Physician
Tidalhealth Physician Network, INC.
Tidalhealth Physician Network, INC. was paid $2.86M by Medicaid between Jan 2018 and Feb 2024, across 23 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 39% of everything it billed.
33Billing provider infoTIDALHEALTH PHYSICIAN NETWORK, INC.
SEAFORD, DE 19973
SEAFORD, DE 19973
33aNPI1912324658assigned 03/19/2014
33bProvider typeFamily Medicine Physician
28Total paid$2.86M
24GClaims74,960
24DCodes billed23
24AFirst – last monthJan 2018 – Feb 2024
Compared with peers
Next to other Family Medicine Physician providers in Delaware
Rank by total paid#5 of 97
Median peer was paid$101K
This provider vs. median28×
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 | |
|---|---|---|---|
| 2018 | 15,266 | $177K | |
| 2019 | 10,018 | $328K | |
| 2020 | 7,106 | $737K | |
| 2021 | 10,869 | $504K | |
| 2022 | 16,764 | $651K | |
| 2023 | 14,763 | $439K | |
| 2024incomplete | 174 | $20K |
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 | 39% | 24,548 | 17,418 | $1.10M |
| S9083 | Global fee urgent care centers | 38% | 11,284 | 10,646 | $1.09M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 16% | 11,623 | 8,960 | $470K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 5.8% | 2,699 | 2,235 | $165K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 621 | 544 | $18K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 2,852 | 2,346 | $9K |
| 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 | <1% | 35 | 35 | $5K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 20 | 15 | $894.72 |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 556 | 517 | $827.60 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 31 | 28 | $521.50 |
| 81003 | <1% | 643 | 578 | $331.79 | |
| 99000 | <1% | 42 | 41 | $86.10 |
11 more codes
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 ADMINISTRATOR OFFICER)
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.