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I assume that they are largely business owners and not clinicians unless we are talking some small niches, care to enlighten us?
Some combination of those, not accepting insurance, and being extremely charismatic/energetic. People with a large disposable income recognize the value of psychological services for their own personal well-being. I don't think it's my place to go into much detail beyond that.
Edit: I even remember reading an article in the APA Monitor or something a few years back written by an ECP who was in private practice in New York City reporting an income in that range. Quick google didn't turn it up, but it's known that this sort of thing happens.