Agency
Edgewater Systems for Balanced Living, INC
Edgewater Systems for Balanced Living, INC was paid $17.87M by Medicaid between Jan 2018 and Dec 2024, across 10 billing codes. Its largest line is H2014, Skills training and development, per 15 minutes — 92% of everything it billed.
33Billing provider infoEDGEWATER SYSTEMS FOR BALANCED LIVING, INC
GARY, IN 46402
GARY, IN 46402
33aNPI1316154917assigned 05/16/2007
33bProvider typeCommunity/Behavioral Health Agency
28Total paid$17.87M
24GClaims140,698
24DCodes billed10
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Community/Behavioral Health Agency providers in Indiana
Rank by total paid#12 of 82
Median peer was paid$713K
This provider vs. median25×
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 | |
|---|---|---|---|
| 2018 | 27,238 | $3.34M | |
| 2019 | 22,651 | $2.85M | |
| 2020 | 23,492 | $2.95M | |
| 2021 | 22,469 | $3.16M | |
| 2022 | 18,436 | $2.26M | |
| 2023 | 18,563 | $2.57M | |
| 2024incomplete | 7,849 | $728K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H2014 | Skills training and development, per 15 minutes | 92% | 114,574 | 14,713 | $16.52M |
| T1016 | Case management, each 15 minutes | 5.9% | 16,506 | 7,782 | $1.05M |
| H0034 | Medication training and support, per 15 minutes | <1% | 7,664 | 3,313 | $158K |
| H0031 | Mental health assessment, by non-physician | <1% | 1,451 | 1,414 | $103K |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | <1% | 213 | 174 | $18K |
| H0038 | Self-help/peer services, per 15 minutes | <1% | 175 | 87 | $4K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | <1% | 48 | 26 | $3K |
| H2035 | Alcohol and/or other drug treatment program, per hour | <1% | 22 | 13 | $1K |
| H0005 | Alcohol and/or drug services; group counseling by a clinician | <1% | 31 | 22 | $903.96 |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 14 | 13 | $155.91 |
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 officialJOHNSON-HUGHES, DANITA (PRESIDENT AND CEO)
| Provider | Location | Paid |
|---|---|---|
| Edgewater Systems for Balanced Living, INC | Gary, IN | $2.02M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.