The Shankle Clinic

The initial consultation fees are:

General Medical Evaluation (First Appointment): $400.00

Neurological Evaluation (Second Appointment): $600.00

Neuropsychological Testing: $125.00 - 250.00

Medicare	We are a Medicare participating provider which means that we do accept the Medicare fee schedule. Medical usually pays 80% of their allowed fee. The patient is responsible for any remaining allowed amount including their deductible. If you are covered by a secondary insurance carrier we will submit a claim to them after Medicare has processed the claim.
PPO/Private Insurances	We are not a participating PPO or private insurance provider. Insurance companies will typically reimburse a nonparticipating provider at lower rate usually 50-80 %* of our charges, the patient is responsible for the difference between the billed amount and the amount that is paid by the insurance carrier. *We recommend that you check with your insurance carrier about your individual coverage.
HMO's	We are not a provider for any HMO. Which means, that we DO NOT accept any HMO's. HMO's do not provide adequate reimbursement to cover our costs. If you wish to see our physicians you will be considered a cash patient and will be responsible for the entire visit including any testing.

Follow Up

Follow up visits are necessary for the physician to re-evaluate and make any adjustments to your treatment. The frequency of these visits will vary. Once a patient is stabilized on treatment, visits will typically be scheduled every 3 to 6 months. Follow up visit fees are:

Follow Up Visit (Every 3 to 6 months): $225.00 to $315.00

Neuropsychological Testing: $125.00 - 250.00

Medicare	We are a Medicare participating provider which means that we do accept the Medicare fee schedule. Medical usually pays 80% of their allowed fee. The patient is responsible for any remaining allowed amount including their deductible. If you are covered by a secondary insurance carrier we will submit a claim to them after Medicare has processed the claim.
PPO/Private Insurances	We are not a participating PPO or private insurance provider. Insurance companies will typically reimburse a nonparticipating provider at lower rate usually 50-80 %* of our charges, the patient is responsible for the difference between the billed amount and the amount that is paid by the insurance carrier. *We recommend that you check with your insurance carrier about your individual coverage.
HMO's	We are not a provider for any HMO. Which means, that we DO NOT accept any HMO's. HMO's do not provide adequate reimbursement to cover our costs. If you wish to see our physicians you will be considered a cash patient and will be responsible for the entire visit including any testing.

Other Fees

Services below are not covered by Medicare or private insurances, so the patient is responsible for these costs.

Triplicate prescriptions: $25.00

New telephone- or fax-based prescriptions: $25.00*

Aithorization approvals of non-formulary medications to HMO's: $25.00

Medical forms and medical reports: Varies based on the forms and its amount

Medical legal: Please check with our office

*Usually approve 6 refills at a time for most medications.

Missed Appointments:
Any appointments that are not cancelled or rescheduled at least TWO BUSINESS days prior to the scheduled appointment will be charged $100.00. No exceptions.

Returned Checks:
All returned checks are subject to $20.00 financial charge, and this charge is not covered by your insurance.