Medicaid Provider Spending

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

TIDALHEALTH SPECIALTY CARE, LLC

NPI: 1962027094 · SALISBURY, MD 21804 · Adolescent and Children Mental Health Clinic/Center · NPI assigned 06/15/2020

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

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

$841K
Total Medicaid Paid
8,406
Total Claims
6,464
Beneficiaries
11
Codes Billed
2020-09
First Month
2024-10
Last Month

Provider Details

Authorized OfficialPELOT, WILLIAM (CHIEF ADMINISTRATIVE OFFICER)
Parent OrganizationTIDALHEALTH SPECIALTY CARE, LLC
NPI Enumeration Date06/15/2020

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 $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
2020 302 $14K
2021 1,783 $129K
2022 1,880 $211K
2023 2,610 $294K
2024 1,831 $193K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal 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