My T is part of a clinic so the clinic takes care of things. That being said, when I've gone in for a consult with another T, since I can't have two therapy sessions on the same day and he knew it was going to be stressful for me, he still met with me at our usual time with no charge. And he doesn't get paid unless he bills so he sat with me for an hour and did therapy with me and didn't get paid for two sessions.