Threshold INC

Threshold INC was paid $3.47M by Medicaid between Jan 2018 and Oct 2024, across 2 billing codes. Its largest line is H2017, psychosocial rehabilitation, billed per 15 minutes — 99% of everything it billed.

33Billing provider infoTHRESHOLD INC
DURHAM, NC 27703

33aNPI1326184359assigned 01/29/2007

33bProvider typeCommunity/Behavioral Health Agency

28Total paid$3.47M

24GClaims52,486

24DCodes billed2

24AFirst – last monthJan 2018 – Oct 2024

Compared with peers

Next to other Community/Behavioral Health Agency providers in North Carolina

Rank by total paid#232 of 856

Median peer was paid$908K

This provider vs. median3.8×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Single-Code Concentration99% of spending on code H2017 with only 2 total codes billed. Highly concentrated billing profile.

Box 24A · Dates of service

Paid by month

Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider

By year, as a table

Year	Claims	Paid
2018	7,661	$547K
2019	8,716	$651K
2020	7,227	$242K
2021	6,840	$375K
2022	4,239	$463K
2023	10,523	$700K
2024incomplete	7,280	$490K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
H2017	Psychosocial rehabilitation, billed per 15 minutesPsychosocial rehabilitation services, per 15 minutes	99%	52,359	3,574	$3.45M
T1017	Case management, billed per 15 minutesTargeted case management, each 15 minutes	<1%	127	76	$19K

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialDETER, SUSIE (EXECUTIVE DIRECTOR)