Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

EDGEWATER SYSTEMS FOR BALANCED LIVING, INC.

NPI: 1588705784 · GARY, IN 46402 · Community/Behavioral Health Agency · NPI assigned 02/09/2007

$2.82M
Total Medicaid Paid
69,588
Total Claims
38,920
Beneficiaries
30
Codes Billed
2018-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialLOTT, LUNETTE (DIRECTOR ACCTS. RECEIVABLES)
NPI Enumeration Date02/09/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 23,244 $388K
2019 20,215 $897K
2020 15,108 $882K
2021 9,428 $596K
2022 852 $36K
2023 566 $16K
2024 175 $5K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90837 Psychotherapy, 53 minutes with patient 21,341 12,005 $1.17M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 9,724 7,230 $402K
H0010 Alcohol and/or drug services; sub-acute detoxification (residential addiction program inpatient) 1,786 194 $270K
90791 Psychiatric diagnostic evaluation 3,226 2,824 $227K
90847 Family psychotherapy with the patient present, 50 minutes 1,969 1,086 $105K
90838 2,117 1,691 $96K
99232 Subsequent hospital care, per day, moderate complexity 3,233 819 $94K
H0038 Self-help/peer services, per 15 minutes 1,927 1,070 $82K
99205 Prolong outpt/office vis 1,208 953 $68K
T1016 Case management, each 15 minutes 1,012 606 $61K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 4,499 3,996 $48K
90853 Group psychotherapy (other than of a multiple-family group) 8,670 2,559 $38K
90834 Psychotherapy, 45 minutes with patient 794 533 $34K
99215 Prolong outpt/office vis 961 630 $28K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 727 481 $22K
90832 Psychotherapy, 30 minutes with patient 764 592 $19K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 2,542 399 $13K
99238 Hospital discharge day management, 30 minutes or less 210 186 $7K
99233 Prolong inpt eval add15 m 146 26 $5K
99222 Initial hospital care, per day, moderate complexity 105 80 $5K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 417 213 $4K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 132 117 $4K
H0020 Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) 1,375 236 $4K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 41 39 $2K
H2014 Skills training and development, per 15 minutes 77 62 $2K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 19 14 $2K
90846 Family psychotherapy without the patient present, 50 minutes 17 13 $1K
90785 363 103 $298.88
36415 Collection of venous blood by venipuncture 170 151 $180.60
T1015 Clinic visit/encounter, all-inclusive 16 12 $0.00