The initial consultation consists of an 80 diagnostic interview, tracing the history of current symptoms as well as relevant family, psychiatric and medical history and exploring relevant stressors such relationships and work. Additionally, any lab tests will be reviewed. A preliminary treatment plan will be formulated at this time, although in some more complicated cases, an additional 50 minute follow-up meeting may be needed to complete the assessment and formulate a comprehensive treatment plan. The fee for the 90 minute initial consultation in the office is $650 (CPT code 90792).
Psychotherapy alone/Psychotherapy and medication therapy
Psychotherapy refers to the use of psychological and behavioral approaches to treat psychiatric symptoms such as anxiety, depression, insomnia. Visits are 50 minutes with a fee of $375.
Routine medication therapy
Medication therapy attempts to correct disturbances in neurotransmitter (chemical signals used by brain cells to modulate
brain activity) associated with various psychiatric conditions. Medication therapy appointments are focused on tracking target symptoms and side effects as well as other factors impacting symptoms. Follow-up visits for medication management (CPT code 99214 or 99443) are 20-25 minutes long, and the fee is $250.
Complex medication therapy
In patients with complex medical or psychiatric conditions and dementia, the routine medication therapy appointment may
not allow sufficient time to examine symptoms, discuss medication side effects, and consider other relevant medical
conditions/drugs or situational factors. In such cases, some or most follow-up appointments might require the 50 minute
duration in order to review necessary information, update the treatment plan and address questions/concerns regarding the
treatment approach. The fee is $375.
Dr. Kavirajan performs capacity evaluations involving persons with late life cognitive disorders. This type of assessment is
typically requested by an attorney in cases where there is some uncertainty about a person's ability to make informed
decisions about trusts and wills due to a possible cognitive disorder.
In these cases, Dr. Kavirajan serves as an expert consultant for an attorney or court, rather than as healthcare provider for
the subject of the examination.
The usual hourly rate for forensic services is $700/hour.
Dr. Kavirajan is not an in-network provider for any private health insurance plan or Medicare. It is expected that fees will be
collected at the time of service. Payment can be made using using cash, checks, and major credit cards.
For patients with PPO or traditional fee-for-service insurance plans, it may be possible to recover some or most of the cost
of treatment from the insurance company. Patients with such plans are encouraged to call their health insurance plans to
inquire about how this reimbursement process works. It may be useful to mention the specific CPT codes and fees listed
above for the various services in order to get an accurate estimate of the amount covered by the insurance plan.
If requested, a statement, or "superbill," will be provided for you for submission to your insurance provider. In general, after
follow-up appointments, these documents will be available at the time of payment. The superbill for the initial visit may not be
available until the first follow-up visit because there may not be sufficient time during the first meeting for the form to be
PLEASE NOTE THAT DR. KAVIRAJAN HAS OPTED OUT OF MEDICARE, AND THEREFORE THAT CLAIMS CANNOT BE
FILED WITH MEDICARE FOR HIS SERVICES.