OIG EXCLUDED — This provider appears on the federal exclusion list
Valerie Sinclair
Compared to Marriage & Family Therapist Peers
Total spending distribution among 7 providers in this specialty
This provider's total spending of $735K is at the 50th percentile among 7 Marriage & Family Therapist providers.
Total Paid
$735K
$734,960
Total Claims
9,122
Beneficiaries
2,304
4.0 claims/patient
Avg Cost/Claim
$81
🔍 Analysis
Provider Overview
Valerie Sinclair is a Marriage & Family Therapist provider based in Lumberton, NC. From 2018-01 through 2022-07, this provider received $735K in Medicaid payments across 9K claims serving 2K beneficiaries, billing 3 distinct procedure codes.
Key Findings
- 📊98% of all billing comes from a single procedure code: 90837 (90837). This extreme concentration is unusual and may indicate specialized services or a narrow billing pattern.
Yearly Spending
Procedure Breakdown
Cost per claim compared to national benchmarks
This provider bills for 3 distinct procedure codes. The top code (90837 (Psychotherapy, 60 minutes)) accounts for 98% of total spending.
Psychotherapy, 60 minutes
$722K
8,998 claims · 98.2%
$12K
111 claims
$107.98
$99.21
Psychiatric diagnostic evaluation
$12K
111 claims · 1.6%
$1K
13 claims · 0.2%
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