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 1447406715)

Field	Value
Entity Type	Organization
Organization	The Thresholds
Address	734 W 47th St
City	Chicago
State	IL
ZIP	60609
Taxonomy	Mental Health Clinic/Center (Including Community Mental Health Center)
NPI Enumerated	August 18, 2008

Payer Source	Total Paid
Medicaid	$13.4M
Medicare	$0

Medicaid: Complete Services Breakdown

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

9 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2016	Comprehensive community support services, per diem	59,180	$130	$7.6M
H2015	Comprehensive community support services, per 15 minutes	39,860	$70	$2.8M
H0039	Assertive community treatment, face-to-face, per 15 minutes	5,240	$200	$1.1M
H2000	Comprehensive multidisciplinary evaluation	6,450	$120	$780.6K
T1016	Case management, each 15 minutes	14,500	$50	$739.2K
H0004	Behavioral health counseling and therapy, per 15 minutes	2,700	$120	$315.4K
H0032	Mental health service plan development by non-physician	240	$70	$17.5K
H0031	Mental health assessment, by non-physician	190	$70	$13.9K
H0002	Behavioral health screening to determine eligibility for admission to treatment program	170	$40	$7K

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 — 0 of 9 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

9 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0039	Assertive community treatment, face-to-face, per 15 minutes	33	50	14,910	$140	$4.1M
H2016	Comprehensive community support services, per diem	7	60	11,700	$130	$3.5M
H2015	Comprehensive community support services, per 15 minutes	50	430	3,260	$80	$1.3M
H0004	Behavioral health counseling and therapy, per 15 minutes	381	800	2,480	$90	$962.2K
H2000	Comprehensive multidisciplinary evaluation	105	420	1,450	$100	$631.8K
T1016	Case management, each 15 minutes	67	470	1,830	$60	$475.9K
H0002	Behavioral health screening to determine eligibility for admission to treatment program	185	330	210	$110	$97.4K
H0031	Mental health assessment, by non-physician	113	220	190	$90	$33.7K
H0032	Mental health service plan development by non-physician	83	220	190	$60	$20.2K

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
Nada Aldallal	IL	Pediatrics Physician	$0	$9.5M
Access Community Health Network	IL	Federally Qualified Health Center (FQHC)	$0	$7.5M
Pinkesh Shah	IL	Dentist	$0	$6.7M
Access Community Health Network	IL	Federally Qualified Health Center (FQHC)	$0	$5.8M
Francesca Gattuso	IL	Dentist	$0	$4.4M
Minghui Tang	IL	Dentist	$0	$2.9M
Marie Rodriguez	IL	Gerontology Nurse Practitioner	$1.7M	$0

The Thresholds — Billing Profile & Reimbursement Data

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The Thresholds — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References