Waltz, Sharon

Waltz, Sharon was paid $742K by Medicaid between Jan 2018 and Jul 2018, across 6 billing codes. Its largest line is 96116, — 36% of everything it billed.

33Billing provider infoWALTZ, SHARON
PELHAM, AL 35124

33aNPI1295025997assigned 04/14/2011

33bProvider typeClinical Psychologist

28Total paid$742K

24GClaims7,529

24DCodes billed6

24AFirst – last monthJan 2018 – Jul 2018

Compared with peers

Next to other Clinical Psychologist providers in Alabama

Rank by total paid#5 of 25

Median peer was paid$107K

This provider vs. median7.0×

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.

OIG exclusionListed on the federal exclusion list (06/20/2022).

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
2018	7,529	$742K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
96116		36%	2,117	1,017	$264K
90837	Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient	27%	2,422	1,118	$197K
90847	Family psychotherapy with the patient present, 50 minutes	26%	2,382	1,082	$192K
96101		8.2%	296	271	$61K
90791	Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation	3.6%	293	270	$27K
90846	Family psychotherapy without the patient present, 50 minutes	<1%	19	17	$880.00

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.