Medicaid Provider Spending

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

EDGEWATER SYSTEMS FOR BALANCED LIVING, INC.

NPI: 1699225698 · MERRILLVILLE, IN 46410 · Mental Health Counselor · NPI assigned 10/13/2016

$461K
Total Medicaid Paid
29,594
Total Claims
14,256
Beneficiaries
30
Codes Billed
2018-01
First Month
2021-12
Last Month

Provider Details

Authorized OfficialJOHNSON HUGHES, DANITA (PRESIDENT/CEO)
Parent OrganizationEDGEWATER SYSTEMS FOR BALANCED LIVING, INC.
NPI Enumeration Date10/13/2016

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 9,477 $70K
2019 10,873 $198K
2020 8,096 $148K
2021 1,148 $46K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99232 Subsequent hospital care, per day, moderate complexity 11,524 2,119 $172K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,938 2,861 $106K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3,149 2,442 $70K
99308 Subsequent nursing facility care, per day, straightforward 2,361 1,848 $37K
99233 Prolong inpt eval add15 m 1,332 831 $37K
99231 Subsequent hospital care, per day, straightforward or low complexity 2,432 445 $11K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 622 434 $6K
99238 Hospital discharge day management, 30 minutes or less 241 178 $3K
99215 Prolong outpt/office vis 69 54 $3K
99305 72 56 $3K
99223 Prolong inpt eval add15 m 63 58 $3K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 353 248 $2K
99222 Initial hospital care, per day, moderate complexity 108 83 $2K
94010 348 289 $1K
36415 Collection of venous blood by venipuncture 1,417 1,122 $1K
83036 Hemoglobin; glycosylated (A1C) 425 307 $1K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 36 25 $570.23
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 15 12 $410.48
81002 411 330 $336.22
80061 Lipid panel 153 102 $273.37
93000 68 57 $255.94
94060 19 13 $237.42
99000 143 102 $158.57
80305 33 26 $94.20
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 24 18 $87.70
90749 18 17 $51.79
82962 18 15 $18.43
99406 46 40 $11.80
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion 37 34 $1.94
T1015 Clinic visit/encounter, all-inclusive 119 90 $0.00