Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Indiana for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Indiana only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Indiana (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Edgewater Systems For Balanced Living, Inc. (NPI 1588705784)

Field	Value
Entity Type	Organization
Organization	Edgewater Systems For Balanced Living, Inc.
Address	1100 W 6th Ave
City	Gary
State	IN
ZIP	46402
Taxonomy	Mental Health Clinic/Center (Including Community Mental Health Center)
NPI Enumerated	February 9, 2007

Payer Source	Total Paid
Medicaid	$2.8M
Medicare	$0

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

30 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	21,340	$60	$1.2M
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	9,720	$40	$398.7K
H0010	Alcohol and/or drug services; sub‑acute detoxification (residential addiction program inpatient)	1,790	$150	$269.7K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	3,230	$70	$225.8K
90847	A provider meets with the patient’s family with the patient present to counsel the family on the psychological issues affecting the patient and the family. The provider supplies psychotherapy to the…	1,970	$50	$104.4K
90838	In this add–on service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient in addition to an evaluation and management service in the…	2,120	$50	$95.3K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	3,230	$30	$93.8K
H0038	Self‑help/peer services, per 15 minutes	1,930	$40	$82.9K
99205	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the provider…	1,210	$60	$67.6K
T1016	Case management, each 15 minutes	1,010	$60	$60.7K

Showing 1–10 of 30

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Indiana providers billing the same CPT/HCPCS codes.

Claims Volume vs. Indiana Distribution

Edgewater Systems For Balanced Living, Inc. — 1 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Indiana

Full comparison — all codes billed, vs. Indiana median

30 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2014	Skills training and development, per 15 minutes	44	50	75,600	$130	$34.8M
H0010	Alcohol and/or drug services; sub‑acute detoxification (residential addiction program inpatient)	48	60	23,940	$380	$12.8M
H0020	Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program)	24	30	240,980	$20	$6.4M
T1016	Case management, each 15 minutes	34	50	8,980	$30	$3.8M
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	284	580	710	$60	$582.9K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	285	2,120	870	$60	$450.6K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	44	690	1,070	$80	$422.3K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	2,099	2,380	920	$50	$376.8K
90853	Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…	57	220	1,380	$20	$360.2K
T1015	Clinic visit/encounter, all-inclusive	400	400	5,220	$20	$360.2K

Showing 1–10 of 30

Related Providers

Other providers that share a Tax Identification Number (TIN) with Edgewater Systems For Balanced Living, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Edith Jenkins	IL	Nurse Practitioner	$36.7K	$194.7K

Nearby Providers

Other providers in the same ZIP code as Edgewater Systems For Balanced Living, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The Methodist Hospitals, Inc	IN	General Acute Care Hospital	$0	$75.6M
Edgewater Systems For Balanced Living, Inc	IN	Community/Behavioral Health Agency	$0	$17.8M
City Of Gary Indiana	IN	Ambulance	$442.6K	$7.2M
Cep America LLC	IN	Emergency Medicine Physician	$0	$6.9M
Community Healthnet Inc	IN	Community Health Clinic/Center	$0	$6M
Sound Physicians Of Indiana, LLC	IN	Hospitalist Physician	$0	$4.2M
Edgewater Systems For Balanced Living, Inc	IN	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$3.6M
Akeem Kareem	IN	Family Nurse Practitioner	$80.4K	$0
Amanda Neary	IN	Certified Registered Nurse Anesthetist	$13K	$10.9K
Elizabeth Baldys	IN	Physician Assistant	$17.8K	$0

Edgewater Systems For Balanced Living, Inc. — Billing Profile & Reimbursement Data

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Edgewater Systems For Balanced Living, Inc. — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References