Medicaid Provider Spending

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

TIDALHEALTH SPECIALTY CARE, LLC

NPI: 1952926891 · SALISBURY, MD 21801 · Pediatric Endocrinology Physician · NPI assigned 06/16/2020

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

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

$5K
Total Medicaid Paid
251
Total Claims
183
Beneficiaries
5
Codes Billed
2023-05
First Month
2023-12
Last Month

Provider Details

Authorized OfficialPELOT, WILLIAM (CHIEF ADMINISTRATIVE OFFICER)
Parent OrganizationTIDALHEALTH SPECIALTY CARE, LLC
NPI Enumeration Date06/16/2020

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 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 251 $5K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 63 57 $2K
99223 Prolong inpt eval add15 m 49 39 $2K
99233 Prolong inpt eval add15 m 46 30 $605.04
99232 Subsequent hospital care, per day, moderate complexity 78 43 $485.29
99239 Hospital discharge day management, more than 30 minutes 15 14 $327.77