Clinic
Sun River Health INC
Sun River Health INC was paid $18.49M by Medicaid between Dec 2018 and Dec 2024, across 92 billing codes. Its largest line is S5102, adult day care, billed per day — 50% of everything it billed.
33Billing provider infoSUN RIVER HEALTH INC
BRONX, NY 10452
BRONX, NY 10452
33aNPI1740763275assigned 09/11/2018
33bProvider typeAdult Day Care Clinic/Center
28Total paid$18.49M
24GClaims255,410
24DCodes billed92
24AFirst – last monthDec 2018 – Dec 2024
Compared with peers
Next to other Adult Day Care Clinic/Center providers in New York
Rank by total paid#34 of 394
Median peer was paid$3.44M
This provider vs. median5.4×
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
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 330 | $51K | |
| 2019 | 7,374 | $1.28M | |
| 2020 | 12,333 | $2.03M | |
| 2021 | 71,001 | $4.84M | |
| 2022 | 60,987 | $4.19M | |
| 2023 | 66,398 | $3.74M | |
| 2024incomplete | 36,987 | $2.35M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| S5102 | Adult day care, billed per dayDay care services, adult; per diem | 50% | 52,414 | 8,730 | $9.28M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 27% | 50,713 | 47,326 | $4.96M |
| 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 | 5.9% | 13,239 | 12,757 | $1.09M |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 4.5% | 10,943 | 10,189 | $838K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 2.1% | 1,647 | 1,225 | $383K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.3% | 3,115 | 3,113 | $233K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.1% | 2,608 | 2,607 | $195K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 1.0% | 10,420 | 10,369 | $192K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 2,332 | 2,331 | $174K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 1,900 | 1,866 | $142K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 1,861 | 1,846 | $137K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 1,569 | 1,555 | $116K |
80 more codes
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 1,531 | $69K |
| 90697 | <1% | 454 | $67K | |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | <1% | 1,254 | $62K |
| 96127 | <1% | 11,788 | $60K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 3,440 | $33K |
| S9110 | Telemonitoring of patient in their home, including all necessary equipment; computer system, connections, and software; maintenance; patient education and support; per month | <1% | 172 | $29K |
| 0012A | <1% | 923 | $28K | |
| 59430 | <1% | 128 | $25K | |
| 86703 | <1% | 1,642 | $22K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 2,262 | $22K |
| 90686 | <1% | 1,201 | $21K | |
| 0011A | <1% | 894 | $21K | |
| 0001A | <1% | 484 | $19K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 228 | $19K |
| 0064A | <1% | 428 | $17K | |
| 0002A | <1% | 420 | $17K | |
| 0071A | <1% | 374 | $15K | |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 57 | $13K |
| 0072A | <1% | 319 | $13K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 932 | $12K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 112 | $12K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | <1% | 446 | $12K |
| 99385 | <1% | 140 | $10K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 125 | $9K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 39 | $9K |
| 96160 | <1% | 2,362 | $8K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 571 | $7K |
| 90715 | <1% | 215 | $7K | |
| V2020 | Frames, purchases | <1% | 255 | $7K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 23 | $5K |
| 99401 | <1% | 23,716 | $5K | |
| 92552 | <1% | 8,217 | $5K | |
| 82962 | <1% | 1,571 | $5K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 445 | $5K |
| 81025 | <1% | 2,487 | $5K | |
| 11721 | <1% | 111 | $4K | |
| 0054A | <1% | 98 | $4K | |
| 92002 | <1% | 51 | $4K | |
| 81003 | <1% | 1,884 | $4K | |
| 0031A | <1% | 102 | $3K | |
| 93000 | <1% | 204 | $3K | |
| 0052A | <1% | 72 | $3K | |
| 91322 | <1% | 25 | $3K | |
| V2784 | Lens, polycarbonate or equal, any index, per lens | <1% | 44 | $2K |
| 0004A | <1% | 60 | $2K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,404 | $2K |
| 99381 | <1% | 27 | $2K | |
| 0134A | <1% | 49 | $2K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 244 | $2K |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | <1% | 201 | $2K |
| 0051A | <1% | 42 | $2K | |
| 90480 | <1% | 43 | $2K | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 43 | $1K |
| 90656 | <1% | 73 | $1K | |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 12 | $997.37 |
| 97802 | <1% | 98 | $951.30 | |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 321 | $694.75 |
| 36415 | Collection of venous blood by venipuncture | <1% | 221 | $532.69 |
| 80061 | Lipid panel | <1% | 77 | $467.30 |
| 90746 | <1% | 25 | $360.00 | |
| 81005 | <1% | 154 | $321.16 | |
| 85018 | <1% | 99 | $199.74 | |
| 99173 | <1% | 10,536 | $44.13 | |
| J2001 | Injection, lidocaine hcl for intravenous infusion, 10 mg | <1% | 25 | $0.44 |
| 36416 | <1% | 3,231 | $0.21 | |
| 3078F | 0% | 4,332 | $0.00 | |
| 92015 | Determination of refractive state | 0% | 166 | $0.00 |
| G0476 | Infectious agent detection by nucleic acid (dna or rna); human papillomavirus (hpv), high-risk types (e.g., 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68) for cervical cancer screening, must be performed in addition to pap test | 0% | 243 | $0.00 |
| 99001 | 0% | 335 | $0.00 | |
| 3077F | 0% | 311 | $0.00 | |
| 2028F | 0% | 62 | $0.00 | |
| 3455F | 0% | 25 | $0.00 | |
| 3074F | 0% | 4,837 | $0.00 | |
| H0033 | Oral medication administration, direct observation | 0% | 55 | $0.00 |
| 99000 | 0% | 1,536 | $0.00 | |
| 1000F | 0% | 53 | $0.00 | |
| 3079F | 0% | 879 | $0.00 | |
| 3075F | 0% | 398 | $0.00 | |
| 3080F | 0% | 173 | $0.00 | |
| 91301 | 0% | 13 | $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 OF INFORMATION AND PRACTICE MGMT)
Parent organizationSUN RIVER HEALTH INC
| Provider | Location | Paid |
|---|---|---|
| Sun River Health INC. | Peekskill, NY | $546.52M |
| Sun River Health INC | Shirley, NY | $695K |
| 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.