Clinic
Edgewater Systems for Balanced Living, INC
Edgewater Systems for Balanced Living, INC was paid $295K by Medicaid between Jan 2021 and Nov 2024, across 10 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 52% of everything it billed.
33Billing provider infoEDGEWATER SYSTEMS FOR BALANCED LIVING, INC
MERRILLVILLE, IN 46410
MERRILLVILLE, IN 46410
33aNPI1407457591assigned 11/04/2020
33bProvider typeMulti-Specialty Clinic/Center
28Total paid$295K
24GClaims9,075
24DCodes billed10
24AFirst – last monthJan 2021 – Nov 2024
Compared with peers
Next to other Multi-Specialty Clinic/Center providers in Indiana
Rank by total paid#9 of 16
Median peer was paid$295K
This provider vs. median1.0×
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 | 2,486 | $72K | |
| 2022 | 3,604 | $116K | |
| 2023 | 2,489 | $86K | |
| 2024incomplete | 496 | $21K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 52% | 2,987 | 2,381 | $152K |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 24% | 3,934 | 2,973 | $72K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 12% | 836 | 643 | $35K |
| G0467 | Community health center visit, returning patientFederally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit | 8.8% | 983 | 791 | $26K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.8% | 240 | 187 | $8K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 15 | 15 | $1K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 36 | 24 | $613.10 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 16 | 16 | $207.90 |
| 36415 | Collection of venous blood by venipuncture | <1% | 13 | 13 | $71.75 |
| 99173 | <1% | 15 | 15 | $7.60 |
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 | Gary, IN | $182K |
| 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.