Medicaid Provider Spending

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

EDGEWATER SYSTEMS FOR BALANCED LIVING, INC

NPI: 1598316978 · GARY, IN 46402 · Federally Qualified Health Center (FQHC) · NPI assigned 09/26/2019

$2.40M
Total Medicaid Paid
44,188
Total Claims
32,750
Beneficiaries
27
Codes Billed
2019-06
First Month
2024-11
Last Month

Provider Details

Authorized OfficialHUGHES, DANITA (PRESIDENT & CEO)
NPI Enumeration Date09/26/2019

Related Entities

Other providers sharing the same authorized official: HUGHES, DANITA

ProviderCityStateTotal Paid
EDGEWATER SYSTEMS FOR BALANCED LIVING, INC GARY IN $3.62M
EDGEWATER SYSTEMS FOR BALANCED LIVING, INC MERRILLVILLE IN $295K
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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 1,290 $174K
2020 5,237 $343K
2021 11,228 $550K
2022 12,695 $631K
2023 8,133 $412K
2024 5,605 $292K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 12,428 9,140 $725K
90837 Psychotherapy, 53 minutes with patient 8,397 5,222 $534K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 7,853 6,477 $451K
90791 Psychiatric diagnostic evaluation 2,160 1,914 $209K
90838 1,406 1,202 $128K
G0467 Federally 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 2,879 2,231 $79K
G0470 Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health 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 mental health visit 2,043 1,221 $52K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,319 1,137 $46K
90832 Psychotherapy, 30 minutes with patient 1,285 858 $41K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 640 546 $33K
H0038 Self-help/peer services, per 15 minutes 622 360 $23K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,414 1,273 $19K
90847 Family psychotherapy with the patient present, 50 minutes 271 178 $16K
90853 Group psychotherapy (other than of a multiple-family group) 718 402 $16K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 113 90 $13K
90834 Psychotherapy, 45 minutes with patient 186 112 $6K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 44 40 $3K
99205 Prolong outpt/office vis 17 16 $2K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 16 16 $1K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 111 94 $1K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 22 21 $1K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 17 17 $936.88
90472 Immunization administration, each additional vaccine (list separately) 70 58 $825.00
36415 Collection of venous blood by venipuncture 12 12 $34.28
99308 Subsequent nursing facility care, per day, straightforward 114 88 $0.00
99442 15 13 $0.00
90710 16 12 $0.00