Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Hudson River Primary Medical Care P.C.

Hudson River Primary Medical Care P.C. was paid $26K by Medicaid between Jan 2024 and Apr 2024, across 13 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 29% of everything it billed.

33Billing provider infoHUDSON RIVER PRIMARY MEDICAL CARE P.C.
HAVERSTRAW, NY 10927
33aNPI1548037179assigned 12/04/2023
33bProvider typePediatrics Physician
28Total paid$26K
24GClaims577
24DCodes billed13
24AFirst – last monthJan 2024 – Apr 2024
Compared with peers

Next to other Pediatrics Physician providers in New York

Rank by total paid#928 of 1,983
Median peer was paid$17K
This provider vs. median1.6×

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$5.0K$10K$15K2018201920202021202220232024
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
2024incomplete577$26K
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 29% 110 101 $8K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 22% 83 83 $6K
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 21% 74 67 $5K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 15% 52 48 $4K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 6.8% 25 25 $2K
99383 3.4% 12 12 $900.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 25 25 $250.00
90472 Immunization administration, each additional vaccine (list separately) <1% 12 12 $190.00
96127 <1% 31 31 $177.63
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 32 31 $121.28
92552 0% 51 51 $0.00
99173 0% 53 53 $0.00
1 more codes
99401 0% 17 $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)
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
Sun River Health INCBeacon, NY$11K
Sun River Health INCPatchogue, NY$6K
Sun River Health INCCoram, NY$5K
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.