The Thresholds
The Thresholds was paid $6.58M by Medicaid between Jan 2018 and Sep 2024, across 7 billing codes. Its largest line is H2016, community support for mental illness or disability, billed per day — 54% of everything it billed.
CRYSTAL LAKE, IL 60012
Next to other Mental Health Clinic/Center (Including Community Mental Health Center) providers in Illinois
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 6,461 | $705K | |
| 2019 | 8,441 | $904K | |
| 2020 | 11,412 | $1.00M | |
| 2021 | 8,182 | $916K | |
| 2022 | 9,839 | $1.15M | |
| 2023 | 7,923 | $1.16M | |
| 2024incomplete | 4,907 | $744K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H2016 | Community support for mental illness or disability, billed per dayComprehensive community support services, per diem | 54% | 24,169 | 3,453 | $3.56M |
| H2015 | Community support for mental illness or disability, per 15 minutesComprehensive community support services, per 15 minutes | 39% | 27,450 | 7,050 | $2.58M |
| H2000 | Comprehensive multidisciplinary evaluation | 5.4% | 3,439 | 2,134 | $355K |
| T1016 | Case management, each 15 minutes | <1% | 1,883 | 1,061 | $62K |
| H0031 | Mental health assessment, by non-physician | <1% | 52 | 45 | $7K |
| H0032 | Mental health service plan development by non-physician | <1% | 80 | 76 | $7K |
| H0002 | Behavioral health screening to determine eligibility for admission to treatment program | <1% | 92 | 92 | $4K |
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.
Who's on the registration
| Provider | Location | 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 | Woodstock, IL | $6.02M |
| The Thresholds | Chicago, IL | $4.88M |
| The Thresholds | Westmont, IL | $3.82M |
| The Thresholds | Chicago, IL | $3.14M |
| 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.