Fees & Insurance
My fees are based on the usual and customary rates for psychologists in the Bay area. Unless we make other specific arrangements, payment by check, cash, or PayPal is due at the beginning or end of each coaching session. Fees will be divided into two payments- the first payment will be due upon signing the informed consent form (this takes place after the paperwork is signed- not to be confused with the free consultation) and the second will be due upon delivery of the report or feedback. The fees include all emails, interviews, assessment instruments. etc- they are all-inclusive. Please note I only work with people of kindergarten age and up.
I want to give back to the community and in that spirit I occasionally am able to offer sliding scale assessments for underserved kids, teens, and college-aged young adults. These spots fill up quickly and you must provide proof of why the fee should be waived.
Psychological Assessment vs Neuropsychological Assessment
Here is a great article illustrating the difference between a Psychological and Neuropsychological Assessment. A Psychological Assessment is focused on diagnosis: does someone have a disorder or not. It doesn't get deeply into the nuances of how that disorder manifests specifically in you or your child, and does not provide sufficient information for suggesting accommodations. I often use this in the context of consultations- if a clinician is "stuck" and knows there is something else going on with their client, but can't put their finger on what is causing the client to remain stuck they will consult with me for a Psychological Assessment. A Psychological Assessment can uncover ASD, anxiety disorders, or learning disorders that might otherwise go unrecognized. A Neuropsychological Assessment is more thorough, takes more time, and results in customized accommodation recommendations. It includes topics like: Intellectual Abilities, Learning Disabilities, Cognitive Abilities, Executive Functions and Problem Solving. It provides far more specific content about you or your child's strengths and developmental areas leading to targeted interventions. I also provide an answer to this on the FAQ page.
Psychological Assessment Without Report: $1250
Psychological Assessment With Report $1750
Neuropsychological Assessment Without Report: $3000
Neuropsychological Assessment With Report: $5000
Coaching Sessions: $200/45 minute session (Please Note: My coaching practice is full)
On occasion, insurance will cover psychological assessment. I am not within network for any insurance carriers, however if you have a PPO or other similar coverage it is possible that my services would be covered.
I strongly urge you to call your insurance company before meeting with me to review what they do and do not cover. If you call your insurance company, let them know that you are calling for “preauthorization for psychological testing.” I use many if not all of the codes below. Please note that if you use insurance, the actual hours will be billed in lieu of the flat fee (and may be in excess of the flat fee).
CPT code equivalents of the most common components of the neuropsychological assessment include: 1. Direct clinical observation and interview with the patient, often with caregivers or significant others who serve as sources of information that the patient may be unable to provide (e.g., spouse, parent, adult child, care staff, therapists), 96116;
2. Review of medical records and, in some cases, other relevant records (e.g., work history, educational history, criminal or social services records, etc.), 96118;
3. Completion of forms and questionnaires by the patient and significant others (not billable);
4. Selection, administration and interpretation of neuropsychological tests, directly by the neuropsychologist (96118); or by a technician under the neuropsychologist's direct supervision (96119); or by computerized test administration (96120), or via some combination of these three approaches to test administration;
5. Integration of neuropsychological test findings, across tests, and with information from history, observation, questionnaire, and interview, by the neuropsychologist (96118);
6. Formulation of the differential diagnoses, diagnostic conclusions, prognosis, and treatment recommendations, by the neuropsychologist (96118);
7. Provision of a feedback or treatment planning conference to the patient, with significant others as needed, to explain the test procedures, results, implications, conclusions, recommendations, and follow-through as needed (96118);
8. Preparation and provision of a written report to the patient and referring health care provider, and to other treatment providers with written informed consent to release information signed by the patient (96118). (Link to Source)
I suggest that you obtain any special forms and a fax number for paperwork that they tell you is required. If your insurance company authorizes the testing, they will use the date they receive the forms for the start date of the authorization. I am not in control of how quickly they will process this request or whether they will authorize testing at all. I will fill out forms if you provide them for me and will give you a copy of forms that I submit so that you can follow up with them directly.
You should also be aware that if you would like insurance to cover this assessment, they require that I provide them with information relevant to the services that I provide to you. This information will become part of the insurance company files and will probably be stored in a computer. Though all insurance companies claim to keep such information confidential, I have no control over what they do with it once it is in their hands. In some cases, they may share the information with a national medical information databank.