Firefly Counseling, LLC

Firefly Counseling, LLC was paid $292K by Medicaid between Jan 2022 and Dec 2024, across 8 billing codes. Its largest line is 90837, psychotherapy session, about an hour — 80% of everything it billed.

33Billing provider infoFIREFLY COUNSELING, LLC
WATERTOWN, SD 57201

33aNPI1699346924assigned 07/07/2021

33bProvider typeFamily Nurse Practitioner

28Total paid$292K

24GClaims4,550

24DCodes billed8

24AFirst – last monthJan 2022 – Dec 2024

Compared with peers

Next to other Family Nurse Practitioner providers in South Dakota

Rank by total paid#2 of 6

Median peer was paid$38K

This provider vs. median7.7×

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

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
2022	1,710	$90K
2023	1,399	$86K
2024incomplete	1,441	$116K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
90837	Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient	80%	3,503	1,724	$234K
90791	Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation	9.4%	406	321	$27K
90834	Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient	5.0%	369	256	$15K
96131		2.3%	41	41	$7K
90832	Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient	1.3%	177	97	$4K
96133		<1%	13	13	$2K
96130		<1%	28	28	$2K
96132		<1%	13	13	$847.27

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 officialHENDRICKS, KATHERINE (NURSE PRACTITIONER)