Sinclair, Valerie

Sinclair, Valerie was paid $735K by Medicaid between Jan 2018 and Jul 2022, across 3 billing codes. Its largest line is 90837, psychotherapy session, about an hour — 98% of everything it billed.

33Billing provider infoSINCLAIR, VALERIE
LUMBERTON, NC 28358

33aNPI1770738460assigned 11/21/2008

33bProvider typeMarriage & Family Therapist

28Total paid$735K

24GClaims9,122

24DCodes billed3

24AFirst – last monthJan 2018 – Jul 2022

Compared with peers

Next to other Marriage & Family Therapist providers in North Carolina

Rank by total paid#3 of 33

Median peer was paid$36K

This provider vs. median21×

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 (12/19/2024).

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	2,698	$228K
2019	2,468	$208K
2020	1,477	$122K
2021	1,527	$119K
2022	952	$59K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
90837	Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient	98%	8,998	2,182	$722K
90791	Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation	1.6%	111	109	$12K
90837GT		<1%	13	13	$1K

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.