Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or New York for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to New York only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. New York (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Sun River Health Inc (NPI 1740763275)

Sun River Health Inc is a adult day care clinic/center provider located in Bronx, New York. This profile covers 0 Medicare and 92 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Sun River Health Inc
Address	1543-1545 Inwood Avenue
City	Bronx
State	NY
ZIP	10452
Taxonomy	Adult Day Care Clinic/Center
NPI Enumerated	September 11, 2018

Payer Source	Total Paid
Medicaid	$18.5M
Medicare	$0

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

92 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
S5102	Day care services, adult; per diem	52,410	$180	$9.3M
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	50,710	$100	$5M
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	13,240	$80	$1.1M
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	10,940	$80	$842.6K
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	1,650	$230	$383.8K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	3,120	$80	$233.6K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	2,610	$80	$195.6K
90460	In this procedure, the provider administers a single live attenuated vaccine through a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age.	10,420	$20	$187.6K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	2,330	$70	$172.6K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	1,900	$80	$142.5K

Showing 1–10 of 92

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other New York providers billing the same CPT/HCPCS codes.

Claims Volume vs. New York Distribution

Sun River Health Inc — 6 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New York

Full comparison — all codes billed, vs. New York median

92 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S5102	Day care services, adult; per diem	60	360	11,920	$90	$2.4M
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	657	1,510	1,010	$110	$1.1M
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	2,114	2,200	1,010	$130	$892.2K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	954	1,320	140	$260	$334K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	276	19,110	360	$70	$321K
S9110	Telemonitoring of patient in their home, including all necessary equipment; computer system, connections, and software; maintenance; patient education and support; per month	26	30	1,080	$50	$207.2K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	385	16,550	220	$90	$186.8K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	320	1,150	480	$70	$178K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	309	1,420	490	$70	$176.8K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	206	5,420	210	$70	$154.3K

Showing 1–10 of 92

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sun River Health Inc.	NY	Federally Qualified Health Center (FQHC)	$0	$546.7M
David Cohen	NY	Dermatology Physician	$352K	$8.4M
Marian David	NY	Cardiovascular Disease Physician	$348.5K	$8.3M
John Rigney	NY	Diagnostic Radiology Physician	$850.2K	$2.7M
Menachem Gold	NY	Diagnostic Radiology Physician	$207.7K	$852.7K
Rajiv Chander	NY	Vascular Surgery Physician	$852.8K	$1.3K
David Zhang	FL	Anatomic Pathology & Clinical Pathology Physician	$341.7K	$52.6K
Amnon Beniaminovitz	NY	Cardiovascular Disease Physician	$348.5K	$0
Emad Soliman	NY	Psychiatry Physician	$259.7K	$42.6K
Jehanne Julien-banica	NY	Family Medicine Physician	$72.1K	$212.1K

Sun River Health Inc — Billing Profile & Reimbursement Data

Sign up for Sun River Health Inc — Billing Profile & Reimbursement Data policy alerts

Sun River Health Inc — Billing Profile & Reimbursement Data

Sign up for Sun River Health Inc — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Essen Medical Urgicare, PLLC	NY	Urgent Care Clinic/Center	$0	$41.9M
New York City Health And Hospitals Corporation	NY	Clinic/Center	$0	$34.6M