NPI: 1962027094 · SALISBURY, MD 21804 · Adolescent and Children Mental Health Clinic/Center · NPI assigned 06/15/2020
Authorized official PELOT, WILLIAM controls 15+ related entities in our dataset. Read more
| Authorized Official | PELOT, WILLIAM (CHIEF ADMINISTRATIVE OFFICER) |
| Parent Organization | TIDALHEALTH SPECIALTY CARE, LLC |
| NPI Enumeration Date | 06/15/2020 |
Other providers sharing the same authorized official: PELOT, WILLIAM
| Provider | City | State | Total 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 | $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 |
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 302 | $14K |
| 2021 | 1,783 | $129K |
| 2022 | 1,880 | $211K |
| 2023 | 2,610 | $294K |
| 2024 | 1,831 | $193K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 4,137 | 3,804 | $515K |
| 90834 | Psychotherapy, 45 minutes with patient | 2,467 | 1,198 | $190K |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 587 | 466 | $41K |
| 90832 | Psychotherapy, 30 minutes with patient | 339 | 278 | $17K |
| 99233 | Prolong inpt eval add15 m | 170 | 79 | $16K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 236 | 220 | $14K |
| 99239 | Hospital discharge day management, more than 30 minutes | 128 | 120 | $13K |
| 99223 | Prolong inpt eval add15 m | 85 | 71 | $12K |
| 90792 | Psychiatric diagnostic evaluation with medical services | 78 | 78 | $11K |
| 90791 | Psychiatric diagnostic evaluation | 52 | 51 | $8K |
| 99238 | Hospital discharge day management, 30 minutes or less | 127 | 99 | $3K |