Physician
DR Terry Sinclair Health Clinic INC
DR Terry Sinclair Health Clinic INC was paid $598K by Medicaid between Jan 2019 and Nov 2024, across 14 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 56% of everything it billed.
33Billing provider infoDR TERRY SINCLAIR HEALTH CLINIC INC
WINCHESTER, VA 22601
WINCHESTER, VA 22601
33aNPI1245765544assigned 04/24/2017
33bProvider typeAdult Medicine Physician
28Total paid$598K
24GClaims12,995
24DCodes billed14
24AFirst – last monthJan 2019 – Nov 2024
Compared with peers
Next to other Adult Medicine Physician providers in Virginia
Rank by total paid#2 of 7
Median peer was paid$3K
This provider vs. median184×
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.
Box 24A · Dates of service
Paid by month
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2019 | 1,511 | $65K | |
| 2020 | 1,561 | $79K | |
| 2021 | 1,942 | $100K | |
| 2022 | 2,781 | $133K | |
| 2023 | 2,957 | $124K | |
| 2024incomplete | 2,243 | $97K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 56% | 4,090 | 3,773 | $332K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 35% | 3,805 | 3,348 | $207K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 3.9% | 1,483 | 1,293 | $23K |
| 96127 | 2.1% | 2,839 | 2,260 | $13K | |
| 99443 | 1.3% | 120 | 118 | $8K | |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 1.0% | 61 | 55 | $6K |
| 99442 | <1% | 115 | 113 | $6K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 13 | 13 | $1K |
| T1013 | Sign language or oral interpretive services, per 15 minutes | <1% | 319 | 256 | $1K |
| 0001A | <1% | 16 | 16 | $640.00 | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 14 | 14 | $517.02 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 14 | 14 | $394.20 |
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 officialMCCLURE, KATRINA (EXECUTIVE DIRECTOR)