77K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 1,577 $75K
87086 Culture, bacterial; quantitative colony count, urine <1% 16,451 $74K
84484 <1% 14,748 $71K
93971 <1% 1,267 $70K
71275 Computed tomographic angiography, chest, with contrast material <1% 960 $68K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 1,220 $66K
80076 <1% 14,863 $62K
84443 Thyroid stimulating hormone (TSH) <1% 7,593 $61K
83690 <1% 15,410 $60K
95810 Polysomnography; sleep staging with 4 or more additional parameters <1% 384 $56K
76830 Ultrasound, transvaginal <1% 1,241 $55K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 3,524 $50K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe <1% 3,381 $50K
93970 <1% 674 $49K
36591 <1% 1,449 $49K
77067 Screening mammography, bilateral, including computer-aided detection <1% 2,051 $48K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 4,218 $47K
83735 <1% 15,059 $44K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 2,544 $43K
71250 <1% 1,137 $42K
71046 Radiologic examination, chest; 2 views <1% 5,499 $42K
95811 <1% 157 $41K
72125 Computed tomography, cervical spine; without contrast material <1% 950 $41K
76801 <1% 825 $38K
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r <1% 655 $38K
99281 Emergency department visit for the evaluation and management, self-limited or minor <1% 244 $37K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 732 $35K
81001 <1% 19,820 $34K
83036 Hemoglobin; glycosylated (A1C) <1% 6,674 $34K
87799 <1% 702 $34K
J2704 Injection, propofol, 10 mg <1% 8,240 $33K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 1,325 $33K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer <1% 1,190 $33K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm <1% 294 $32K
J7050 Infusion, normal saline solution, 250 cc <1% 4,186 $32K
76700 Ultrasound, abdominal, real time with image documentation; complete <1% 630 $31K
J7030 Infusion, normal saline solution , 1000 cc <1% 6,856 $29K
81025 <1% 6,684 $29K
88142 <1% 2,301 $28K
83880 <1% 2,597 $27K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types <1% 1,702 $26K
84702 <1% 3,314 $26K
82728 <1% 3,359 $25K
99213 Doctor's office visit, returning patient (routine) <1% 476 $25K
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed <1% 2,016 $24K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up <1% 626 $24K
80320 <1% 947 $23K
73130 <1% 1,669 $22K
70551 Magnetic resonance imaging, brain; without contrast material <1% 472 $22K
85027 <1% 7,350 $21K
87150 <1% 665 $21K
86803 <1% 2,626 $21K
73610 <1% 1,495 $20K
J1439 Injection, ferric carboxymaltose, 1 mg <1% 94 $19K
80081 <1% 939 $18K
73030 <1% 1,600 $18K
96367 <1% 452 $18K
83605 <1% 3,930 $18K
82607 <1% 2,244 $18K
Q0162 Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen <1% 2,812 $17K
87077 <1% 4,340 $17K
99214 Doctor's office visit, returning patient (more involved) <1% 481 $17K
73630 <1% 1,524 $16K
73564 <1% 1,232 $16K
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 8,370 $16K
76819 Fetal biophysical profile; without non-stress testing <1% 940 $16K
84439 <1% 3,273 $15K
77063 Screening digital breast tomosynthesis, bilateral <1% 2,031 $15K
94726 <1% 727 $14K
88342 <1% 356 $14K
87040 <1% 2,404 $14K
83550 <1% 2,952 $14K
85610 <1% 9,716 $13K
81513 <1% 152 $13K
83540 <1% 3,551 $13K
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 9,986 $12K
73562 <1% 855 $11K
85730 <1% 6,617 $11K
84703 <1% 3,288 $11K
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 5,518 $11K
94729 <1% 755 $11K
87184 <1% 3,744 $10K
82805 <1% 934 $10K
80329 <1% 133 $10K
72100 <1% 1,024 $10K
74018 <1% 1,262 $10K
82947 <1% 5,347 $9K
88304 <1% 738 $9K
86140 <1% 3,337 $9K
87512 <1% 317 $9K
94060 <1% 462 $9K
73110 <1% 793 $9K
87070 <1% 2,892 $8K
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis <1% 17 $8K
83021 <1% 914 $8K
J3010 Injection, fentanyl citrate, 0.1 mg <1% 5,550 $8K
82150 <1% 5,484 $7K
97010 <1% 2,197 $7K
70486 <1% 208 $7K
86850 <1% 1,848 $7K
77066 Tomosynthesis, mammo <1% 280 $7K
76642 <1% 450 $7K
85379 <1% 2,150 $7K
G0463 Hospital outpatient clinic visit for assessment and management of a patient <1% 614 $7K
82746 <1% 936 $6K
J2270 Injection, morphine sulfate, up to 10 mg <1% 4,191 $6K
J1200 Injection, diphenhydramine hcl, up to 50 mg <1% 2,993 $6K
76536 <1% 261 $6K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 147 $6K
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 1,631 $6K
99203 Doctor's office visit, new patient (routine) <1% 138 $5K
81003 <1% 4,912 $5K
82570 <1% 2,212 $5K
J2250 Injection, midazolam hydrochloride, per 1 mg <1% 4,988 $5K
86038 <1% 1,065 $5K
82043 <1% 1,770 $5K
85652 <1% 3,842 $5K
96376 <1% 1,380 $5K
J0690 Injection, cefazolin sodium, 500 mg <1% 1,795 $5K
90715 <1% 272 $5K
83615 <1% 1,429 $5K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 172 $5K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies <1% 206 $5K
87522 Neg quan hep c or qual rna <1% 391 $4K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets <1% 1,262 $4K
82105 <1% 494 $4K
87186 <1% 508 $4K
73502 <1% 385 $4K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour <1% 146 $4K
J1170 Injection, hydromorphone, up to 4 mg <1% 1,131 $4K
87340 <1% 887 $4K
97530 Therapeutic activities, direct patient contact, each 15 minutes <1% 234 $4K
86901 <1% 2,752 $4K
83970 <1% 278 $4K
94762 <1% 713 $4K
94618 <1% 171 $4K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 379 $3K
99152 <1% 713 $3K
82950 <1% 1,274 $3K
71260 Computed tomography, thorax, diagnostic; with contrast material <1% 160 $3K
76775 <1% 356 $3K
99153 Mod sedat endo service >5yrs <1% 596 $3K
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units <1% 2,884 $3K
86376 <1% 407 $3K
C1780 Lens, intraocular (new technology) <1% 20 $3K
86703 <1% 908 $3K
93880 <1% 39 $3K
J2765 Injection, metoclopramide hcl, up to 10 mg <1% 1,632 $3K
73080 <1% 273 $3K
83516 <1% 233 $3K
J0780 Injection, prochlorperazine, up to 10 mg <1% 123 $3K
97165 <1% 90 $2K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) <1% 13 $2K
72040 <1% 351 $2K
96417 <1% 40 $2K
86900 <1% 1,964 $2K
84425 <1% 197 $2K
J7120 Ringers lactate infusion, up to 1000 cc <1% 395 $2K
G0103 Prostate cancer screening; prostate specific antigen test (psa) <1% 542 $2K
84403 <1% 84 $2K
83020 <1% 172 $2K
82784 <1% 295 $2K
82247 <1% 586 $2K
86235 <1% 158 $2K
77065 Tomosynthesis, mammo <1% 68 $2K
86480 <1% 67 $2K
J2060 Injection, lorazepam, 2 mg <1% 1,364 $2K
84550 <1% 1,007 $2K
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg <1% 953 $2K
J1756 Injection, iron sucrose, 1 mg <1% 33 $2K
J2310 Injection, naloxone hydrochloride, per 1 mg <1% 85 $2K
82550 <1% 806 $2K
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg <1% 139 $2K
86592 <1% 863 $2K
87081 <1% 399 $1K
84436 <1% 383 $1K
84156 <1% 839 $1K
86618 <1% 232 $1K
84100 <1% 995 $1K
84165 <1% 242 $1K
97161 <1% 78 $1K
87147 <1% 781 $1K
97162 <1% 109 $1K
74019 <1% 273 $1K
78815 Positron emission tomography (PET) for limited area imaging <1% 12 $1K
82977 <1% 312 $1K
96523 <1% 17 $1K
J2543 Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) <1% 57 $1K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 35 $1K
73590 <1% 168 $994.39
82803 <1% 220 $961.10
86160 <1% 97 $959.08
86431 <1% 531 $955.20
83655 <1% 299 $940.90
87641 <1% 103 $919.96
J0131 Injection, acetaminophen, not otherwise specified,10 mg <1% 2,622 $914.24
80069 <1% 465 $877.45
84146 <1% 70 $856.12
93922 <1% 87 $854.42
82248 <1% 449 $850.61
U0005 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 <1% 235 $850.00
83525 <1% 118 $831.99
84460 <1% 429 $785.17
73560 <1% 122 $698.11
87899 <1% 72 $684.43
73565 <1% 39 $659.10
93925 <1% 29 $654.24
73090 <1% 47 $651.60
J0360 Injection, hydralazine hcl, up to 20 mg <1% 85 $538.68
83001 <1% 39 $525.41
36000 <1% 209 $506.63
86762 <1% 40 $469.60
86141 <1% 116 $461.68
82375 <1% 46 $461.33
12001 <1% 42 $456.62
85018 <1% 1,484 $454.60
J2370 Injection, phenylephrine hcl, up to 1 ml <1% 209 $438.94
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 116 $434.02
72072 <1% 13 $429.16
73140 <1% 108 $429.09
J0171 Injection, adrenalin, epinephrine, 0.1 mg <1% 183 $425.74
C1769 Guide wire <1% 179 $423.02
84402 <1% 16 $399.75
86200 <1% 62 $393.64
80074 <1% 109 $386.51
86255 <1% 19 $386.01
71101 <1% 59 $375.20
85014 <1% 1,252 $374.02
J7510 Prednisolone oral, per 5 mg <1% 236 $368.91
95816 <1% 15 $359.33
93225 <1% 60 $356.94
80055 <1% 47 $331.57
80177 <1% 102 $327.75
J7060 5% dextrose/water (500 ml = 1 unit) <1% 150 $319.50
87205 <1% 117 $318.14
10060 <1% 74 $310.49
82103 <1% 31 $297.81
85007 <1% 115 $282.24
87046 <1% 73 $266.06
97116 <1% 22 $263.92
86800 <1% 14 $260.43
93226 <1% 60 $257.30
81050 <1% 120 $254.94
82009 <1% 136 $251.23
J7512 Prednisone, immediate release or delayed release, oral, 1 mg <1% 648 $243.60
87045 <1% 72 $240.82
86021 <1% 19 $229.51
84155 <1% 228 $187.26
72131 <1% 13 $179.13
86225 <1% 53 $179.07
87088 <1% 26 $174.23
83010 <1% 12 $168.99
J3490 Unclassified drugs <1% 1,095 $166.46
84450 <1% 153 $161.97
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) <1% 12 $148.06
85041 <1% 898 $122.93
87210 <1% 49 $115.34
74022 <1% 95 $115.29
76870 <1% 46 $110.30
J3475 Injection, magnesium sulfate, per 500 mg <1% 38 $105.42
86308 <1% 18 $100.29
72110 <1% 35 $97.89
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg <1% 36 $93.09
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) <1% 210 $68.98
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 124 $59.16
87493 <1% 32 $47.18
J3480 Injection, potassium chloride, per 2 meq <1% 79 $46.19
J0330 Injection, succinylcholine chloride, up to 20 mg <1% 28 $45.95
82272 <1% 103 $42.26
84480 <1% 147 $38.19
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg <1% 20 $35.69
93017 <1% 13 $34.91
82140 <1% 16 $32.06
82565 <1% 81 $29.80
87209 <1% 14 $21.75
J1630 Injection, haloperidol, up to 5 mg <1% 33 $21.38
J2300 Injection, nalbuphine hydrochloride, per 10 mg <1% 16 $18.62
80185 <1% 116 $16.36
86704 <1% 95 $14.88
84520 <1% 32 $13.97
87177 <1% 14 $10.77
J0290 Injection, ampicillin sodium, 500 mg <1% 27 $9.80
A9270 Non-covered item or service <1% 2,597 $6.64
96160 <1% 15 $6.08
85045 <1% 16 $5.34
J0713 Injection, ceftazidime, per 500 mg <1% 33 $3.81
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals <1% 103 $0.01
96127 0% 27 $0.00
83002 0% 12 $0.00
94010 0% 13 $0.00
G8979 Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 0% 126 $0.00
G8985 Carrying, moving and handling objects, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 0% 37 $0.00
82785 0% 29 $0.00
86003 0% 14 $0.00
90658 0% 30 $0.00
G8984 Carrying, moving & handling objects functional limitation, current status, at therapy episode outset and at reporting intervals 0% 35 $0.00
83721 0% 15 $0.00
86923 0% 14 $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 (VICE PRESIDENT-FINANCE/ CFO)
Same official

Other billing entities under GARY, STEPHANIE

Full network →
ProviderLocationPaid
Atlantic General Hospital CorporationBerlin, MD$5.46M
Tidalhealth Peninsula Regional, INC.Salisbury, MD$3.55M
Atlantic General Hospital CorporationBerlin, MD$1.89M

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