Clinic
Tidalhealth Specialty Care, LLC
Tidalhealth Specialty Care, LLC was paid $11.72M by Medicaid between Sep 2020 and Dec 2024, across 98 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 31% of everything it billed.
33Billing provider infoTIDALHEALTH SPECIALTY CARE, LLC
SALISBURY, MD 21801
SALISBURY, MD 21801
33aNPI1619504735assigned 03/26/2020
33bProvider typeMedical Specialty Clinic/Center
28Total paid$11.72M
24GClaims322,548
24DCodes billed98
24AFirst – last monthSep 2020 – Dec 2024
Compared with peers
Next to other Medical Specialty Clinic/Center providers in Maryland
Rank by total paid#2 of 23
Median peer was paid$104K
This provider vs. median112×
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 | |
|---|---|---|---|
| 2020 | 12,374 | $475K | |
| 2021 | 64,290 | $2.22M | |
| 2022 | 89,574 | $3.24M | |
| 2023 | 95,557 | $3.62M | |
| 2024incomplete | 60,753 | $2.17M |
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 | 31% | 51,894 | 38,450 | $3.68M |
| 99223 | Prolong inpt eval add15 m | 9.6% | 11,846 | 8,623 | $1.13M |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 6.9% | 18,760 | 8,644 | $804K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 6.7% | 16,438 | 12,926 | $790K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 6.5% | 27,868 | 8,046 | $764K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 6.0% | 9,561 | 7,876 | $707K |
| 99220 | 4.6% | 5,123 | 3,925 | $543K | |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 2.8% | 4,142 | 3,382 | $330K |
| 99239 | Hospital discharge day management, more than 30 minutes | 2.4% | 6,371 | 5,369 | $277K |
| 96413 | Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance | 2.3% | 937 | 486 | $273K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 2.2% | 743 | 600 | $254K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 1.8% | 41,685 | 28,972 | $209K |
86 more codes
| 93000 | 1.7% | 12,597 | $205K | |
| 99222 | Initial hospital care, per day, moderate complexity | 1.3% | 3,497 | $153K |
| 99215 | Doctor's office visit, returning patient (complex) | 1.3% | 2,713 | $150K |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | <1% | 4,780 | $112K |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | <1% | 874 | $105K |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | <1% | 1,086 | $98K |
| 3074F | <1% | 17,382 | $86K | |
| J2785 | Injection, regadenoson, 0.1 mg | <1% | 660 | $77K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 4,314 | $76K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 1,002 | $66K |
| 3078F | <1% | 13,335 | $63K | |
| 99226 | <1% | 1,469 | $50K | |
| 3044F | <1% | 3,944 | $49K | |
| 93015 | <1% | 1,127 | $43K | |
| A9500 | Technetium tc-99m sestamibi, diagnostic, per study dose | <1% | 659 | $42K |
| 3079F | <1% | 6,947 | $33K | |
| 95811 | <1% | 261 | $31K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 552 | $30K |
| 93298 | <1% | 2,061 | $30K | |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | <1% | 750 | $29K |
| 99217 | <1% | 968 | $28K | |
| 99460 | <1% | 287 | $27K | |
| 99205 | Prolong outpt/office vis | <1% | 366 | $23K |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 4,753 | $23K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,130 | $22K |
| 62323 | <1% | 247 | $19K | |
| G2066 | Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and technician review, technical support and distribution of results | <1% | 1,594 | $19K |
| 94726 | <1% | 1,902 | $16K | |
| 3051F | <1% | 1,115 | $15K | |
| 94375 | <1% | 1,471 | $15K | |
| 3075F | <1% | 3,072 | $13K | |
| 94729 | <1% | 1,942 | $11K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 1,347 | $11K |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | <1% | 81 | $11K |
| 99225 | <1% | 515 | $11K | |
| 3052F | <1% | 678 | $10K | |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 134 | $10K |
| 3046F | <1% | 781 | $10K | |
| 85610 | <1% | 4,096 | $9K | |
| 1100F | <1% | 328 | $9K | |
| 93296 | <1% | 733 | $9K | |
| 95251 | <1% | 435 | $8K | |
| 93280 | <1% | 358 | $7K | |
| 93793 | <1% | 3,099 | $7K | |
| 99442 | <1% | 207 | $7K | |
| 99219 | <1% | 123 | $5K | |
| 99221 | <1% | 175 | $5K | |
| 3077F | <1% | 1,779 | $5K | |
| 99462 | <1% | 113 | $5K | |
| 93248 | <1% | 331 | $5K | |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | <1% | 29 | $5K |
| 93244 | <1% | 350 | $5K | |
| 54150 | <1% | 60 | $4K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 1,106 | $4K |
| 94060 | <1% | 353 | $4K | |
| 99406 | <1% | 92 | $3K | |
| 93458 | <1% | 36 | $3K | |
| 93018 | <1% | 346 | $3K | |
| 96127 | <1% | 555 | $3K | |
| 93016 | <1% | 329 | $2K | |
| 95816 | <1% | 57 | $2K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 28 | $2K |
| 97803 | <1% | 48 | $2K | |
| 93970 | <1% | 118 | $2K | |
| 93308 | <1% | 198 | $2K | |
| 93290 | <1% | 31 | $2K | |
| 90686 | <1% | 86 | $1K | |
| 93227 | <1% | 115 | $1K | |
| G8419 | Bmi documented outside normal parameters, no follow-up plan documented, no reason given | <1% | 54 | $1K |
| 93971 | <1% | 106 | $1K | |
| 27096 | <1% | 29 | $703.54 | |
| 93242 | <1% | 123 | $696.63 | |
| Q3014 | Telehealth originating site facility fee | <1% | 53 | $685.11 |
| 93295 | <1% | 101 | $680.73 | |
| 93246 | <1% | 121 | $637.84 | |
| 99441 | <1% | 30 | $599.64 | |
| 93297 | <1% | 39 | $455.70 | |
| 1124F | <1% | 40 | $420.14 | |
| 99152 | <1% | 49 | $306.68 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 51 | $259.57 |
| 93294 | <1% | 38 | $225.22 | |
| 93325 | <1% | 20 | $86.80 | |
| 3080F | 0% | 538 | $0.00 | |
| 1101F | 0% | 3,020 | $0.00 | |
| 3288F | 0% | 4,635 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 26 | $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 officialPELOT, WILLIAM (CHIEF ADMINISTRATIVE OFFICER)
| Provider | Location | Paid |
|---|---|---|
| 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 | $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.