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 1700274750)

Field	Value
Entity Type	Organization
Organization	The Thresholds
Address	620 Dakota St
City	Crystal Lake
State	IL
ZIP	60012
Taxonomy	Mental Health Clinic/Center (Including Community Mental Health Center)
NPI Enumerated	December 29, 2014

Payer Source	Total Paid
Medicaid	$6.6M
Medicare	$0

Medicaid: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2016	Comprehensive community support services, per diem	24,170	$150	$3.6M
H2015	Comprehensive community support services, per 15 minutes	27,450	$90	$2.6M
H2000	Comprehensive multidisciplinary evaluation	3,440	$100	$354.2K
T1016	Case management, each 15 minutes	1,880	$30	$62.1K
H0031	Mental health assessment, by non-physician	50	$130	$6.9K
H0032	Mental health service plan development by non-physician	80	$80	$6.7K
H0002	Behavioral health screening to determine eligibility for admission to treatment program	90	$40	$4K

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 7 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

7 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2016	Comprehensive community support services, per diem	19	60	11,700	$130	$3.5M
H2015	Comprehensive community support services, per 15 minutes	80	430	3,260	$80	$1.3M
H2000	Comprehensive multidisciplinary evaluation	156	420	1,450	$100	$631.8K
T1016	Case management, each 15 minutes	230	470	1,830	$60	$475.9K
H0002	Behavioral health screening to determine eligibility for admission to treatment program	225	330	210	$110	$97.4K
H0031	Mental health assessment, by non-physician	172	220	190	$90	$33.7K
H0032	Mental health service plan development by non-physician	161	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
Rosecrance Inc	IL	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$5.1M
Farhan Bangash	IL	Nephrology Physician	$715K	$178.2K
Venkata Buddharaju	IL	Nephrology Physician	$466.3K	$158.5K
Brian Flanagan	IL	Adult Reconstructive Orthopaedic Surgery Physician	$425.4K	$90.3K
Lindsay Esch	IL	Internal Medicine Physician	$230K	$7.4K
Barbara Burrell	IL	Internal Medicine Physician	$174.8K	$620
Timothy Havenhill	IL	Orthopaedic Hand Surgery Physician	$84.6K	$67.3K
Livia Bir	IL	Clinical Neuropsychologist	$62K	$0

The Thresholds — Billing Profile & Reimbursement Data

Sign up for The Thresholds — Billing Profile & Reimbursement Data policy alerts

The Thresholds — Billing Profile & Reimbursement Data

Sign up for The Thresholds — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References