Fees + Insurance
At this time I do not accept health insurance, and therefore would be considered an out-of-network physician by an insurance company. This means you would receive a bill for services and a receipt that you can then submit to your insurance company for reimbursement of services. You may provide your insurance company with this bill and be reimbursed on average between 50-100% depending on your plan. Please call your insurance company and find out whether they cover out-of-network services. Medicaid and/or Medicare do not reimburse out of network.
- Ask about whether or not there are "out-of-network" benefits and if so, how much is reimbursed.
- Ask about any deductibles that must be met before these benefits are active.
- Ask if a referral or prior authorization is required and if there are limits on the number of therapy visits in a given time period.
- Ask how to submit claims for reimbursement (typically this is done online or by mail after the provider gives the patient a receipt that includes all relevant diagnostic and service codes).
Commonly used CPT codes:
90792 – Initial evaluation
99212 – Medication check, straightforward
99213 – Medication check, medium complexity
99214 – Medication check, high complexity
90833 – plus psychotherapy, 16-37 mins
90836 – plus psychotherapy, 38-52 mins
90838 – plus psychotherapy, >52 mins