Please reach us at office@rootsandrivers.health if you cannot find an answer to your question. Please note prices are subject to change. Updated April 2022.
A commitment of 2 appointments is required to become established for a total of $500. This includes:
No.
Superbills are available to those who have out of network reimbursement benefits. A superbill may be sent to one's insurance company for reimbursement or to be applied towards their deductible. The insurance company dictates their own pricing structure. For example, if a new patient first office call (coded 99204) is billed at $375, your insurance may say that $211.09 is the allowable amount which they put towards your deductible. They may or may not reimburse 40% of that cost back to you if you have out of network coverage so you could receive $126.65 back.
HSA (Health Saving Account) credit cards can be used to pay for appointments, procedures, and supplements that have been prescribed to you by the doctor.
If I were to take insurance, I would have to hire a billing/compliance person for the practice which would require me to have shorter visits with you and to see many patients each day. I believe this reduces my ability to help my patients.
I would rather see you getting back to work and being with your family sooner by reducing the overall appointments needed to get results.
Please see the Price List below. In general, my rate is $250 per physician billable hour. Rates are subject to change. It is accepted and normal to experience price increases between 10-15% per year.
Yes. I do House Calls for Established Patients within a 10 mile drive of Wenatchee, WA. Trips further out require a trip fee of at least $75.
I do both! As much as technology is a wonderful tool, I have found it to be a time-drain in my practice. I utilize an EMR (Electronic Medical Record) service for billing, scheduling, documents, faxing, prescriptions, etc. I offer paper only charting where applicable and upon request.
2 Hour Intake with History and Physical Exam.
Superbill CPT Code 99204
For those under 18 years of age: 2 Hour Intake with History and Physical Exam.
Superbill CPT Code 99204
For all age groups. 60 minutes.
Superbill CPT Code: 99213 or 99214
Discussion of foods that are uniquely inflammatory to you. Understanding what causes your particularly body's inflammatory reactions can help you make better decisions for your diet and supplement regimens. I do not believe one size fits all.
Superbill is not available for this service.
This visit does get included toward the status of established patient.
Established patients have access to House Calls, Secure Chatting, Urgent Visits, Fullscript Online Dispensary, and Procedure only visits.
Return Office Visit/Follow-up, 30 minutes, uncomplicated Superbill CPT code 99213
Return Office Visit/Follow-up, 30 minutes, complicated - increased medical decision making, formal letter or prescription management)
Superbill CPT code 99214.
Superbill CPT is dependent on nature of visit. Usually 99214 or 99213 with modifiers.
Requires a referral from either Dr. Gussak or any other Naturopathic or Medical Physician.
Requires a referral or prescription from either Dr. Gussak or any other Naturopathic or Medical Physician.
No trip fee for house calls within 10 miles of Wenatchee which include East Wenatchee, Malaga, Monitor and Cashmere, WA.
2 hour discussion and 1 hour follow-up to review clinical opinion and education.
Average time is about 3 hours. I am considering a donation based model for this.
Prices subject to change & inflation. Prices above may not accurately reflect the billable physician time of $250 per hour and may be subject to change and increase. Updated April 2022
Price List may be subject to change. Inflation expectations usually suggest price increases annually of 5-15% for services.
Telephone calls, e-mail and chat communications may be subject to time-based invoicing at a rate of $250/hour.
A Credit Card is required to make an appointment and held via Healthie, the secure and PCI compliant Electronic Medical Record System, for the purpose of invoicing. Payment is collected at the time of the appointment.
Cancellation & Rescheduling Policy: Notice must be by email, text, or voicemail and be sent no later than 24 hours prior to the start of your scheduled appointment time. Appointments cancelled within 24 hours are charged 100% of the scheduled visit’s value. Regarding rescheduling outside of 24 hours advance notice, the first time has no penalty. The second reschedule is charged 50% of the visit’s value. The third reschedule is charged 100% of the visit’s value. For established patients, one cancellation charge is waived. Please give your calendar a thorough look before scheduling.
Roots & Rivers Naturopathic Medical Center
Dr. Maria Luisa Gussak - Naturopathic Physician & Medical Director
Private Office - 5 S. Wenatchee Ave Suite #301 Wenatchee, WA 98801
P: (509)537-3660
F: (833)390-1316
Naturopathic Doctor, licensed and insured in Washington state. Holistic & Natural Medicine Consultant. Copyright © 2020 Roots & Rivers Naturopathic Medicine - All Rights Reserved.
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