Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › NY › Coram › NPI 1437418456
Agency

Sun River Health INC

Sun River Health INC was paid $5K by Medicaid between Jan 2018 and Jul 2018, across 4 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 94% of everything it billed.

33Billing provider infoSUN RIVER HEALTH INC
CORAM, NY 11727
33aNPI1437418456assigned 05/11/2012
33bProvider typeCase Management Agency
28Total paid$5K
24GClaims183
24DCodes billed4
24AFirst – last monthJan 2018 – Jul 2018
Compared with peers

Next to other Case Management Agency providers in New York

Rank by total paid#174 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

$0$500$1.0K$1.5K2018201920202021202220232024
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
YearClaimsPaid
2018183$5K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 94% 89 87 $5K
99173 6.1% 12 12 $300.00
3455F <1% 44 44 $0.44
1000F 0% 38 38 $0.00

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 INC
Same official

Other billing entities under LIPTON, ADAM

Full network →
ProviderLocationPaid
Sun River Health INC.Peekskill, NY$546.52M
Sun River Health INCBronx, NY$18.49M
Sun River Health INCShirley, NY$695K
Hudson River Primary Medical Care P.C.Haverstraw, NY$26K
Sun River Health INCBeacon, NY$11K
Sun River Health INCPatchogue, NY$6K
Sun River Health INCRiverhead, NY$1K
Sun River Health INCWyandanch, NY$1K
Sun River Health INCPoughkeepsie, NY$1K
Sun River Health INCBronx, NY$979.04
Sun River Health INCStaten Island, NY$386.23
Sun River Health INCBrentwood, NY$58.24

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.