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Services and Fees

Our practice is based on a fee-for-service philosophy.  Your health care insurance can be used for all services you might require--except your physician visit(s).  The physician's fee is based on a cash (credit card) basis.  We believe our services and fees provide excellent value especailly when the full cost of insurance--deductables, co-pays, etc. are understood.  Our approach keeps physician's services reasonably priced for those with and without insurance.   

We request credit card payment at the time of service.  After your appointment "check out" is completed by documenting the services provided and processing your credit card payment using credit card information on file.  A consultation summary and "super bill" are provided at the end of your Initial Consulation.  The "super bill" includes information needed for you to  submit an insurance claim (level of visit, ICD code, Tax ID etc.).

Follow-up care.  At the end of your Initial Consultation a follow-up strategy is discussed based on the preliminary diagnosis and patient needs.  The two strategy options are Fee for Service or Memberships.  

Our practice serves patients of all ages with consultation and management of:
- Sleep disorders across the full range of types and manifestations.
- General pulmonary disease.
- Acute Covid and Long-Haul Covid and Covid vaccine related illness.
- Patient and family Healthcare Advocacy Services
Initial Consultation.  ALL new patients are scheduled for an initial  60-minites appointment.  At the end of the initial consultation a follow-up strategy, based on the evaluation outcome and preliminary diagnosis, is developed for follow-up care using a Fee-for-Service or Membership approach based on the patient's needs.   Cost: $250

Fee for Service

1) Follow-up consultation.  Scheduled for 60 minutes and includes a consultation summary and "superbill."  Consultation does not include discounted x-rays, medications, ongoing communications or prescription refills. $175

2) Telephone follow-up consultation (as needed).   3$ per minute--$25 minimum.

3) Home sleep test (2-night)--adults.   Includes a 2-night test, test equipment, supplies, test analysis, and disucssion of test results.  $160

4) Home sleep test (2-night)--pediatric.  Includes a 2-night test, test equipment, supplies, test analysis, and disucssion of test results.  $300

5) Pre/post Spirometry.   $100

6) Healthcare Advocate consultation.  (60-minute consultation) $250

7) Actigraphy.  (Includes 7-14 day test)  $100

8) Covid services.  (Acute care, Long-Haul, and post-vaccine adverse event care).  Prices vary: Prophylaxis-$75, Current Illness w/o risk factors-$125, Current illness w/risk factors-$250.All “Long-Haul” Covid and vaccine related care require ongoing Management Membership--see below.

9) Lab testing.  (as needed per diagnosis and management)  $ varies

Memberships. Two subscription options are available for follow-up care: 

Active Management Membership.   4-month (minimum) subscription at $175/mo. provides:  

1.  Follow-up visits (4 each at 30-60 minutes as needed).   INCLUDED

2.  Ongoing communication as needed via phone, text, email, telehealth.   INCLUDED

3.  Access to discounted lab fees, x-rays, and medications.  Lab fees: Cost + 20% ($15minimum)

4.  Discounted pre/post Spirometry if needed.   $60

5.  Discounted 2-week Actigraphy if needed.  $60

6.  Script for refill of prescription.   INCLUDED

7.  Preauthorization of medications and studies ordered.  INCLUDED

8.  Calls and letters to school, health care provider for accommodations.   INCLUDED

9.  Consultation /coordinaton of care with other healthcare providers.  INCLUDED

10.  Review of outside medical records.  INCLUDED

Maintenance of Stable Patient Membership.  6 -month (minimum) subscription at $55/mo. provides:

1.  One Follow-up visit every 6 months (30-60 minutes)   INCLUDED

2.  Ongoing Communication as needed via phone, text, email, telehealth.   INCLUDED

3.  Calls and letters to school, health care provider for accommodations.   INCLUDED

4.  Controlled substance prescriptions every 3 months.   INCLUDED

5.  Pre-authorizations for medications/studies ordered.  (Pre-authorization for sodium oxybate 1/year) INCLUDED

* fees subject to change without notice

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