financial information
accepted insurances
Aetna (commercial plans only)
Anthem BCBS (commercial plans only)
United Healthcare (commercial and medicaid)
We are an out-of-network provider for all other insurance plans. Often a portion of the evaluation fee is reimbursable under an insurance policy under “out-of-network” expenses. A billing summary can be provided for submission to your insurance company. It is the patient’s responsibility to verify your coverage and note restrictions or limitations prior to initiating services (CPT codes 99205/99215/96112/96113/99417/G2212/99358/99442/99443). You are responsible for the payment of all charges on your account even if your insurance company denies the claim, refuses to pay the charges, or the time needed to complete the assessment exceeds that approved under your insurance plan.
FINANCIAL POLICY & fee schedule
All payments (both insurance and out-of-network) will be processed through Practice Fusion Billing, a third party payment service. You will receive a statement in the mail. Payments owed can be processed through PayMyDoctor and can be accessed through the following link: https://personapay.com/PayMydoctor/pre-login. The practice ID number is 11211845.
Visit 1:
In-Person Evaluation (2 hours)
- CPT Code 99205 (First 60 to 74 minutes): $300
- CPT Code 99417: $50 per additional 15 minutes on day of visit
- CPT Code 96112 (Testing code, if needed): $250
- CPT Code 96113 (Additional Testing beyond 1 hour): $100
Approximate total for Out-of-Network Initial Visits: $650-900
Visit 2:
Follow Up (30 to 45 min)
- CPT Code 99215: $250
- CPT Code 99417: $50 per additional 15 minutes on day of visit
- CPT Code 96112 (Testing code, if needed):$250
-CPT Code 96113 (Additional Testing beyond 1 hour): $100
Medication Management Visit: (20 minutes)
- CPT Code 99214: $175
Additional Fees, if needed: after hours, paperwork, results
- CPT Code 99358 (30 to 60 minutes to review paperwork, results, and charting within 1 week before or after visit): $150
- CPT Code 99442: $50 (15 mins of medical discussion via phone)
- CPT Code 99443: $100 (20+ mins of medical discussion via phone)
Follow Up visits: (30 minutes)
- CPT Code 99215: $250