Know the cost before you begin.

The brief and extended visit options depend on clinical need. Visit type, billing codes, and fees should be clear before payment; ask if you are unsure which appointment applies.

Phone follow-ups can be arranged when we agree they are clinically appropriate and legally permitted. Contact me through the patient portal before choosing this format. We will agree on the visit type and fee in advance; a video visit, or an in-person assessment with another provider, may be needed when a phone visit cannot provide an adequate assessment.

Insurance & payment

The practice is cash-pay. I do not accept or bill insurance. Superbills are available on request for possible out-of-network reimbursement; your insurer determines coverage.

Payment by credit card, HSA, or FSA card is due at the time of service through SimplePractice. Check your account’s eligibility rules for HSA or FSA reimbursement. Secure portal messaging between visits is included.

Being cash-pay does not remove the need for an accurate clinical record. A superbill includes diagnosis and billing information that you would share with your insurer if you choose to submit it.

What to ask your insurer

Before counting on reimbursement, ask your plan:

• Do I have out-of-network outpatient mental health benefits?
• Are video visits, or an agreed phone follow-up, with a psychiatric nurse practitioner covered?
• What deductible remains, and what amount does the plan allow for the service?
• What would I be reimbursed, and how do I submit a superbill?

A standard initial evaluation may use CPT 90792 and a standard follow-up may use 99214. The actual code depends on the service provided. Your insurer can check benefits using the practice NPI: 1831891605.

Cancellations & other costs

Paid appointments canceled with less than 24 hours’ notice, or missed without notice, incur a $150 fee, capped at the appointment fee. A brief $125 visit therefore has a $125 fee. Free consultations have no cancellation charge. Exceptions for emergencies are considered individually. If you need to change an appointment, contact the practice as early as possible.

Medication, lab work, and care from other providers are separate from these appointment fees. Let me know if cost is a concern so we can discuss options before making a treatment decision.

Messages, records & administrative work

Routine portal messages, brief care coordination, and ordinary administrative letters are included. There is no automatic per-page letter fee or hourly phone charge. If a clinical question needs an appointment, we discuss that before scheduling.

Substantial administrative work requires an agreed scope and flat quote before it begins. A quote does not guarantee that a requested opinion or form is appropriate. This practice does not provide disability determinations, custody evaluations, or VA claims work.

Electronic copies of your own records have no practice fee. Any permitted cost for paper copies, postage, third-party requests, or legally required services will be explained in advance.

Your right to a Good Faith Estimate

If you are uninsured or choosing not to use insurance, you have the right to a written Good Faith Estimate of expected charges. You will be offered one when scheduling your initial evaluation and can request one at any time.

If a provider’s bill is at least $400 above that provider’s estimate, you may be eligible for the federal patient-provider dispute resolution process. Read the CMS explanation of these protections.

To request an estimate, call (509) 356-2424.