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 1689029589)

Field	Value
Entity Type	Organization
Organization	The Thresholds
Address	444 W Frontage Rd
City	Northfield
State	IL
ZIP	60093
Taxonomy	Mental Health Clinic/Center (Including Community Mental Health Center)
NPI Enumerated	April 28, 2016

Payer Source	Total Paid
Medicaid	$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.

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2016	Comprehensive community support services, per diem	40,450	$110	$4.6M
H2015	Comprehensive community support services, per 15 minutes	28,310	$100	$2.7M
T1016	Case management, each 15 minutes	10,910	$40	$458.3K
H0004	Behavioral health counseling and therapy, per 15 minutes	1,000	$150	$150.4K
H2000	Comprehensive multidisciplinary evaluation	1,210	$80	$100.8K
H2010	Comprehensive medication services, per 15 minutes	100	$30	$3.1K

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 6 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

6 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2016	Comprehensive community support services, per diem	12	60	11,700	$130	$3.5M
H2015	Comprehensive community support services, per 15 minutes	78	430	3,260	$80	$1.3M
H0004	Behavioral health counseling and therapy, per 15 minutes	510	800	2,480	$90	$962.2K
H2000	Comprehensive multidisciplinary evaluation	222	420	1,450	$100	$631.8K
T1016	Case management, each 15 minutes	89	470	1,830	$60	$475.9K
H2010	Comprehensive medication services, per 15 minutes	200	250	690	$30	$145.6K

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	$26.1M
The Thresholds	IL	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$12.4M

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
Claire Kenneally	IL	Internal Medicine Physician	$267K	$8.3K
Carole Prete	IL	Internal Medicine Physician	$197.9K	$1.2K
David Donnersberger	IL	Internal Medicine Physician	$169.1K	$0
Carol Tharp	IL	Dermatology Physician	$158.6K	$0
Aron Feinberg	IL	Internal Medicine Physician	$131.1K	$0
John Golan	IL	Vascular Surgery Physician	$110.1K	$0
Cynthia Topel	IL	Certified Registered Nurse Anesthetist	$98.9K	$0
Jeremy Warner	IL	Plastic Surgery Physician	$78.6K	$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

Related Providers

Nearby Providers

Frequently Asked Questions

References