Medicaid Provider Spending

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

TIDALHEALTH PHYSICIAN NETWORK, INC.

NPI: 1912324658 · SEAFORD, DE 19973 · Family Medicine Physician · NPI assigned 03/19/2014

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official PELOT, WILLIAM controls 15+ related entities in our dataset. Read more

$2.86M
Total Medicaid Paid
74,960
Total Claims
60,147
Beneficiaries
23
Codes Billed
2018-01
First Month
2024-02
Last Month

Provider Details

Authorized OfficialPELOT, WILLIAM (CHIEF ADMINISTRATOR OFFICER)
NPI Enumeration Date03/19/2014

Related Entities

Other providers sharing the same authorized official: PELOT, WILLIAM

ProviderCityStateTotal Paid
TIDALHEALTH SPECIALTY CARE, LLC SALISBURY MD $11.72M
TIDALHEALTH PHYSICIAN NETWORK, INC. SEAFORD DE $8.80M
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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 15,266 $177K
2019 10,018 $328K
2020 7,106 $737K
2021 10,869 $504K
2022 16,764 $651K
2023 14,763 $439K
2024 174 $20K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 24,548 17,418 $1.10M
S9083 Global fee urgent care centers 11,284 10,646 $1.09M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 11,623 8,960 $470K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 2,699 2,235 $165K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 621 544 $18K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 2,852 2,346 $9K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 35 35 $5K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 20 15 $894.72
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 556 517 $827.60
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 31 28 $521.50
81003 643 578 $331.79
99000 42 41 $86.10
3078F 5,867 4,945 $0.00
3077F 1,461 1,238 $0.00
1124F 18 18 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 743 613 $0.00
3080F 1,130 981 $0.00
3079F 2,392 1,997 $0.00
3075F 1,352 1,160 $0.00
3044F 202 189 $0.00
3074F 6,570 5,510 $0.00
1101F 250 112 $0.00
3008F 21 21 $0.00