SHARON D WALTZ, Psy.D.
NPI 1295025997, individual, Pelham, AL, Psychologist, Clinical
- Hours beyond a day in 5 months, but with up to 857 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
- Records needed.
Public list actions
Hours billed per day
Medicaid billing converted into hours of hands-on care per day. The lower bound counts one unit per claim line and needs no price; the other two divide dollars by a unit price, the conservative one at 1.5 times the price. The clinician on the claim may be a supervisor under state rules, so billing organizations are counted too.
| month | what was found | hours per day, lower bound | hours per day, at price | hours per day, conservative | per working day | patients | billing organizations | codes | paid |
|---|---|---|---|---|---|---|---|---|---|
| Jan 2018 | More hours than a day holds, even counting one unit per claim line | 50.9 | 59.1 | 39.4 | 53.1 | 683 | 1 | 90791 90832 90837 90846 90847 96116 | $138K |
| Feb 2018 | More hours than a day holds, even counting one unit per claim line | 64.9 | 75.4 | 50.3 | 70.4 | 757 | 1 | 90791 90837 90847 96116 | $159K |
| Mar 2018 | More hours than a day holds, even counting one unit per claim line | 59.9 | 79.7 | 53.2 | 74.9 | 857 | 1 | 90791 90837 90847 96116 | $193K |
| Apr 2018 | More hours than a day holds, even counting one unit per claim line | 58.6 | 81.7 | 54.5 | 77.8 | 845 | 1 | 90791 90837 90847 96116 | $195K |
| May 2018 | More hours than a day holds, even counting one unit per claim line | 24.2 | 33.7 | 22.5 | 30.3 | 490 | 1 | 90791 90837 90847 96116 | $82K |
| Jun 2018 | More hours than a day holds, even counting one unit per claim line | 29.7 | 26.5 | 17.7 | 25.2 | 433 | 1 | 90791 90837 90847 96116 | $69K |
| Jul 2018 | More hours than a day holds, even counting one unit per claim line | 26.9 | 22.7 | 15.1 | 21.3 | 480 | 1 | 90791 90832 90837 90847 96116 | $61K |
| Aug 2018 | More hours than a day holds, even counting one unit per claim line | 25.1 | 20.6 | 13.7 | 18.5 | 491 | 1 | 90791 90832 90837 90846 90847 | $55K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | SHARON D WALTZ, Psy.D. |
| Type | Individual, sole proprietor |
| Status | Active |
| NPI issued | April 14, 2011, last updated September 29, 2011 |
| Practice location | 1365 CALISTON WAY, Pelham, AL 35124, 330-966-0922 |
| Specialties | Psychologist, Clinical (103TC0700X, primary, license 1228 AL) Psychologist (103T00000X) Clinical Neuropsychologist (103G00000X, license AL-1228 AL) |
Procedures billed
The specific codes behind the dollars. Medicaid figures come from T-MSIS (2018 to 2024) and are compared with every other provider billing the same code; Medicare figures come from the 2024 physician and supplier file and compare this provider's submitted charge with what Medicare allowed, against the usual ratio for that code.
| code | what it is | paid | share | per patient-month | typical | rank among providers | |
|---|---|---|---|---|---|---|---|
| 96116 | Exam of neurobehavioral status, first hour | $585K | 38% | $255 | $59 (top 5% from $351) | 92nd percentile | |
| 90837 | Psychotherapy, 1 hourhistory of abuse | $372K | 24% | $161 | $191 (top 5% from $442) | 36th percentile | |
| 90847 | Family psychotherapy with patient, 50 minutes | $366K | 24% | $161 | $130 (top 5% from $458) | 65th percentile | |
| 96101 | Medicaid service code | $137K | 9% | $248 | $219 (top 5% from $671) | 57th percentile | |
| 90791 | Psychiatric diagnostic evaluation | $55K | 4% | $100 | $105 (top 5% from $228) | 46th percentile | |
| 90832 | Psychotherapy, 30 minutes | $4K | 0% | $41 | $59 (top 5% from $239) | too few months to rank | |
| 90846 | Family psychotherapy without patient, 50 minutes | $2K | 0% | $50 | $113 (top 5% from $277) | too few months to rank | |
| 90834 | Psychotherapy, 45 minutes | $466 | 0% | $39 | $101 (top 5% from $318) | too few months to rank |
In this area
2 providers in Shelby County, AL carry an indicator in the public record, with $7.3M at stake between them. The most common is part of a provider network, on 1 of them, followed by more hours than a day holds on 1.
| tier | provider | at stake | why |
|---|---|---|---|
| 3 | MID-SOUTH HOME HEALTH, LLC Hoover, AL, ranked 3326 | $0 |
|
| 4 | ANDREW ROZSA Birmingham, AL, ranked 8332 | $7.3M |
|
Recent enforcement in AL
All releasesDepartment of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.
Referral packet
The packet is a draft for a reviewer. It reads every public record behind this case, states what the records show with a citation for each finding, names the regulation each finding relates to, and lists the ordinary explanations to rule out first. It never asserts intent.