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Sharon D Waltz

Psychologist, Clinical·Pelham, AL·NPI: 1295025997SharePrint ReportML Risk: 86%

Compared to Psychologist, Clinical Peers

Total spending distribution among 7 providers in this specialty

P25MedianP75P90

This provider's total spending of $742K is at the 75th percentile among 7 Psychologist, Clinical providers.

Total Paid

$742K

$741,569

Total Claims

7,529

Beneficiaries

3,775

2.0 claims/patient

Avg Cost/Claim

$98

🔍 Analysis

Provider Overview

Sharon D Waltz is a Psychologist, Clinical provider based in Pelham, AL. From the 2018–2024 period, this provider received $742K in Medicaid payments across 8K claims serving 4K beneficiaries.

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 6 distinct procedure codes. The top code (96116 (Neurobehavioral status examination, first hour)) accounts for 36% of total spending.

96116Top 25%

Neurobehavioral status examination, first hour

$264K

2,117 claims · 35.6%

Your Cost: $124.76/claim|Median: $46.64
2.7× median
90837Normal range

Psychotherapy, 60 minutes

$197K

2,422 claims · 26.5%

Your Cost: $81.25/claim|Median: $85.66
0.9× median
90847Normal range

Family psychotherapy with patient, 50 min

$192K

2,382 claims · 25.8%

Your Cost: $80.47/claim|Median: $77.33
1.0× median
96101Normal range

$61K

296 claims · 8.2%

Your Cost: $206.62/claim|Median: $196.08
1.1× median
90791Normal range

Psychiatric diagnostic evaluation

$27K

293 claims · 3.6%

Your Cost: $91.99/claim|Median: $99.21
0.9× median
90846Normal range

Family psychotherapy without patient, 50 min

$880

19 claims · 0.1%

Your Cost: $46.32/claim|Median: $76.61
0.6× median