Sun River Health INC
Sun River Health INC was paid $695K by Medicaid between Jan 2019 and Aug 2024, across 8 billing codes. Its largest line is 90832, psychotherapy session, about 30 minutes — 46% of everything it billed.
SHIRLEY, NY 11967
Next to other Case Management Agency providers in New York
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2019 | 2,680 | $433K | |
| 2020 | 891 | $145K | |
| 2021 | 379 | $80K | |
| 2022 | 147 | $28K | |
| 2023 | 26 | $6K | |
| 2024incomplete | 12 | $3K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 46% | 1,744 | 1,382 | $320K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 34% | 1,526 | 1,409 | $234K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | 7.9% | 342 | 104 | $55K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 5.8% | 225 | 222 | $40K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 4.8% | 158 | 152 | $34K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | <1% | 83 | 78 | $6K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 27 | 27 | $6K |
| 96127 | <1% | 30 | 30 | $138.32 |
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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Sun River Health INC. | Peekskill, NY | $546.52M |
| Sun River Health INC | Bronx, NY | $18.49M |
| Hudson River Primary Medical Care P.C. | Haverstraw, NY | $26K |
| Sun River Health INC | Beacon, NY | $11K |
| 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.