Fees
15-minute Consultation: Free
Note: I do not do additional free consultation after the first one. Most questions clients have can be answered by reading the appropriate page on my website.
Initial Appointment: $350 for 60 minutes
Usual Rate (Therapy/Meds/Evaluation): $290 for 50 minutes
Medication Only Rate: $325 for 25 minutes.
$150 for 15-Minute In-Between Visit Medication Refills. The time and fee cover for the software and personal time I utilize
Insurance: I am not in-network with any insurance companies. Scroll all the way down to learn more about Out-Of Network reimbursement and call your insurance before scheduling an Initial Appointment with me. I do not fill out forms for you for reimbursement as insurance could mistakenly reimburse me rather than you.
Changing fees: Keep in mind, my fees can change from time to time. The fee on the last page of the policies form I send to you is the finalized fee you will pay for services and can be negotiated at any time.
Fee Policies
48-Hour Cancellation: I require greater than 48 hour-notice when cancelling/rescheduling any appointment. Otherwise, you will be billed for the full appointment time. The only exception to this policy is if I can fill a different slot for you on that same day.
Payment Dues: All payments are generally due in full at the time services are rendered. I will not see you for your appointment unless you’ve paid in full before the appointment begins.
Phone Consults: If you required a phone consult outside of your appointment time, I will charge for time if the call goes on for more than 5 minutes.
Penalty Fee: $50 per occurrence on top of how much you owe.
Being late to appointments by >10 minutes
Bounced payments without alternative means of payment
Doctor fails to show up: If I do not show up for your appointment for any reason, you will not be billed for the missed appointment. Your next appointment will be free of charge provided it is the same amount of scheduled time as the original appointment.
Appropriateness of Fee: Feel free to discuss whether the fee is appropriate at any point in communication with me. I do not offer discounts if it’s clear that you can comfortably pay my full fee.
Retroactive Discounts/Refunds: I do not offer discounts retroactively or offer refunds.
Discounted Fee: Offered to patients who are having financial difficulties or cannot afford my services at all. I do NOT discount the first 2 - 4 appointments. You’ll have ample opportunity during those appointments to describe your financial status to me. If I agree to offer you a discount, I’ll ask that you to make the following commitments as “payment” for the discount:
Homework Commitment: You’d have to agree ahead of time to do written therapy homework and reading 5 days out of the week for at least 20 minutes/day. If you fall off of this commitment even for one day, I will refer you to someone else who won’t ask you to do this.
Life time Drug/Alcohol Commitment: You’d have to agree ahead of time to abstain permanently from all substance use (including marijuana and nicotine) for the rest of your life and never again use any of these substances no matter what.
Other Commitments: I will also ask additional commitments of you depending on what your symptoms and your goals are. These must also be agreed to ahead of time.
Continue Scrolling to Learn More about Out-Of-Network Reimbursement
Do You Take Insurance?
I do not take insurance and am an “out-of-network” provider. This means that I do not take payment from commercial or national health insurance. This further means that I do not accept patients who have Medicare/Medicaid into my practice. This is because I do not have the capacity to manage Medicare billing. If you decided to see me and you had Medicare, it would be illegal for us to work together because I’d be charging you a rate that is different from what Medicare would pay me.
You can still get Reimbursed!
Insurance can still partially pay for your visits even for out-of-network providers. Make sure to call your insurance company before setting up your first appointment with me.
I produce a Superbill or Receipt for your visit(s) on a monthly basis automatically that you can submit to your insurance company. Please keep in mind, I will usually have to disclose your diagnosis to insurance as a part of the superbill if you request for reimbursement.
How can I get reimbursed?
You only get reimbursed if you are insured. Each insurance company is different however. Call your insurance and they will tell you what exactly they need from you. Keep in mind, insurance usually requires I disclose your diagnosis and dates of treatment to your insurance if you request reimbursement for out-of-network services. Additionally, double sessions are usually not reimbursed by insurance companies.
Here are some questions to ask your insurance company:
What are my medical/mental health benefits to see a psychiatrist?
Do I need an authorization for mental health treatment and if so, how do I obtain it?
What is my out-of-network coinsurance for outpatient mental health?
Do I have a deductible for mental health services and if so, how much?
At what rate will I be reimbursed for mental health services (the usual range is 20% to 80%)?
What is your claims address?
What is the Allowed Amount of coverage for the CPT codes [to the right/below] at zip code 94040 for a diagnosis of Major Depression or Generalized Anxiety or Bipolar Disorder or Social Anxiety Disorder, etc.?
You may visit Zencare’s webpage for more information on this topic.
You can also use Reimbursify to assist you with being reimbursed. They’ll take care of some of these things for you.
Coding
Ask insurance companies what their reimbursement rate is for each code below. Insurance companies use these number codes to categorize the service rendered and determine how much they’ll pay.
90792 – Psychiatric Diagnostic Evaluation with medical services
90834 – Psychotherapy for 45 - 53 minute
+95 (modifier) - Add on for telemedicine services
99214– 30 minutes of Medication Management