Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

THE THRESHOLDS

NPI: 1174955173 · CHICAGO, IL 60632 · Mental Health Clinic/Center (Including Community Mental Health Center) · NPI assigned 08/01/2013

Billing Flags · Automated signals — not evidence of fraud
Single-Code Concentration

100% of spending on code H0039 with only 2 total codes billed. Highly concentrated billing profile.

Entity Proliferation

Authorized official KLAUER, MARCELLA controls 20+ related entities in our dataset. Read more

$3.14M
Total Medicaid Paid
17,878
Total Claims
1,964
Beneficiaries
2
Codes Billed
2018-01
First Month
2022-11
Last Month

Provider Details

Authorized OfficialKLAUER, MARCELLA (EXECUTIVE ASSISTANT)
Parent OrganizationTHE THRESHOLDS
NPI Enumeration Date08/01/2013

Related Entities

Other providers sharing the same authorized official: KLAUER, MARCELLA

ProviderCityStateTotal Paid
THE THRESHOLDS CHICAGO IL $43.29M
THE THRESHOLDS CHICAGO IL $33.84M
THE THRESHOLDS CHICAGO IL $26.05M
THE THRESHOLDS KANKAKEE IL $19.32M
THE THRESHOLDS CHICAGO IL $13.40M
THE THRESHOLDS CHICAGO IL $13.08M
THE THRESHOLDS BLUE ISLAND IL $12.44M
THE THRESHOLDS CHICAGO IL $12.18M
THE THRESHOLDS CHICAGO IL $10.07M
THE THRESHOLDS NORTHFIELD IL $7.99M
THE THRESHOLDS GURNEE IL $7.49M
THE THRESHOLDS CRYSTAL LAKE IL $6.58M
THE THRESHOLDS WOODSTOCK IL $6.02M
THE THRESHOLDS CHICAGO IL $4.88M
THE THRESHOLDS WESTMONT IL $3.82M
THE THRESHOLDS SKOKIE IL $2.69M
THE THRESHOLDS CHICAGO IL $2.30M
THE THRESHOLDS CHICAGO IL $1.74M
THE THRESHOLDS CHICAGO IL $1.71M
THE THRESHOLDS CHICAGO IL $1.62M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,654 $550K
2019 3,226 $581K
2020 4,755 $660K
2021 3,645 $639K
2022 3,598 $707K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H0039 Assertive community treatment, face-to-face, per 15 minutes 17,785 1,891 $3.12M
H2000 Comprehensive multidisciplinary evaluation 93 73 $12K