True Reflections Counseling, LLC

True Reflections Counseling, LLC was paid $464K by Medicaid between Jun 2020 and Dec 2024, across 2 billing codes. Its largest line is 90837, psychotherapy session, about an hour — 100% of everything it billed.

33Billing provider infoTRUE REFLECTIONS COUNSELING, LLC
HURON, SD 57350

33aNPI1942838487assigned 03/30/2020

33bProvider typeProfessional Counselor

28Total paid$464K

24GClaims5,216

24DCodes billed2

24AFirst – last monthJun 2020 – Dec 2024

Compared with peers

Next to other Professional Counselor providers in South Dakota

Rank by total paid#3 of 17

Median peer was paid$47K

This provider vs. median9.9×

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
2020	297	$26K
2021	919	$86K
2022	1,461	$127K
2023	1,563	$134K
2024incomplete	976	$90K

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	100%	5,178	2,084	$463K
90834	Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient	<1%	38	29	$1K

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 officialSTRICHERZ, KELSI (COUNSELOR)