Tidalhealth Specialty Care, LLC

Tidalhealth Specialty Care, LLC was paid $32K by Medicaid between Dec 2022 and May 2023, across 4 billing codes. Its largest line is 99223, Prolong inpt eval add15 m — 56% of everything it billed.

33Billing provider infoTIDALHEALTH SPECIALTY CARE, LLC
SALISBURY, MD 21801

33aNPI1437810785assigned 01/07/2022

33bProvider typeAdolescent and Children Mental Health Clinic/Center

28Total paid$32K

24GClaims223

24DCodes billed4

24AFirst – last monthDec 2022 – May 2023

Compared with peers

Next to other Adolescent and Children Mental Health Clinic/Center providers in Maryland

Rank by total paid#54 of 66

Median peer was paid$536K

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
2022	63	$9K
2023	160	$23K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99223	Prolong inpt eval add15 m	56%	89	79	$18K
99239	Hospital discharge day management, more than 30 minutes	29%	85	82	$9K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	11%	31	12	$3K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	4.3%	18	12	$1K

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)

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	$9K
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.