Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Maryland for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Maryland only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Maryland (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Tidalhealth Peninsula Regional, Inc. (NPI 1780689463)

Field	Value
Entity Type	Organization
Organization	Tidalhealth Peninsula Regional, Inc.
Address	100 E Carroll St
City	Salisbury
State	MD
ZIP	21801
Taxonomy	General Acute Care Hospital
NPI Enumerated	June 17, 2005

Payer Source	Total Paid
Medicaid	$7.6M
Medicare	$0

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

151 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	16,080	$140	$2.2M
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	14,820	$100	$1.5M
G0378	Hospital observation service, per hour	2,520	$520	$1.3M
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	5,360	$180	$944.1K
99281	The provider sees a patient for the lowest level emergency department visit.	11,170	$30	$379.8K
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	3,760	$70	$256K
97597	The provider excises devitalized (dead) tissue from an open wound, choosing from a variety of techniques; treatment may include topical application of medicine or materials, wound assessment,…	1,990	$60	$117.4K
80048	The lab analyst performs a basic metabolic pane (BMP) test in which he measures the blood level of eight chemicals including total calcium, sodium, potassium, chloride, carbon dioxide, glucose, blood…	23,300	$10	$116.5K
H2017	Psychosocial rehabilitation services, per 15 minutes	1,740	$70	$113.3K
80053	The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.	11,240	$10	$67.5K

Showing 1–10 of 151

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Maryland providers billing the same CPT/HCPCS codes.

Claims Volume vs. Maryland Distribution

Tidalhealth Peninsula Regional, Inc. — 4 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Maryland

Full comparison — all codes billed, vs. Maryland median

151 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	17	150	1,540	$100	$1.2M
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	21	150	760	$130	$964.3K
G0378	Hospital observation service, per hour	10	40	1,330	$510	$824.7K
U0003	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high…	55	80	500	$70	$691.2K
G0480	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…	29	60	780	$80	$613.1K
80307	The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.	75	160	980	$50	$387.6K
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	9	150	940	$70	$345.1K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	2,337	3,280	610	$80	$296.1K
87591	The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique.	42	50	660	$30	$289.2K
87491	The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.	43	50	640	$30	$284.4K

Showing 1–10 of 151

Related Providers

Other providers that share a Tax Identification Number (TIN) with Tidalhealth Peninsula Regional, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Laboratory Corporation Of America Holdings	NC	Clinical Medical Laboratory	$214.6M	$1.4B
Laboratory Corporation Of America Holdings	NJ	Clinical Medical Laboratory	$143.3M	$717.5M
Laboratory Corporation Of America Holdings	OH	Clinical Medical Laboratory	$56.9M	$617M
Laboratory Corporation Of America Holdings	AL	Clinical Medical Laboratory	$60.5M	$289.1M
Laboratory Corporation Of America	AZ	Clinical Medical Laboratory	$38.5M	$265.9M
Laboratory Corporation Of America Holdings	NC	Clinical Medical Laboratory	$3.5M	$281.4M
Laboratory Corporation Of America Holdings	NC	Clinical Medical Laboratory	$0	$264.7M
Laboratory Corporation Of America Holdings	WV	Clinical Medical Laboratory	$1.9M	$220M
Laboratory Corporation Of America	FL	Clinical Medical Laboratory	$47.4M	$171.2M
Laboratory Corporation Of America	WA	Clinical Medical Laboratory	$25M	$186.7M

Nearby Providers

Other providers in the same ZIP code as Tidalhealth Peninsula Regional, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Emergency Service Associates PA	MD	Emergency Medicine Physician	$0	$24.6M
Hudson Health Services, Inc.	MD	Substance Abuse Rehabilitation Facility	$0	$23.1M
Tidalhealth Specialty Care, LLC	MD	Medical Specialty Clinic/Center	$0	$11.7M
Bnj Health Services Inc Salisbury	MD	Substance Use Disorder Rehabilitation Clinic/Center	$0	$10.3M
Ydiprmc LLC	MD	Urgent Care Clinic/Center	$0	$7.3M
Cnp Operating Co LLC	MD	Multi-Specialty Clinic/Center	$0	$7.3M
Justin Kucinski	MD	Internal Medicine Physician	$6.9M	$0
Cove Recovery, LLC	MD	Addiction (Substance Use Disorder) Counselor	$0	$5.2M
Gateway Pediatrics, LLC	MD	Pediatrics Physician	$0	$5.1M
Go-getters Inc	MD	Community/Behavioral Health Agency	$0	$5M

Tidalhealth Peninsula Regional, Inc. — Billing Profile & Reimbursement Data

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Tidalhealth Peninsula Regional, Inc. — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References