Applied Clinical/Private Practice


Fees 2015

Please note that the changes below are the first changes made in 10 years.  These fees have not changed as of June, 2020. 

 

Evaluations:  $400 to $800

Therapy sessions: $100 to $360 depending on duration

 

 120 minutes $360.

    90 minutes $270

    60 minutes $180

    45 minutes $150

    30 minutes $100.


Psychological Testing/Assessments:  $200 to $800 (2 to 8 hours)

$100 per unit (hour). [This does not include the time for you to complete measures. It does include professional time for instructions, answering your questions, scoring, interpretation, report writing, discussions with you, and cost of the software and testing materials. ]


Phone-based therapy: $100 to $200 depending on time
             15 to 30 minutes $100

 30 to 45 minutes $150.

             45 to 60 minutes $200

 

Letters

Routine letters to insurance companies - No charge 

Brief summary letter to your other health care professionals  (including dates of service, diagnosis, and brief summary)- No charge

Detailed letter to other health care professionals - $200. to $500. 

Special letters - $200. to $800. depending on complexity.

 

Missed Sessions: (without adequate notice) $50. to $100.

Insurance:

I am a Blue Cross/Blue Shield preferred in-network provider.

I can provide documentation of sessions for patients submitting claims to other insurance companies.

I am not a Medicare Provider.

 

Sliding Scale:  I do not have a sliding scale. However, I sometimes provide discounts.


Discounts: I provide discounts (e.g. 20 % off regular fees) in special circumstances

Updated and additional policies as of December 22, 2017  

          BCBS announced substantial reductions in reimbursement that started on October 1, 2017. These were in addition to the substantial reductions in reimbursement made a few years ago. I want to continue to serve my BCBS patients so I made some modest changes that will not adversely affect the quality of care. 

My patients have experienced session durations that often significantly extended beyond the 60 minute limit. The longer sessions often allowed me to schedule patients a little less often than might have been needed to cover the evaluations, information gathering, complex issues, recommendations, psychotherapy, and patient preferences and needs.

Many patients probably realized that Blue Cross, via NDBH, only reimbursed for a maximum of 60 minutes even when sessions are longer. I rarely discussed this with my patients because I never wanted that to interfere with our sessions.  Longer sessions are no longer practical for me considering the marked reduction of reimbursement hence I am making slight adjustments. The change in my policy and practice.

  • Evaluation sessions will now often involve more than 1 session and perhaps 2 to 3 sessions.
  • Psychotherapy sessions will be limited to 60 minutes.
  • Additional psychotherapy sessions will be periodically recommended and planned when indicated.
  • Sometimes patients might feel that 60 minutes is insufficient to cover all topics, the complexity of the issues, and/or your style for oral reporting and expression. In those sessions, you might want to cover more topics, delve into some in more depth, or want more from me. Scheduling another session the next day or within a few days is one option. However, I know that an extra session periodically will sometimes be inconvenient for you.  You can certainly decide to keep your current schedule and we both can try to make more efficient use of the 60 minutes.
  • Another option available for you now is to self-pay for additional time beyond 60 minutes if and when you ask for more time. I am offering this at my discounted regular rate of $75 for 30 minutes and $145 for 1 hour. This is a non-covered service by BCBS and cannot be billed to BCBS and is due at the time of the session.

Together we will work on adapting together. I will continue to be available to you and do all that I can to help you. You are my primary responsibility and your welfare and improvements are my primary goals.



These fee options are for your convenience if you are unable to send a check or pay with cash. Not all fees are currently listed. Please contact me with any questions.

Services