Agency
Sun River Health INC
Sun River Health INC was paid $11K by Medicaid between Jul 2018 and Sep 2024, across 5 billing codes. Its largest line is D1110, Prophylaxis - adult — 35% of everything it billed.
33Billing provider infoSUN RIVER HEALTH INC
BEACON, NY 12508
BEACON, NY 12508
33aNPI1083777841assigned 12/19/2006
33bProvider typeCase Management Agency
28Total paid$11K
24GClaims538
24DCodes billed5
24AFirst – last monthJul 2018 – Sep 2024
Compared with peers
Next to other Case Management Agency providers in New York
Rank by total paid#170 of 180
Median peer was paid$1.76M
This provider vs. median0.0×
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.
Entity ProliferationAuthorized official LIPTON, ADAM controls 12+ related entities in our dataset. Read more
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 | 26 | $271.80 | |
| 2019 | 52 | $2K | |
| 2020 | 53 | $1K | |
| 2021 | 202 | $4K | |
| 2022 | 149 | $3K | |
| 2024incomplete | 56 | $936.12 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 35% | 77 | 77 | $4K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 20% | 87 | 87 | $2K |
| D0230 | Intraoral - periapical each additional radiographic image | 18% | 187 | 187 | $2K |
| D0220 | Intraoral - periapical first radiographic image | 14% | 135 | 134 | $2K |
| D0274 | Bitewings - four radiographic images | 12% | 52 | 52 | $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.
From NPPES
Who's on the registration
Authorized officialLIPTON, ADAM (VP INFO/PRACTICE MGMT SYSTEMS)
Parent organizationSUN RIVER HEALTH
| Provider | Location | Paid |
|---|---|---|
| Sun River Health INC. | Peekskill, NY | $546.52M |
| Sun River Health INC | Bronx, NY | $18.49M |
| Sun River Health INC | Shirley, NY | $695K |
| Hudson River Primary Medical Care P.C. | Haverstraw, NY | $26K |
| Sun River Health INC | Patchogue, NY | $6K |
| Sun River Health INC | Coram, NY | $5K |
| Sun River Health INC | Riverhead, NY | $1K |
| Sun River Health INC | Wyandanch, NY | $1K |
| Sun River Health INC | Poughkeepsie, NY | $1K |
| Sun River Health INC | Bronx, NY | $979.04 |
| Sun River Health INC | Staten Island, NY | $386.23 |
| Sun River Health INC | Brentwood, NY | $58.24 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.