Edgewater Systems for Balanced Living, INC

Edgewater Systems for Balanced Living, INC was paid $2.02M by Medicaid between May 2019 and Sep 2023, across 3 billing codes. Its largest line is H0010, Alcohol and/or drug services; sub-acute detoxification (residential addiction program inpatient) — 100% of everything it billed.

33Billing provider infoEDGEWATER SYSTEMS FOR BALANCED LIVING, INC
GARY, IN 46406

33aNPI1770960536assigned 04/30/2015

33bProvider typePsychiatric Hospital

28Total paid$2.02M

24GClaims6,129

24DCodes billed3

24AFirst – last monthMay 2019 – Sep 2023

Compared with peers

Next to other Psychiatric Hospital providers in Indiana

Rank by total paid#14 of 22

Median peer was paid$3.27M

This provider vs. median0.6×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Single-Code Concentration100% of spending on code H0010 with only 3 total codes billed. Highly concentrated billing profile.

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
2019	571	$141K
2020	2,213	$693K
2021	2,357	$845K
2022	636	$210K
2023	352	$127K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
H0010	Alcohol and/or drug services; sub-acute detoxification (residential addiction program inpatient)	100%	5,926	555	$2.01M
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	171	71	$7K
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	<1%	32	13	$860.50

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 (CEO)

Same official

Other billing entities under JOHNSON-HUGHES, DANITA

Full network →

Provider	Location	Paid
Edgewater Systems for Balanced Living, INC	Gary, IN	$17.87M

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.