Clinic
Edgewater Systems for Balanced Living, INC
Edgewater Systems for Balanced Living, INC was paid $182K by Medicaid between Sep 2021 and Nov 2022, across 15 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 39% of everything it billed.
33Billing provider infoEDGEWATER SYSTEMS FOR BALANCED LIVING, INC
GARY, IN 46403
GARY, IN 46403
33aNPI1245907344assigned 08/26/2021
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$182K
24GClaims5,923
24DCodes billed15
24AFirst – last monthSep 2021 – Nov 2022
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Indiana
Rank by total paid#108 of 156
Median peer was paid$568K
This provider vs. median0.3×
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.
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 | |
|---|---|---|---|
| 2021 | 805 | $24K | |
| 2022 | 5,118 | $157K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 39% | 1,265 | 1,017 | $70K |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 22% | 2,954 | 2,228 | $41K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 7.2% | 182 | 165 | $13K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 6.2% | 150 | 119 | $11K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 6.0% | 378 | 304 | $11K |
| 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 | 5.5% | 119 | 104 | $10K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 5.4% | 147 | 132 | $10K |
| 99383 | 2.4% | 55 | 51 | $4K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 2.2% | 333 | 283 | $4K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.7% | 42 | 40 | $3K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 1.2% | 173 | 144 | $2K |
| 99382 | <1% | 13 | 13 | $1K |
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 officialHUGHES, DANITA (CEO)
| Provider | Location | Paid |
|---|---|---|
| Edgewater Systems for Balanced Living, INC | Gary, IN | $3.62M |
| Edgewater Systems for Balanced Living, INC | Gary, IN | $2.40M |
| Edgewater Systems for Balanced Living, INC | Merrillville, IN | $295K |
| Edgewater Systems for Balanced Living, INC | Griffith, IN | $1K |
| Edgewater Systems for Balanced Living, INC | Gary, IN | $714.78 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.