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 Illinois for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Illinois 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. Illinois (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.

The Thresholds (NPI 1396124301)

Field	Value
Entity Type	Organization
Organization	The Thresholds
Address	2240 W Ogden Ave
City	Chicago
State	IL
ZIP	60612
Taxonomy	Mental Health Clinic/Center (Including Community Mental Health Center)
NPI Enumerated	May 22, 2015

Payer Source	Total Paid
Medicaid	$26.1M
Medicare	$0

Key Findings

THE THRESHOLDS is effectively a Medicaid-focused behavioral health provider: there is no Medicare billing on file while total Medicaid revenue is $26.1M, indicating the organization’s services and payer relationships are concentrated in the Medicaid system rather than the Medicare market. The NPI was enumerated on 2015-05-22 (~11 years ago), establishing roughly a decade of operational tenure in the community.

Revenue concentration is high: the top 3 Medicaid codes by revenue account for 83.5% of this provider’s total Medicaid revenue, demonstrating that a small set of service lines—comprehensive community support and assertive community treatment—drive the majority of billings and reimbursement. This concentration suggests the organization’s financial performance is closely tied to utilization and reimbursement patterns for those specific services.

Service-line profile: the largest single revenue code is H2016 (Comprehensive community support services, per diem) generating $10.3M (39.6% of Medicaid revenue), complemented by H0039 (Assertive community treatment, per 15 minutes) at $6.3M and H2015 (Comprehensive community support services, per 15 minutes) at $5.1M. Together these codes indicate THE THRESHOLDS operates intensive, community-based behavioral health programs with both per-diem and time-based components—consistent with integrated community support and mobile/field-based treatment models.

Competitive standing on key codes is mixed but generally strong in-state: H2016 revenue ranks #4 of 58 providers in Illinois (95th percentile), placing the organization among the top statewide suppliers of per-diem comprehensive community support services. H0039 ranks #10 of 47 providers (80th percentile), a solid but less dominant position for assertive community treatment, while H2015 ranks #36 of 431 providers (92th percentile), indicating a high statewide presence among providers billing the per-15-minute comprehensive community support code despite a lower ordinal rank.

Notable statistical outlier: T1016 (Case management, each 15 minutes) appears at $3.1M (11.8% of Medicaid revenue) and ranks #14 of 465 providers in-state at the 97th percentile, described in the source as "notably above typical state volume." This suggests particularly robust case management activity compared with peers and may reflect a programmatic emphasis on care coordination or high-intensity caseloads.

Other billed codes are present but represent small shares of revenue: H2000 contributes $1.1M (4.3% of Medicaid revenue) and several assessment, medication training, and plan-development codes (H2010, H0031, H0034, H0002, H0032) each account for roughly 0.1% or less of Medicaid revenue. These smaller lines are typical ancillary services for a community mental health center and indicate a broader service mix beyond the dominant community support and ACT offerings.

Given the absence of Medicare revenue, THE THRESHOLDS should be characterized as effectively single-payer (Medicaid) in scope for the period on file; strategic or operational shifts that would expand into Medicare-covered services would represent a material change in payer mix. For analysts, this concentration means reimbursement, regulatory, and utilization trends in Illinois Medicaid will be the primary drivers of the provider’s near-term financial risk and growth opportunities.

Medicaid: Complete Services Breakdown

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

10 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2016	Comprehensive community support services, per diem	91,360	$110	$10.3M
H0039	Assertive community treatment, face-to-face, per 15 minutes	34,790	$180	$6.3M
H2015	Comprehensive community support services, per 15 minutes	56,310	$90	$5.1M
T1016	Case management, each 15 minutes	59,300	$50	$3.1M
H2000	Comprehensive multidisciplinary evaluation	10,040	$110	$1.1M
H2010	Comprehensive medication services, per 15 minutes	840	$40	$32.6K
H0031	Mental health assessment, by non-physician	240	$140	$32.1K
H0034	Medication training and support, per 15 minutes	280	$70	$19.7K
H0002	Behavioral health screening to determine eligibility for admission to treatment program	180	$50	$8.8K
H0032	Mental health service plan development by non-physician	80	$70	$5.9K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Illinois Distribution

The Thresholds — 1 of 10 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Illinois

Full comparison — all codes billed, vs. Illinois median

10 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0039	Assertive community treatment, face-to-face, per 15 minutes	10	50	14,910	$140	$4.1M
H2016	Comprehensive community support services, per diem	4	60	11,700	$130	$3.5M
H2015	Comprehensive community support services, per 15 minutes	36	430	3,260	$80	$1.3M
H2000	Comprehensive multidisciplinary evaluation	71	420	1,450	$100	$631.8K
T1016	Case management, each 15 minutes	14	470	1,830	$60	$475.9K
H0034	Medication training and support, per 15 minutes	78	110	1,030	$40	$179.2K
H2010	Comprehensive medication services, per 15 minutes	114	250	690	$30	$145.6K
H0002	Behavioral health screening to determine eligibility for admission to treatment program	178	330	210	$110	$97.4K
H0031	Mental health assessment, by non-physician	94	220	190	$90	$33.7K
H0032	Mental health service plan development by non-physician	157	220	190	$60	$20.2K

Related Providers

Other providers that share a Tax Identification Number (TIN) with The Thresholds, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The Thresholds	IL	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$43.3M
The Thresholds	IL	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$12.4M
The Thresholds	IL	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$8M

Nearby Providers

Other providers in the same ZIP code as The Thresholds, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Cook County	IL	Multi-Specialty Clinic/Center	$0	$85.9M
Frederick Behm	IL	Anatomic Pathology & Clinical Pathology Physician	$440	$32.3M
Sahar Alrayyes	IL	Pediatric Dentistry	$0	$20.3M
Western Labs Company	IL	Clinical Medical Laboratory	$18.4M	$8.4K
Susan Rowan	IL	Dentist	$0	$15.4M
Advance Lab Company	IL	Clinical Medical Laboratory	$14.5M	$0
Robert Decresce	IL	Anatomic Pathology & Clinical Pathology Physician	$62K	$12.4M
The Board Of Trustees Of The University Of Illinois	IL	Internal Medicine Physician	$0	$11.9M
Rush University Medical Center	IL	Early Intervention Provider Agency	$0	$10.1M
Michael Miloro	IL	Oral & Maxillofacial Surgery (D.M.D.)	$0	$9.5M

The Thresholds — Billing Profile & Reimbursement Data

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The Thresholds — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References