Services & Pricing: Select Category Below or scroll down

We typically 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 eavaluation and managemen

Non-Complex | N.D. time:  5-15 min 

Straightforward medical problem with minimal complexity | N.D. time: 15-30 min

Expanded Problem Focused with low medical complexity |  N.D. time:  30-45 min with Physical Exam

Detailed Problem Focused with moderate medical complexity | N.D. time: 45-60 min with Physical Exam

Comprehensive History & Exam with High Medical Complexity | N.D. time:  60-75 min with Physical Exam

Prolonged services provided, with or without direct patient contact, when the total time is at least 15 minutes longer than the primary service. 

When requests are made outside of an appointment time, this requires the physician to review the chart and/or note additional medical documentation.  

• Acute Homeopathic and Hydrotherapy Rx
• Rx refills
• Letter writing
• Oher physician time
• No E&M (Evaluation and Management)- i.e. no treatment recommendations or medical management

Refills are based on previous visit's continued care.  New medical prescriptions are billed as 99211-99215 Evaluation & Management above. It is common practice to allow refills for 1 year to ensure proper follow up and management.  

Lab requisitions that need to be sent and compiled outside of regular visit time, require reviewing chart and documentation

Brief responses related to current/known medical issues are subject to outside visit fees.  Correspondence may require checking the patient's chart to answer questions.  5|10|15 minutes

Consult with Naturopathic Doctor that lie outside normal visits. Updated December 1, 2024

Issues addressed are low level, straight-forward medical decision making. 

• N.D. time before, during & after visit: 1.5 hours
• CPT Code 99203 | Minimal complexity |  Typical time using the insurance model: 30-44 minutes
• Additional $200 FIE  Processing Fee is applied at first visit. 

Issues addressed are moderate level of medical decision making. 

• ND Time before, during & after visit: 2-2.5 hours
• Typical time using the insurance model: 45-59 minutes
• Additional $200 FIE Processing Fee is applied at first visit. 

Issues addressed are high medical complexity and require a higher degree of medical decision making.  

• ND Time before, during & after visit: 3-4 hours
• Typical time using the insurance model: 60 minutes
• Additional $200 FIE (Food Intolerance Evaluation) Processing Fee is applied at first visit. 

FOR PATIENTS ESTABLISHING CARE: $200

Additional FIE (Food Intolerance Evaluation) Processing Fee is applied at first visit. Results are discussed as part of the 2nd visit's Diet & Treatment Plan Presentation.  

At the 2nd visit, a walk though of the prescribed diet and treatment plan is taught.  CPT Code: 99214

CPT code 99417 is used when a healthcare provider spends more than the required time for an evaluation and management (E/M) service at least 15 minutes beyond the primary service. 

FOR NON-PATIENT CONSULTS: $500

A great option for those who already have a great doctor and just want to receive dietary counseling on food intolerances.  This includes 

• a 15 minute sample collection visit followed by 1 hour in person dietary counseling appointment.
• No medical advice can be given for this service.