General Information - Accessible, Affordable and Reasonable Psychiatrist


HOURS

Please call 585-256-1105 for an appointment. Messages can be left anytime, 24 hours a day


FEES

Fees vary by insurance. Currently I am an in-network provider for Excellus and Aetna. I am out-of-network for all others where the fees listed below apply. You are responsible for the balance.

Usual and customary fees*, due at the time of service by cash or check

Code

Time

Fee

90801

50 (over 31) minute initial consultation

$200

90807

50 (over 31) minute follow up

$150

90805

25 (over 16) minute follow up

$100

90862

12 (over 8) minute medication management

$75

90862

Controlled substance prescriptions*

$25 each

90853

Group Sessions 75 minutes

$45 each person

no code

Overtime*

$3/min

no code

No Show, Cancellations with less than 24 hours

Full fee of time reserved.

*These fees apply also to complicated telephone consults, home visits, admissions, police calls, listening to tapes, looking at records, writing reports, etc. that take over 5 to 10 minutes. These may not be reimbursable. Most private insurance companies cover 50 to 100% of your bills.


CONFIDENTIALITY

In general, all communications between patient and doctor are privileged and confidential.

Exceptions: For insurance and/or disability purposes, information is often required about your diagnosis, nature of disability, prognosis, medications, treatment plan, etc. You will need to sign a release of information for these situations.

In the case of imminent risk of physical harm to yourself or others (suicidal or homicidal plans, inability to function), I may need to involve family members or authorities to ensure safety. Confidentiality does not apply if you are in the hospital or hospital emergency room for risk assessment.


EMERGENCIES

For emergencies, if unable to reach me immediately, go to the hospital emergency room closest to you by any appropriate means (eg. driving yourself, having a family member or friend drive you, or calling 911 for an ambulance), depending on the nature and severity of your condition.


EVENINGS AND WEEKENDS

For urgent questions that need to be addressed before the next business hours, try to reach me through my home office or alternative phone numbers in Rochester. You may have to leave a message and I will return your call as soon as possible.


HOSPITAL ADMISSION

The need for inpatient care occurs rarely in my practice. If and when the need arises, I will help facilitate admission to a hospital. I will not be the inpatient admitting/attending psychiatrist, but I am willing to coordinate your care with hospital staff.


MEDICATIONS

Please bring up your prescription needs at the beginning of your appointment. Please schedule your next appointment so you will not run out of medications.

I do not refill controlled substances sooner that the earliest expiration date of your last prescription.