Medicaid Provider Spending

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

SUN RIVER HEALTH INC

NPI: 1417352709 · SHIRLEY, NY 11967 · Case Management Agency · NPI assigned 10/29/2014

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

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

$695K
Total Medicaid Paid
4,135
Total Claims
3,404
Beneficiaries
8
Codes Billed
2019-01
First Month
2024-08
Last Month

Provider Details

Authorized OfficialLIPTON, ADAM (VP INFO/PRACTICE MGMT SYSTEMS)
Parent OrganizationSUN RIVER HEALTH INC
NPI Enumeration Date10/29/2014

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
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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 2,680 $433K
2020 891 $145K
2021 379 $80K
2022 147 $28K
2023 26 $6K
2024 12 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90832 Psychotherapy, 30 minutes with patient 1,744 1,382 $320K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,526 1,409 $234K
90853 Group psychotherapy (other than of a multiple-family group) 342 104 $55K
90791 Psychiatric diagnostic evaluation 225 222 $40K
90834 Psychotherapy, 45 minutes with patient 158 152 $34K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 83 78 $6K
90792 Psychiatric diagnostic evaluation with medical services 27 27 $6K
96127 30 30 $138.32