Let’s Get Started

We have priced our concierge psychiatric care so you only pay for the care you need.
Click on some of the below preferences to get a better idea of how much each stage of care costs. At the bottom of this page we have put together 4 hypothetical case studies to show you how much yearly costs for varying intensities of care.

$49 per Month Subscription Fee

Enjoy ongoing prescriptions, quick access to care through text or virtual appointments, and routine check-ins by our clinical staff

Explore below to discover the costs for intakes
and follow-up clinical interventions

Click on the practitioner level you want to see pricing for:

Initial Intake with MD Psychiatrist

All patients must go through an initial intake. Prices for intakes vary from $160 to $950, depending on the type of patient and length of intake:

Individual Adult Intake with MD Psychiatrist

$700

35-60 minutes

Patient & Family Member Intake with MD Psychiatrist

$950

45-90 minutes

Basic ADHD Intake with MD Psychiatrist

For adult patients with straight forward ADHD and no other psychiatric comorbidities such as insomnia, anxiety, depression, etc.

$295

Up to 25 minutes

Abbreviated Intake for Basic Insomnia with MD Psychiatrist

For adult patients with mild insomnia without any other comorbid mental health symptoms, we offer a 15 minute intake. For this service, we offer supplements and/or one of 3 non-addictive medications that can treat insomnia.

$160

Up to 25 minutes
With our concierge pricing model, after the initial intake, you only pay for the treatment you need, and if your care remains the same, there are no extra fees beyond the monthly subscription. To ensure the quality of care, we include one mandatory virtual assessment every year.
If updates or changes are required, follow-up care is convenient and flexible, available through almost real time text or email communication (asynchronous care), or scheduled phone or virtual appointments, lasting 25 or 50 minutes.
Education

Asynchronous Care (via text or email)

For any reason—be it medication side effects, dosage changes, new medication options, inquiries about other treatments, or simply seeking feedback on a challenging situation—you can reach out to your practitioner via text, email, or via the app. These communications are billed according to the time it takes the practitioner to read, research, and respond to the inquiry, with rates provided accordingly:
MD Psychiatrist

$50

per 5-minute increment
NP

$16

per 5-minute increment
Admin Support

$5

per 5-minute increment
Licensed Therapist

$16

per 5-minute increment

Standard Follow-Up Appointments

Many patients value our scheduled follow-up appointments. To uphold the best quality of care, we provide one mandatory virtual assessment each year, along with extra sessions for those dealing with more acute or delicate symptoms needing regular follow-up. The pricing for these appointments is carefully structured:

25 Minute Follow-Up with MD Psychiatrist

$295

Regardless of age

50 Minute Follow-Up with MD Psychiatrist

$495

Regardless of age

Yearly Follow-Up for Adults with Basic ADHD

$150

Adults only

Yearly Follow-Up for Adults with Basic Insomnia

$150

Adults only

Yearly Pricing Examples: 4 Cases

Cross

Here is how Eric’s yearly care worked out in terms of pricing:

Story
Monthly Subscription Fee
1
When patients begin their ongoing treatment with us, they pay a monthly subscription fee. This fee not only covers continuous medication refills but also confirms their status as current patients. Being a current patient provides access to a variety of personalized concierge care options, with costs based on the type of care and the time it involves.
2
The subscription fee has allowed us to lower our intake and follow up appointment
fees, accordingly.
3
You can opt out anytime; this assumes you have completed treatment with
us.

$49/Month

Сharged at the time of our first appointment and then monthly.
Story
Intake
As Eric sought assistance for mild insomnia, treatable with various supplements or one of three non-addictive medications we utilize, he underwent a complimentary 15-minute intake with a Nurse Practitioner to validate his clinical form details. Consequently, he received instructions on sleep hygiene as well as a 30-day prescription for a sleep medication.

Intake Fee: $0.00

Subscription fee: $49/month

Story
Free Check-In
Two months after his intake, we sent Eric a text based clinical screener to fill out. He did so, indicating everything was going well, and that no clinical intervention was needed.

$0.00 / Free!

A text based check-in initiated by us is free of charge, as long as
there is no need for any response by our team.
Story
Ongoing Refills
Eric continued to do well at his original dose of prescribed medication for a full 7 months after our initial intake and he was able to obtain refills each month simply by texting in when he needed a refill.
No additional cost beyond the monthly subscription fee!
Story
Text Based Clinical Care
At month 8, Eric texted us and asked for an increase in his medication for insomnia due to some lowering of efficacy. This was billed as a 5 minute text based interaction with the NP on call, who answered Eric the same business day.

$35

Story
Eric’s total yearly cost
Eric continued to do well at his original dose of prescribed medication for a full 7 months after our initial intake and he was able to obtain refills each month simply by texting in when he needed a refill.

Total: $623

Story
Special Notes on Pricing on this Case Study:
1
This simple approach to insomnia without other psychiatric interventions is for
adults only.
2
Should a patient later seek treatment for additional psychiatric conditions like depression or anxiety, they will need to undergo a comprehensive virtual intake, lasting 35-55 minutes, with a Nurse Practitioner at that time.
3
Prices are adjusted annually on February 1st for inflation, based on the previous year's inflation rate as per the Bureau of Labor Statistics' Consumer Price Index.

Eric is a 62 year old patient with mild insomnia who preferred trying one of our non-addictive treatments for insomnia. Here is how Eric’s yearly care worked out in terms of pricing.

See Yearly Pricing Breakdown for Eric
Case
Cross

Here is how Sade’s yearly care worked out in terms of pricing:

Story
Monthly Subscription Fee
1
When patients begin their ongoing treatment with us, they pay a monthly subscription fee. This fee not only covers continuous medication refills but also confirms their status as current patients. Being a current patient provides access to a variety of personalized concierge care options, with costs based on the type of care and the time it involves.
2
The subscription fee has allowed us to lower our intake and follow up appointment
fees, accordingly.
3
You can opt out anytime; this assumes you have completed treatment
with us.

$49/Month

Сharged at the time of our first appointment and then monthly.
Story
Intake
Since Sade only requires assistance for her ADHD and has no other psychiatric concerns, a brief 25-minute intake with a Nurse Practitioner is sufficient. Following her intake, she received a prescription for the initial dose of Vyvanse.

Cost for intake with a psychiatric NP: $175

Story
Text Based Clinical Care
At week two of the starting dose of Vyvanse, Sade wrote in and said she'd like to try one dose higher, which we sent immediately. This was billed as a 5 minute text based interaction with the NP on call, who answered Eric the same business day.

Cost: $35

Story
Free Check-In
We sent Sade a check-in at the 2 month window (and every couple months thereafter), and she filled it out, indicating everything was going according to plan.

Free!

A text based check-in initiated by us is free of charge, as long as
there is no need for any response by our team.
Story
Follow-Up Appointment
Each year, we must perform another virtual 25 minute check-in with the NP.

25 minute follow-up: $175

Story
Sade’s total yearly cost for high quality ADHD treatment was:

Total: $973

Story
Special Notes on Pricing on this Case Study:
1
  • Our shorter virtual intake is designed for adults with ADHD who don't have other conditions needing management, like insomnia, anxiety, or depression.
  • For children with ADHD and no additional conditions, a full intake involving family participation is necessary.
2
Virtual f/u appointments of 5 minutes are required with all patients at least once per year (so if none occur the first 364 days after the 1st appointment, we would need another on or before day 365; for this select population just getting treatment for mild insomnia, this too, is free!).
2
If a patient later seeks help for other psychiatric issues, such as depression or anxiety, they will then require a complete virtual intake session, lasting 35-55 minutes, with a Nurse Practitioner.
3
Virtual follow-up appointments of 25 minutes are required with all patients at least
once per year.
4
Choosing an intake with an MD instead of a NP is possible but comes with
higher rates.
5
Prices are adjusted annually on February 1st for inflation, based on the previous year's inflation rate as per the Bureau of Labor Statistics' Consumer Price Index.
Case

Sade is a 22 year old patient with ADHD and no other comorbid conditions (no anxiety, no insomnia, no mood swings, etc). Here is how Sade’s yearly care worked out in terms of pricing.

See Yearly Pricing Breakdown for Sade
Cross

Here is how Ryan’s yearly care worked out in terms of pricing:

Story
Monthly Subscription Fee
1
When patients begin their ongoing treatment with us, they pay a monthly subscription fee. This fee not only covers continuous medication refills but also confirms their status as current patients. Being a current patient provides access to a variety of personalized concierge care options, with costs based on the type of care and the time it involves.
2
The subscription fee has allowed us to lower our intake and follow up appointment
fees, accordingly.
3
You can opt out anytime; this assumes you have completed treatment
with us.

$49/Month

Сharged at the time of our first appointment and then monthly.
Story
Intake
Ryan opted for a psychiatric evaluation with a Nurse Practitioner, lasting 30-55 minutes. Afterward, he received prescriptions for lab tests and medication, along with therapy suggestions, educational resources, and supplement recommendations. All adult patients are required to undergo a virtual psychiatric intake with either a Nurse Practitioner or an MD Psychiatrist, with costs varying based on the chosen practitioner.
Most adults will do a full virtual intake, which lasts anywhere from 35 to 55 minutes.

Ryan chose to do his intake with a psychiatric NP and it lasted 43 minutes; at the end of the appointment Ryan received a prescription for labs as well as two medications, with specific instructions on how to start the medications and side effects to watch for

Intake with NP: $495

Story
Collateral with other providers
The day following the intake, the Nurse Practitioner had a productive 12-minute call with Ryan's long-term therapist to exchange valuable insights. This is billed at 15 minutes. 
NP Clinical time is billed in 5 minute increments at $35 per 5 minute increment, and the NP put in 12 minutes of clinical time (time on phone in addition to 2.5 minutes rereading the note to prepare for the call)

$35 x 3 five minute increments = $105

Story
Laboratory Studies
A week after his intake, Ryan's lab results came in. The psychiatric Nurse Practitioner reviewed them and informed Ryan through a text message, his preferred communication method, that his Vitamin D3 level was low, along with additional treatment suggestions. This whole exchange took 9 minutes, and is billed at 10 minutes. 
Time to analyze labs, text Ryan, and send in a new Vitamin D3 prescription: 9 minutes, billed at 5 minute increments

Cost: $35

Story
Text Based Clinical Care
At week two of the starting dose of Vyvanse, Sade wrote in and said she'd like to try one dose higher, which we sent immediately. This was billed as a 5 minute text based interaction with the NP on call, who answered Eric the same business day.

Cost: $35

Story
Free Check-In
2 weeks after starting the new medication, we sent a text message with some clinical questions that Ryan filled out. There were no concerns and therefore no urgent need for a text/phone/virtual appointment.

Free!

A text based check-in initiated by us is free of charge, as long as
there is no need for any response by our team.
Story
Follow-Up Appointment
1 month after beginning his medications, Ryan chose to have a 25 minute followup with his psychiatric NP to discuss updates and potential changes.

25 minute follow-up: $175

Story
Admin Time
Eight months into his treatment, Ryan's insurance stopped covering a medication he found effective. He requested a prior authorization, so our administrative team dedicated significant effort to complete detailed insurance forms. Their hard work paid off, and they successfully got the insurance to cover his medication again, a process that took about 45 minutes.
Admin Time billed at $5 per 5 minute increment; x45 mins = $45
Admin Time: $5 x 9 five minute increments = $45
Story
Text Based Clinical Care
In the 11th month, Ryan texted his Nurse Practitioner to discuss increasing his insomnia medication. They exchanged texts for 12 minutes of clinical time, which is billed at 15 minutes of clinical time.
12 mins billed in 5 minute increments with the psychiatric NP

$35 x 3 five minute increments = $105

Story
Ryan’s total yearly cost for his treatment was:
This assumes only 10 months of $49 monthly subscription fee (2 months subscription fees were waived for Ryan due to an intake and/or a 25 minute or longer f/u occurring during those months. This only applies to the month the appointment occurs in and multiple appointments in one month do not give credit in subsequent months)

$1451

Story
Special Notes on Pricing on this Case Study:
1
Single patient intakes lasting up to 55 minutes are for adults alone. If adults prefer having a friend or family member present, or for children/teens with required parental involvement, sessions last 45 to 90 minutes and are priced higher.
2
All patients must have at least one virtual follow-up appointment of 25 minutes
annually.
3
Choosing an intake with an MD instead of a NP is possible but comes with higher
rates.
4
Prices are adjusted annually on February 1st for inflation, based on the previous year's inflation rate as per the Bureau of Labor Statistics' Consumer Price Index.

Ryan is a 45 year old patient who initially presented with anxiety and significant insomnia. Here is how Ryan’s yearly care worked out in terms of pricing.

See Yearly Pricing Breakdown for Ryan
Case
Cross

Here is how Lisa’s yearly care worked out in terms of pricing:

Story
Monthly Subscription Fee
1
When patients begin their ongoing treatment with us, they pay a monthly subscription fee. This fee not only covers continuous medication refills but also confirms their status as current patients. Being a current patient provides access to a variety of personalized concierge care options, with costs based on the type of care and the time it involves.
2
The subscription fee has allowed us to lower our intake and follow up appointment
fees, accordingly.
3
You can opt out anytime; this assumes you have completed treatment
with us.

$49/Month

Сharged at the time of our first appointment and then monthly
Story
Intake
Lisa and her mom had their first virtual session with a nurse practitioner, lasting 75 minutes. Such sessions with a patient and a family member typically range from 45 to 90 minutes. After their appointment, they received prescriptions for lab tests and medication for Lisa's condition, along with therapy suggestions, educational resources, and advice on beneficial supplements.

Intake with NP: $495

Story
Collateral From Other Providers
The day after their session, the Nurse Practitioner spent 11 minutes discussing Lisa's case with her long-established therapist, followed by 3 minutes of documentation. This is billed in 5-minute increments, rounding up to a total of 15 minutes of clinical time for billing purposes.
NP Clinical time is billed in 5 minute increments at $35 per 5 minute increment, and the NP put in 13 minutes of clinical time (time on phone in addition to 2 minutes rereading the note to prepare for the call):

$35 x 3 five minute increments = $105

Story
Laboratory Studies
Two weeks following her intake, Lisa's initial lab results were ready. The psychiatric Nurse Practitioner reviewed them and discovered that Lisa's Vitamin D3 level was low. The family was informed about this and received additional treatment recommendations through email, their chosen method of communication. The time taken to analyze the labs, email the family, and prescribe Vitamin D3 was 9 minutes, which is billed in 5-minute increments.
Time to analyze labs, email the family, and send in a new Vitamin D3 prescription: 9 minutes, billed at 5 minute increments:

$35 x 2 five minute increments = $70

Story
Side Effect Issue
Three weeks after their initial appointment, Lisa and her mom contacted the office on Monday at 10am about a rash that likely developed from a new medication. Later that day, they had a phone conversation with the psychiatric Nurse Practitioner. Together, they decided to stop the current medication, wait for the rash to clear, and then try a different medication. The entire exchange, including text messaging and the phone call, took a total of 17 minutes, billed in 5-minute increments.
NP Clinical time is billed in 5 minute increments at $35 per 5 minute increment: 17 minutes rounds to 20 minutes:

$35 x 4 five minute increments = $140

Story
Free Check-In
Two weeks into her new medication, and at various times during the year, we texted Lisa a few clinical questions to check in. Her responses indicated everything was going well, so there was no immediate need for additional text, phone, or virtual follow-up appointments.

Free!

A text based check-in initiated by us is free of charge, as long as
there is no need for any response by our team.
Story
Follow-Up Appointment
At the end of the first appointment, we scheduled a 25-minute virtual follow-up to discuss symptoms and medication side effects. However, this was rescheduled to five weeks after Lisa began her second antidepressant, following the rash incident.Some patients, particularly those in early treatment stages or with complex psychiatric symptoms, may prefer or require regularly scheduled 25-minute follow-ups.
Regularly scheduled 25 minute follow-up appointments are sometimes preferred by patients over the piecemeal, “bill by the 5 minute increment” approach to care. This is especially true in patients in the early stages of new treatments or patients with more complex psychiatric symptoms

25 minute follow-up: $175

Story
Admin Time
Four months into the treatment, Lisa's mom contacted our administrative team to ask for a letter recommending an Individualized Education Program (IEP) for Lisa's school. Our team consulted with the Nurse Practitioner and reviewed Lisa's patient notes to draft a letter on our official stationery. This letter outlined Lisa's diagnoses and treatment plan, suggesting an IEP. The task took 33 minutes of administrative work and is billed in 5-minute increments at the standard administrative rate.
Admin Time billed at $5 per 5 minute increment; x35 mins:

$5 x 7 five minute increments = $35

Story
School Collaboration
Later that same month, Lisa's school requested a meeting with the psychiatric Nurse Practitioner to explore additional ways to support Lisa. With prior approval from Lisa's mother, this discussion took place through a scheduled 25-minute virtual meeting.
25 minute virtual between the psychiatric NP and Lisa’s school:

25 minute meeting: $175

Story
Maintenance Treatment
Over the following months, Lisa was doing well and only required monthly medication refills. To arrange these, Lisa's mom simply sent a text message to request the refills of Lisa's medications.

No additional cost beyond the monthly subscription fee!

Free

Included in the monthly subscription fee
Story
Lisa’s total yearly cost for her treatment was

$1,738

Story
Special Notes on Pricing on this Case Study:
1
All patients must have at least one virtual follow-up appointment of 25 minutes
annually.
2
Choosing an intake with an MD instead of a NP is possible but comes with higher
rates.
3
Prices are adjusted annually on February 1st for inflation, based on the previous year's inflation rate as per the Bureau of Labor Statistics' Consumer Price Index.
Case

Lisa is a 13 year old patient who has ADHD and initially also presented to us with depression. Here is how Lisa’s yearly care worked out in terms of pricing.

See Yearly Pricing Breakdown for Lisa and her parents

Eric is a 62 year old patient with mild insomnia who preferred trying one of our non-addictive treatments for insomnia. Here is how Eric’s yearly care worked out in terms of pricing.

See Yearly Pricing Breakdown for Eric
Case
Case

Sade is a 22 year old patient with ADHD and no other comorbid conditions (no anxiety, no insomnia, no mood swings, etc). Here is how Sade’s yearly care worked out in terms of pricing.

See Yearly Pricing Breakdown for Sade

Ryan is a 45 year old patient who initially presented with anxiety and significant insomnia. Here is how Ryan’s yearly care worked out in terms of pricing.

See Yearly Pricing Breakdown for Ryan
Case
Case

Lisa is a 13 year old patient who has ADHD and initially also presented to us with depression. Here is how Lisa’s yearly care worked out in terms of pricing.

See Yearly Pricing Breakdown for Lisa and her parents

Initial Intake with Psychiatric Nurse Practitioner

All patients must go through an initial intake. Prices for intakes vary from FREE to $450, depending on the type of patient and length of intake:

Individual Adult Intake with Psychiatric NP

$295

35-60 minutes

Patient & Family Member Intake with Psychiatric NP

$450

45 -90 minutes

Basic ADHD Intake with Psychiatric NP

For adult patients with straight forward ADHD and no other psychiatric comorbidities such as insomnia, anxiety, depression, etc.

$175

Up to 35 Minutes

Abbreviated Intake for Basic Insomnia with Psychiatric NP

For adult patients with mild insomnia without any other comorbid mental health symptoms, we offer a 15 minute intake. For this service, we offer supplements and/or one of 3 non-addictive medications that can treat insomnia.

Free

Up to 25 Minutes
With our concierge pricing model, after the initial intake, you only pay for the treatment you need, and if your care remains the same, there are no extra fees beyond the monthly subscription. To ensure the quality of care, we include one mandatory virtual assessment every year.
If updates or changes are required, follow-up care is convenient and flexible, available through almost real time text or email communication (asynchronous care), or scheduled phone or virtual appointments, lasting 25 or 50 minutes.
Education

Asynchronous Care (via text or email)

For any reason—be it medication side effects, dosage changes, new medication options, inquiries about other treatments, or simply seeking feedback on a challenging situation—you can reach out to your practitioner via text, email, or via the app. These communications are billed according to the time it takes the practitioner to read, research, and respond to the inquiry, with rates provided accordingly:
Psychiatric NP

$35

per 5-minute increment
Licensed Therapist

$16

per 5-minute increment
Licensed Dietitican

$14

per 5-minute increment
Admin Support

$5

per 5-minute increment

Standard Follow-Up Appointments

Many patients value our scheduled follow-up appointments. To uphold the best quality of care, we provide one mandatory virtual assessment each year, along with extra sessions for those dealing with more acute or delicate symptoms needing regular follow-up. The pricing for these appointments is carefully structured:

25 Minute Follow-Up with Psychiatric NP

$175

Regardless of age

50 Minute Follow-Up with Psychiatric NP

$295

Regardless of age

Yearly Follow-Up for Adults with Basic ADHD

$95

Adults only

Yearly Follow-Up for Adults with Basic Insomnia

$95

Adults only

Yearly Pricing Examples: 4 Cases

Eric is a 62 year old patient with mild insomnia who preferred trying one of our non-addictive treatments for insomnia. Here is how Eric’s yearly care worked out in terms of pricing.

See Yearly Pricing Breakdown for Eric
Case
Case

Sade is a 22 year old patient with ADHD and no other comorbid conditions (no anxiety, no insomnia, no mood swings, etc). Here is how Sade’s yearly care worked out in terms of pricing.

See Yearly Pricing Breakdown for Sade

Ryan is a 45 year old patient who initially presented with anxiety and significant insomnia. Here is how Ryan’s yearly care worked out in terms of pricing.

See Yearly Pricing Breakdown for Ryan
Case
Case

Lisa is a 13 year old patient who has ADHD and initially also presented to us with depression. Here is how Lisa’s yearly care worked out in terms of pricing.

See Yearly Pricing Breakdown for Lisa and her parents

Virtual Therapy Appointments

Individual Patient Appointments

$170

50 minutes

Couples or Family Appointments

$190

50 minutes

Asynchronous Care (via text or email)

For any reason—be it medication side effects, dosage changes, new medication options, inquiries about other treatments, or simply seeking feedback on a challenging situation—you can reach out to your practitioner via text, email, or via the app. These communications are billed according to the time it takes the practitioner to read, research, and respond to the inquiry, with rates provided accordingly:
Licensed Therapist

$16

per 5-minute increment
Psychiatric NP

$35

per 5-minute increment
MD Psychiatrist

$50

per 5-minute increment
Admin Support

$5

per 5-minute increment

Virtual Therapy Appointments

Intake and 50-min Patient Appointments

$150

50 minutes

25-min Appointments

$85

50 minutes

Asynchronous Care (via text or email)

For any reason—be it medication side effects, dosage changes, new medication options, inquiries about other treatments, or simply seeking feedback on a challenging situation—you can reach out to your practitioner via text, email, or via the app. These communications are billed according to the time it takes the practitioner to read, research, and respond to the inquiry, with rates provided accordingly:
Licensed Dietitican

$14

per 5-minute increment
Psychiatric
NP

$35

per 5-minute increment
Licensed Therapist

$16

per 5-minute increment
Admin Support

$5

per 5-minute increment

Coaching Appointments

Individual Patient Appointments

$170

50 minutes

Abbreviated Appointments

$85

25 minutes

Asynchronous Care (via text or email)

For any reason—be it medication side effects, dosage changes, new medication options, inquiries about other treatments, or simply seeking feedback on a challenging situation—you can reach out to your practitioner via text, email, or via the app. These communications are billed according to the time it takes the practitioner to read, research, and respond to the inquiry, with rates provided accordingly:
Life Coach

$16

per 5-minute increment
Psychiatric NP

$35

per 5-minute increment
MD Psychiatrist

$50

per 5-minute increment
Admin Support

$5

per 5-minute increment

Questions? We’re here to help

Cross

Here is how Lisa’s yearly care worked out in terms of pricing:

Story
Monthly Subscription Fee
1
When patients begin their ongoing treatment with us, they pay a monthly subscription fee. This fee not only covers continuous medication refills but also confirms their status as current patients. Being a current patient provides access to a variety of personalized concierge care options, with costs based on the type of care and the time it involves.
2
The subscription fee has allowed us to lower our intake and follow up appointment
fees, accordingly.
3
You can opt out anytime; this assumes you have completed treatment
with us.

$49/Month

Сharged at the time of our first appointment and then monthly
Story
Intake
Lisa and her mom had their first virtual session with a nurse practitioner, lasting 75 minutes. Such sessions with a patient and a family member typically range from 45 to 90 minutes. After their appointment, they received prescriptions for lab tests and medication for Lisa's condition, along with therapy suggestions, educational resources, and advice on beneficial supplements.

Intake with NP: $495

Story
Collateral From Other Providers
The day after their session, the Nurse Practitioner spent 11 minutes discussing Lisa's case with her long-established therapist, followed by 3 minutes of documentation. This is billed in 5-minute increments, rounding up to a total of 15 minutes of clinical time for billing purposes.
NP Clinical time is billed in 5 minute increments at $35 per 5 minute increment, and the NP put in 13 minutes of clinical time (time on phone in addition to 2 minutes rereading the note to prepare for the call):

$35 x 3 five minute increments = $105

Story
Laboratory Studies
Two weeks following her intake, Lisa's initial lab results were ready. The psychiatric Nurse Practitioner reviewed them and discovered that Lisa's Vitamin D3 level was low. The family was informed about this and received additional treatment recommendations through email, their chosen method of communication. The time taken to analyze the labs, email the family, and prescribe Vitamin D3 was 9 minutes, which is billed in 5-minute increments.
Time to analyze labs, email the family, and send in a new Vitamin D3 prescription: 9 minutes, billed at 5 minute increments:

$35 x 2 five minute increments = $70

Story
Side Effect Issue
Three weeks after their initial appointment, Lisa and her mom contacted the office on Monday at 10am about a rash that likely developed from a new medication. Later that day, they had a phone conversation with the psychiatric Nurse Practitioner. Together, they decided to stop the current medication, wait for the rash to clear, and then try a different medication. The entire exchange, including text messaging and the phone call, took a total of 17 minutes, billed in 5-minute increments.
NP Clinical time is billed in 5 minute increments at $35 per 5 minute increment: 17 minutes rounds to 20 minutes:

$35 x 4 five minute increments = $140

Story
Free Check-In
Two weeks into her new medication, and at various times during the year, we texted Lisa a few clinical questions to check in. Her responses indicated everything was going well, so there was no immediate need for additional text, phone, or virtual follow-up appointments.

Free!

A text based check-in initiated by us is free of charge, as long as
there is no need for any response by our team.
Story
Follow-Up Appointment
At the end of the first appointment, we scheduled a 25-minute virtual follow-up to discuss symptoms and medication side effects. However, this was rescheduled to five weeks after Lisa began her second antidepressant, following the rash incident.Some patients, particularly those in early treatment stages or with complex psychiatric symptoms, may prefer or require regularly scheduled 25-minute follow-ups.
Regularly scheduled 25 minute follow-up appointments are sometimes preferred by patients over the piecemeal, “bill by the 5 minute increment” approach to care. This is especially true in patients in the early stages of new treatments or patients with more complex psychiatric symptoms

25 minute follow-up: $175

Story
Admin Time
Four months into the treatment, Lisa's mom contacted our administrative team to ask for a letter recommending an Individualized Education Program (IEP) for Lisa's school. Our team consulted with the Nurse Practitioner and reviewed Lisa's patient notes to draft a letter on our official stationery. This letter outlined Lisa's diagnoses and treatment plan, suggesting an IEP. The task took 33 minutes of administrative work and is billed in 5-minute increments at the standard administrative rate.
Admin Time billed at $5 per 5 minute increment; x35 mins:

$5 x 7 five minute increments = $35

Story
School Collaboration
Later that same month, Lisa's school requested a meeting with the psychiatric Nurse Practitioner to explore additional ways to support Lisa. With prior approval from Lisa's mother, this discussion took place through a scheduled 25-minute virtual meeting.
25 minute virtual between the psychiatric NP and Lisa’s school:

25 minute meeting: $175

Story
Maintenance Treatment
Over the following months, Lisa was doing well and only required monthly medication refills. To arrange these, Lisa's mom simply sent a text message to request the refills of Lisa's medications.

No additional cost beyond the monthly subscription fee!

Free

Included in the monthly subscription fee
Story
Lisa’s total yearly cost for her treatment was

$1,738

Story
Special Notes on Pricing on this Case Study:
1
All patients must have at least one virtual follow-up appointment of 25 minutes
annually.
2
Choosing an intake with an MD instead of a NP is possible but comes with higher
rates.
3
Prices are adjusted annually on February 1st for inflation, based on the previous year's inflation rate as per the Bureau of Labor Statistics' Consumer Price Index.
Cross

Here is how Ryan’s yearly care worked out in terms of pricing:

Story
Monthly Subscription Fee
1
When patients begin their ongoing treatment with us, they pay a monthly subscription fee. This fee not only covers continuous medication refills but also confirms their status as current patients. Being a current patient provides access to a variety of personalized concierge care options, with costs based on the type of care and the time it involves.
2
The subscription fee has allowed us to lower our intake and follow up appointment
fees, accordingly.
3
You can opt out anytime; this assumes you have completed treatment
with us.

$49/Month

Сharged at the time of our first appointment and then monthly.
Story
Intake
Ryan opted for a psychiatric evaluation with a Nurse Practitioner, lasting 30-55 minutes. Afterward, he received prescriptions for lab tests and medication, along with therapy suggestions, educational resources, and supplement recommendations. All adult patients are required to undergo a virtual psychiatric intake with either a Nurse Practitioner or an MD Psychiatrist, with costs varying based on the chosen practitioner.
Most adults will do a full virtual intake, which lasts anywhere from 35 to 55 minutes.

Ryan chose to do his intake with a psychiatric NP and it lasted 43 minutes; at the end of the appointment Ryan received a prescription for labs as well as two medications, with specific instructions on how to start the medications and side effects to watch for

Intake with NP: $495

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Collateral with other providers
The day following the intake, the Nurse Practitioner had a productive 12-minute call with Ryan's long-term therapist to exchange valuable insights. This is billed at 15 minutes. 
NP Clinical time is billed in 5 minute increments at $35 per 5 minute increment, and the NP put in 12 minutes of clinical time (time on phone in addition to 2.5 minutes rereading the note to prepare for the call)

$35 x 3 five minute increments = $105

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Laboratory Studies
A week after his intake, Ryan's lab results came in. The psychiatric Nurse Practitioner reviewed them and informed Ryan through a text message, his preferred communication method, that his Vitamin D3 level was low, along with additional treatment suggestions. This whole exchange took 9 minutes, and is billed at 10 minutes. 
Time to analyze labs, text Ryan, and send in a new Vitamin D3 prescription: 9 minutes, billed at 5 minute increments

Cost: $35

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Text Based Clinical Care
At week two of the starting dose of Vyvanse, Sade wrote in and said she'd like to try one dose higher, which we sent immediately. This was billed as a 5 minute text based interaction with the NP on call, who answered Eric the same business day.

Cost: $35

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Free Check-In
2 weeks after starting the new medication, we sent a text message with some clinical questions that Ryan filled out. There were no concerns and therefore no urgent need for a text/phone/virtual appointment.

Free!

A text based check-in initiated by us is free of charge, as long as
there is no need for any response by our team.
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Follow-Up Appointment
1 month after beginning his medications, Ryan chose to have a 25 minute followup with his psychiatric NP to discuss updates and potential changes.

25 minute follow-up: $175

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Admin Time
Eight months into his treatment, Ryan's insurance stopped covering a medication he found effective. He requested a prior authorization, so our administrative team dedicated significant effort to complete detailed insurance forms. Their hard work paid off, and they successfully got the insurance to cover his medication again, a process that took about 45 minutes.
Admin Time billed at $5 per 5 minute increment; x45 mins = $45
Admin Time: $5 x 9 five minute increments = $45
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Text Based Clinical Care
In the 11th month, Ryan texted his Nurse Practitioner to discuss increasing his insomnia medication. They exchanged texts for 12 minutes of clinical time, which is billed at 15 minutes of clinical time.
12 mins billed in 5 minute increments with the psychiatric NP

$35 x 3 five minute increments = $105

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Ryan’s total yearly cost for his treatment was:
This assumes only 10 months of $49 monthly subscription fee (2 months subscription fees were waived for Ryan due to an intake and/or a 25 minute or longer f/u occurring during those months. This only applies to the month the appointment occurs in and multiple appointments in one month do not give credit in subsequent months)

$1451

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Special Notes on Pricing on this Case Study:
1
Single patient intakes lasting up to 55 minutes are for adults alone. If adults prefer having a friend or family member present, or for children/teens with required parental involvement, sessions last 45 to 90 minutes and are priced higher.
2
All patients must have at least one virtual follow-up appointment of 25 minutes
annually.
3
Choosing an intake with an MD instead of a NP is possible but comes with higher
rates.
4
Prices are adjusted annually on February 1st for inflation, based on the previous year's inflation rate as per the Bureau of Labor Statistics' Consumer Price Index.
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