Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Belle Fourche Counseling - LLC

Belle Fourche Counseling - LLC was paid $482K by Medicaid between Nov 2018 and Dec 2024, across 4 billing codes. Its largest line is 90837, psychotherapy session, about an hour — 77% of everything it billed.

33Billing provider infoBELLE FOURCHE COUNSELING - LLC
BELLE FOURCHE, SD 57717
33aNPI1215476577assigned 02/20/2017
28Total paid$482K
24GClaims5,470
24DCodes billed4
24AFirst – last monthNov 2018 – Dec 2024
Compared with peers

Next to other Community/Behavioral Health Agency providers in South Dakota

Rank by total paid#6 of 22
Median peer was paid$116K
This provider vs. median4.2×

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.

Box 24A · Dates of service

Paid by month

$0$10K$20K$30K2018201920202021202220232024
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
YearClaimsPaid
201873$6K
201957$5K
2020195$20K
2021801$76K
20221,095$101K
20231,316$97K
2024incomplete1,933$178K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
90837 Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient 77% 3,777 1,822 $371K
90834 Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient 11% 708 401 $51K
90832 Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient 10% 856 425 $49K
90791 Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation 2.3% 129 71 $11K

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 officialGRAMS, KAYLA (THERAPIST/OWNER)