Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

SUN RIVER HEALTH INC

NPI: 1083777841 · BEACON, NY 12508 · Case Management Agency · NPI assigned 12/19/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official LIPTON, ADAM controls 12+ related entities in our dataset. Read more

$11K
Total Medicaid Paid
538
Total Claims
537
Beneficiaries
5
Codes Billed
2018-07
First Month
2024-09
Last Month

Provider Details

Authorized OfficialLIPTON, ADAM (VP INFO/PRACTICE MGMT SYSTEMS)
Parent OrganizationSUN RIVER HEALTH
NPI Enumeration Date12/19/2006

Related Entities

Other providers sharing the same authorized official: LIPTON, ADAM

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 26 $271.80
2019 52 $2K
2020 53 $1K
2021 202 $4K
2022 149 $3K
2024 56 $936.12

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 77 77 $4K
D0120 Periodic oral evaluation - established patient 87 87 $2K
D0230 Intraoral - periapical each additional radiographic image 187 187 $2K
D0220 Intraoral - periapical first radiographic image 135 134 $2K
D0274 Bitewings - four radiographic images 52 52 $1K