Tidalhealth Specialty Care, LLC

Tidalhealth Specialty Care, LLC was paid $5K by Medicaid between May 2023 and Dec 2023, across 5 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 36% of everything it billed.

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

33aNPI1952926891assigned 06/16/2020

33bProvider typePediatric Endocrinology Physician

28Total paid$5K

24GClaims251

24DCodes billed5

24AFirst – last monthMay 2023 – Dec 2023

Compared with peers

Next to other Pediatric Endocrinology Physician providers in Maryland

Rank by total paid#5 of 5

Median peer was paid$228K

This provider vs. median0.0×

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
2023	251	$5K

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	36%	63	57	$2K
99223	Prolong inpt eval add15 m	36%	49	39	$2K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	12%	46	30	$605.04
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	9.9%	78	43	$485.29
99239	Hospital discharge day management, more than 30 minutes	6.7%	15	14	$327.77

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)

Parent organizationTIDALHEALTH SPECIALTY CARE, LLC

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	$32K
Tidalhealth Specialty Care, LLC	Salisbury, MD	$9K
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.