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 1942456223)

Field	Value
Entity Type	Organization
Organization	The Thresholds
Address	12139 S Western Ave
City	Blue Island
State	IL
ZIP	60406
Taxonomy	Mental Health Clinic/Center (Including Community Mental Health Center)
NPI Enumerated	August 18, 2008

Payer Source	Total Paid
Medicaid	$12.4M
Medicare	$0

Medicaid: Complete Services Breakdown

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

11 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2016	Comprehensive community support services, per diem	49,740	$120	$6.1M
H2015	Comprehensive community support services, per 15 minutes	31,760	$80	$2.6M
H0039	Assertive community treatment, face-to-face, per 15 minutes	11,610	$150	$1.7M
T1016	Case management, each 15 minutes	17,630	$40	$722.9K
H0004	Behavioral health counseling and therapy, per 15 minutes	13,740	$40	$604.6K
H2000	Comprehensive multidisciplinary evaluation	3,550	$120	$411.3K
H2017	Psychosocial rehabilitation services, per 15 minutes	3,570	$40	$156.9K
H0034	Medication training and support, per 15 minutes	220	$100	$21.2K
H0032	Mental health service plan development by non-physician	190	$70	$13.8K
H0031	Mental health assessment, by non-physician	40	$170	$6.7K

Showing 1–10 of 11

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 11 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

11 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0039	Assertive community treatment, face-to-face, per 15 minutes	28	50	14,910	$140	$4.1M
H2016	Comprehensive community support services, per diem	9	60	11,700	$130	$3.5M
H2015	Comprehensive community support services, per 15 minutes	64	430	3,260	$80	$1.3M
H0004	Behavioral health counseling and therapy, per 15 minutes	156	800	2,480	$90	$962.2K
H2000	Comprehensive multidisciplinary evaluation	152	420	1,450	$100	$631.8K
H2017	Psychosocial rehabilitation services, per 15 minutes	35	60	5,920	$50	$621.3K
T1016	Case management, each 15 minutes	53	470	1,830	$60	$475.9K
H0034	Medication training and support, per 15 minutes	82	110	1,030	$40	$179.2K
H0002	Behavioral health screening to determine eligibility for admission to treatment program	230	330	210	$110	$97.4K
H0031	Mental health assessment, by non-physician	189	220	190	$90	$33.7K

Showing 1–10 of 11

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	$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	$14.6M
Access Community Health Network	IL	Federally Qualified Health Center (FQHC)	$0	$10.8M
City Of Blue Island	IL	Land Ambulance	$110.9K	$3.7M
Ehab Ghandour	IL	Dentist	$0	$3.7M
Jill Ingelse	IL	Optometrist	$114.3K	$172.4K
Ansel Johnson	IL	Optometrist	$52.5K	$215.8K
Joaquin Galvan	IL	Certified Registered Nurse Anesthetist	$25.2K	$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