Fees and Insurance
Self-Pay Model
My practice operates on a self-pay basis and does not participate in insurance networks. Payment is due at the time of each session.
This approach allows me to provide the highest quality, individualized care without the constraints often imposed by insurance companies. When clinicians must adhere to insurance requirements, treatment can be shortened, overly structured, or limited to narrow symptom-focused goals.
By not contracting with insurance panels, I am able to:
Spend the time necessary to understand your full story, not just your (or your child’s) diagnosis.
Tailor the length, frequency, and style of treatment to your (or your child’s) unique needs and goals.
Maintain strict confidentiality, without sharing sensitive clinical details with insurance companies.
Base all treatment decisions on clinical judgment and collaboration, not administrative approval.
This flexibility allows for a more thoughtful and effective therapeutic process that supports genuine understanding and long-term growth.
Fees
Depending on your diagnosis and required care, I may use any of the following billing codes while caring for you (or your child), among others:
90792 — Psychiatric Diagnostic Evaluation with Medical Services
99213 — Office Evaluation and Management Service (Low)
99214 — Office Evaluation and Management Service (Moderate)
99215 — Office Evaluation and Management Service (High)
90833 — Psychotherapy, 30 minutes
90836 — Psychotherapy, 45 minutes
90838 — Psychotherapy, 60 minutes
90846 — Family Psychotherapy (without patient)
These billing codes may vary from visit to visit, reflecting the nature and complexity of the service provided at a given appointment.
All visits are billed by me based on time:
$250 for 25 minutes
$400 for 45 minutes
The frequency and length of treatment for psychiatric care cannot be accurately estimated ahead of time. Depending on symptoms, patient needs and preferences, response or lack of response to medication, medication side effects, and other factors, there can be substantial variability in the number and spacing of visits.
Insurance Reimbursement
Although I do not bill insurance directly, many patients receive partial reimbursement for out-of-network mental health services.
At the end of each month, I can provide a detailed statement (superbill) that you can submit to your insurance company. This document includes all necessary information (diagnosis codes, CPT codes, dates of service, and fees) to assist with potential reimbursement.
If you wish to explore this option, you may contact your insurance provider and ask:
“Do I have out-of-network benefits for outpatient psychiatry or psychotherapy?”
“What percentage of the fee is reimbursed for CPT codes 90792, 90833, 90836, 90838, 99213, 99214, and 99215?”
“Is there a deductible that must be met before reimbursement begins?”
“Are there limits on the number of sessions per year?”
Good Faith Estimate
In accordance with the No Surprises Act, you will receive a Good Faith Estimate before beginning treatment, outlining the expected costs of care. This estimate is based on the most likely course of treatment but can be updated as your needs evolve. The estimate is not a contract, it is meant to provide transparency so that you can make informed decisions about your care.
A Thoughtful Approach to Care
I believe that the best psychiatric and psychotherapeutic work happens when both patient and clinician have the freedom to think, reflect, and collaborate, without the interference of third-party payers.
This model allows us to focus entirely on your experience, goals, and growth, rather than administrative requirements or predefined limits on care.
My commitment is to provide thoughtful, compassionate, and evidence-informed treatment that integrates both psychotherapy and medication management when appropriate, always guided by what will best serve your well-being.