Discover a New Paradigm of Well-Being & Vitality with Roots & Rivers Naturopathic

Insurance & Superbills: We are a cash-based practice. CPT codes can be provided on a Superbill upon request for potential out-of-network insurance reimbursement. Reimbursement is not guaranteed. 

Medical appointments are billed as a combination of task and time.  It includes ND time spent before, during & after the visit, including documentation, ordering labs, etc.  Our business model is to allow more time for appointment (an average of twice longer than the same billing code) so that you get the opportunity to be seen and heard.  This also allows the time for teaching and counseling - the term term doctor means teacher. Please buffer your time as we buffer ours to give excellent and in

Price List may be subject to change.  Price increases occur  approximately every 2 years of  5-15% for services.   

Additional medical evaluation & management outside the normal task and procedure of the scheduled visit are charged.  Telephone calls, e-mail and chat communications may be subject to time-based invoicing at the hourly physician rate. 

Weypically spend more time with patients than the insurance billing model allows. Total N.D. times are reflected by the E&M codes describe the level of service delivered at the visit based on tasks, complexity, time, and documentation and review of labs before,  and after a visit by the physician.  The last digit refers to the level of complexity. The most commonly billed are 99213 and 99214.  

Procedures and Treatments during the visit are additional to the medical evaluation and management.

How medical complexity & coding for Evaluation and Management (E&M) Services is determined by the N.D. https://www.aafp.org/family-physician/practice-and-career/getting-paid/coding/evaluation-management.html.