Medicaid Provider Spending

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

SUN RIVER HEALTH INC.

NPI: 1619969458 · PEEKSKILL, NY 10566 · 251B00000X

$546.52M
Total Medicaid Paid
4,950,940
Total Claims
3,704,323
Beneficiaries
243
Codes Billed
2018-01
First Month
2024-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 345,825 $20.63M
2019 826,218 $77.07M
2020 1,003,918 $143.58M
2021 961,066 $134.56M
2022 563,692 $83.80M
2023 628,106 $39.91M
2024 622,115 $46.96M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
G9005 Mccd, risk adj, maintenance 523,334 522,952 $161.75M
99213 1,331,305 862,238 $140.89M
90832 377,239 207,260 $69.91M
T2022 Case management, per month 63,981 63,944 $35.98M
99214 333,142 209,194 $32.42M
T1016 Case management 71,087 71,000 $20.37M
99212 204,283 136,039 $16.81M
90834 37,698 26,422 $7.86M
99392 72,482 41,182 $4.99M
99391 65,861 36,842 $4.73M
90791 25,039 22,319 $4.71M
99393 58,033 34,349 $3.96M
90853 33,588 10,463 $3.32M
D0120 88,405 29,991 $2.97M
99394 35,214 20,748 $2.39M
90792 11,142 10,190 $2.00M
S9083 Urgent care center global 14,966 8,943 $1.88M
99396 20,150 12,698 $1.63M
D0140 26,929 12,508 $1.61M
99215 Prolong outpt/office vis 12,527 9,198 $1.61M
D0150 48,564 11,943 $1.53M
D1110 25,507 19,071 $1.39M
99401 122,082 112,827 $1.22M
59425 12,015 5,082 $1.20M
90460 101,594 100,881 $1.18M
99395 12,860 8,695 $1.10M
99203 11,132 7,532 $1.10M
99211 23,503 19,067 $1.02M
G0467 Fqhc visit, estab pt 29,284 13,015 $953K
99202 10,770 6,630 $932K
99204 5,647 4,112 $723K
99385 7,092 5,019 $649K
D0274 20,067 12,126 $566K
G0506 Comp asses care plan ccm svc 2,390 2,390 $439K
90471 51,613 50,741 $406K
99386 4,119 2,914 $393K
D1120 9,340 6,892 $390K
D2391 4,208 2,436 $340K
G9001 Mccd, initial rate 4,411 4,411 $335K
D0190 2,785 1,354 $329K
99205 Prolong outpt/office vis 2,145 1,756 $321K
97140 5,639 3,517 $317K
96127 110,074 103,070 $295K
92552 58,023 56,015 $290K
99381 3,392 1,947 $275K
90837 1,261 1,218 $275K
G2025 Dis site tele svcs rhc/fqhc 4,472 2,194 $274K
92340 2,613 1,905 $269K
99499 3,676 1,775 $249K
D2392 2,674 1,555 $216K
90686 58,937 58,807 $214K
D0220 19,743 18,624 $207K
D0210 4,235 2,826 $203K
11721 4,004 2,677 $196K
92012 2,415 1,230 $192K
97110 5,156 2,983 $190K
D5899 1,551 769 $189K
97162 1,739 1,238 $186K
96372 5,346 5,055 $170K
92002 2,377 1,094 $167K
99201 2,040 1,141 $167K
Q0091 Obtaining screen pap smear 6,105 5,091 $154K
90472 12,006 11,671 $128K
97164 1,429 1,066 $127K
99493 1,372 1,183 $124K
D0330 2,623 991 $122K
0012A 4,414 4,408 $117K
36415 46,776 42,502 $108K
0011A 4,596 4,595 $104K
D0230 14,449 11,752 $104K
99383 1,681 743 $104K
97802 4,414 4,115 $99K
90670 15,676 15,636 $94K
99173 58,589 58,470 $89K
90461 28,561 28,427 $85K
81025 21,368 20,443 $78K
D1351 1,208 329 $78K
92015 1,509 950 $75K
G0470 Fqhc visit, mh estab pt 4,019 1,905 $72K
99382 1,106 466 $71K
90677 3,568 3,567 $70K
90651 5,031 5,011 $69K
D7140 980 408 $68K
97803 2,824 2,465 $67K
0064A 1,841 1,836 $62K
99406 3,861 3,307 $59K
0001A 1,746 1,741 $57K
D1206 2,857 2,841 $51K
11056 812 798 $51K
0002A 1,495 1,493 $50K
97161 480 298 $47K
86703 5,583 5,550 $43K
99397 522 310 $39K
D1208 3,728 3,725 $38K
59430 282 155 $38K
11719 1,463 1,327 $35K
90715 2,333 2,314 $33K
99384 469 262 $31K
90734 3,528 3,515 $31K
81003 16,725 12,939 $31K
99407 1,208 785 $31K
90732 373 372 $30K
0071A 839 838 $30K
90750 223 223 $29K
83036 5,340 5,260 $29K
0072A 786 783 $29K
97014 3,196 1,942 $27K
96110 4,863 4,850 $27K
81005 14,415 11,908 $26K
D0145 285 179 $20K
D4341 278 112 $20K
96160 35,772 33,990 $19K
90697 3,892 3,886 $18K
90746 505 496 $18K
V2100 Lens spher single plano 4.00 1,009 862 $18K
82962 11,036 9,938 $18K
D0272 1,510 1,499 $18K
87880 2,299 2,268 $17K
99496 236 234 $16K
90707 1,064 1,061 $16K
0241U 353 341 $15K
3074F 53,245 49,427 $15K
3078F 48,978 45,759 $14K
90863 331 312 $13K
97530 304 149 $13K
59025 238 118 $12K
36416 13,664 12,721 $11K
0031A 401 401 $10K
V2020 Vision svcs frames purchases 778 757 $10K
90656 4,001 3,999 $9K
D1999 143 107 $9K
91322 91 91 $9K
90739 70 70 $8K
V2784 Lens polycarb or equal 212 188 $8K
0134A 240 240 $8K
87081 2,299 2,277 $7K
D1330 2,226 2,198 $6K
90716 1,046 1,042 $6K
D2140 93 43 $6K
90636 81 81 $6K
82948 334 222 $5K
99492 57 43 $5K
93000 561 554 $5K
92014 119 55 $5K
0054A 141 141 $5K
D4910 32 28 $4K
H2011 Crisis interven svc, 15 min 35 33 $4K
D2150 47 24 $4K
D2330 52 26 $4K
85018 2,381 2,374 $4K
90480 105 105 $3K
0052A 94 94 $3K
83655 492 490 $3K
87804 288 189 $3K
S5102 Adult day care per diem 37 15 $3K
3079F 10,315 9,750 $3K
0004A 102 101 $3K
92004 52 26 $3K
92341 109 106 $3K
86580 551 476 $3K
99231 38 24 $2K
87811 592 582 $2K
92250 72 70 $2K
90833 15 14 $2K
D9995 39 33 $2K
0124A 53 53 $2K
99222 16 13 $2K
0051A 54 54 $2K
90473 390 390 $2K
90474 421 421 $1K
90632 24 24 $1K
90723 7,675 7,649 $1K
80061 312 305 $1K
D0270 100 95 $1K
96380 140 140 $1K
99000 8,881 8,326 $1K
G0468 Fqhc visit, ippe or awv 123 121 $1K
99460 14 14 $1K
97010 4,365 2,652 $938.63
11057 12 12 $934.39
90620 780 779 $843.72
4124F 52 50 $780.00
90633 7,602 7,565 $702.31
J3420 Vitamin b12 injection 66 58 $700.46
G0439 Ppps, subseq visit 175 60 $630.82
3075F 4,139 4,006 $617.35
3077F 4,867 4,504 $561.99
90647 7,693 7,662 $552.96
94640 55 54 $537.34
Q9966 Locm 200-299mg/ml iodine,1ml 14 14 $536.47
G0447 Behavior counsel obesity 15m 785 686 $536.34
90681 5,209 5,189 $473.00
90688 257 257 $416.00
20552 21 13 $380.16
1000F 68,829 67,820 $305.39
99238 12 12 $278.59
90680 49 49 $231.00
H0033 Oral med adm direct observe 823 802 $205.98
90380 17 17 $148.00
90710 846 842 $146.30
81000 73 45 $121.89
J1050 Medroxyprogesterone acetate 112 107 $53.22
3455F 52,763 52,599 $46.18
G0476 Hpv combo assay ca screen 1,657 1,654 $40.92
90744 63 63 $28.97
90713 14 14 $28.97
J1100 Dexamethasone sodium phos 12 12 $17.28
3080F 2,366 2,203 $14.50
91307 1,482 1,380 $13.68
91306 1,481 1,478 $4.01
G0283 Elec stim other than wound 17 12 $3.24
91305 412 407 $1.25
91313 158 158 $1.05
91301 7,404 7,134 $0.45
91300 2,831 2,536 $0.42
G9016 Demo-smoking cessation coun 2,001 1,854 $0.35
91312 44 43 $0.26
J2001 Lidocaine injection 90 89 $0.03
90611 15 15 $0.03
3044F 4,056 4,038 $0.02
91303 340 339 $0.00
S9451 Exercise class 92 92 $0.00
G8420 Calc bmi norm parameters 154 154 $0.00
90696 162 162 $0.00
99429 312 242 $0.00
90698 351 351 $0.00
0001F 38 35 $0.00
H0049 Alcohol/drug screening 51 51 $0.00
90381 65 65 $0.00
G0481 Drug test def 8-14 classes 42 33 $0.00
87430 17 15 $0.00
99001 611 572 $0.00
90700 284 283 $0.00
90685 1,067 1,065 $0.00
99080 941 353 $0.00
2028F 338 329 $0.00
G0444 Depression screen annual 204 198 $0.00
90672 219 219 $0.00
90648 158 157 $0.00
S9470 Nutritional counseling, diet 21 19 $0.00
A0090 Interest escort in non er 12 12 $0.00
T1013 Sign lang/oral interpreter 13 13 $0.00
99223 Prolong inpt eval add15 m 14 14 $0.00