Edgewater Systems for Balanced Living, INC
Edgewater Systems for Balanced Living, INC was paid $3.62M by Medicaid between Aug 2020 and Dec 2024, across 11 billing codes. Its largest line is H0020, Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) — 59% of everything it billed.
GARY, IN 46402
Next to other Methadone Clinic providers in Indiana
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2020 | 15,965 | $219K | |
| 2021 | 61,239 | $921K | |
| 2022 | 42,332 | $801K | |
| 2023 | 21,035 | $877K | |
| 2024incomplete | 4,135 | $802K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H0020 | Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) | 59% | 134,284 | 4,809 | $2.12M |
| G2067 | Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed (provision of the services by a medicare-enrolled opioid treatment program) | 37% | 7,473 | 1,585 | $1.34M |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 3.2% | 1,346 | 560 | $115K |
| G2077 | Periodic assessment; assessing periodically by an otp practitioner and includes a review of moud dosing, treatment response, other substance use disorder treatment needs, responses and patient-identified goals, and other relevant physical, nutrition and psychiatric treatment needs and goals; may be informed by administration of a standardized, evidence-based assessment, or the need and interest for harm reduction interventions and recovery support services (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to each primary code | <1% | 221 | 120 | $15K |
| H0038 | Self-help/peer services, per 15 minutes | <1% | 803 | 397 | $14K |
| G2078 | Take-home supply of methadone; up to 7 additional day supply (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for primary procedure | <1% | 171 | 49 | $4K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 61 | 15 | $3K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 38 | 30 | $2K |
| 86580 | <1% | 237 | 139 | $393.53 | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 12 | 12 | $258.72 |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 60 | 52 | $257.76 |
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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Edgewater Systems for Balanced Living, INC | Gary, IN | $2.40M |
| 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.