Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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EDGEWATER SYSTEMS FOR BALANCED LIVING, INC

NPI: 1770960536 · GARY, IN 46406 · Psychiatric Hospital · NPI assigned 04/30/2015

Billing Flags · Automated signals — not evidence of fraud
Single-Code Concentration

100% of spending on code H0010 with only 3 total codes billed. Highly concentrated billing profile.

$2.02M
Total Medicaid Paid
6,129
Total Claims
639
Beneficiaries
3
Codes Billed
2019-05
First Month
2023-09
Last Month

Provider Details

Authorized OfficialJOHNSON-HUGHES, DANITA (CEO)
NPI Enumeration Date04/30/2015

Related Entities

Other providers sharing the same authorized official: JOHNSON-HUGHES, DANITA

ProviderCityStateTotal Paid
EDGEWATER SYSTEMS FOR BALANCED LIVING, INC GARY IN $17.87M

Monthly Spending Trend

Yearly Breakdown

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

Billing Codes

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