Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Clinic

Tidalhealth Specialty Care, LLC

Tidalhealth Specialty Care, LLC was paid $841K by Medicaid between Sep 2020 and Oct 2024, across 11 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 61% of everything it billed.

33Billing provider infoTIDALHEALTH SPECIALTY CARE, LLC
SALISBURY, MD 21804
33aNPI1962027094assigned 06/15/2020
28Total paid$841K
24GClaims8,406
24DCodes billed11
24AFirst – last monthSep 2020 – Oct 2024
Compared with peers

Next to other Adolescent and Children Mental Health Clinic/Center providers in Maryland

Rank by total paid#29 of 66
Median peer was paid$536K
This provider vs. median1.6×

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

$0$20K$40K2018201920202021202220232024
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
YearClaimsPaid
2020302$14K
20211,783$129K
20221,880$211K
20232,610$294K
2024incomplete1,831$193K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 61% 4,137 3,804 $515K
90834 Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient 23% 2,467 1,198 $190K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4.9% 587 466 $41K
90832 Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient 2.0% 339 278 $17K
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 1.9% 170 79 $16K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1.6% 236 220 $14K
99239 Hospital discharge day management, more than 30 minutes 1.6% 128 120 $13K
99223 Prolong inpt eval add15 m 1.4% 85 71 $12K
90792 Psychiatric diagnostic evaluation with medical services 1.3% 78 78 $11K
90791 Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation <1% 52 51 $8K
99238 Hospital discharge day management, 30 minutes or less <1% 127 99 $3K

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 →

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.