Evaluations

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Evaluations *

Comprehensive Neuropsychological Evaluation, 2-sessions

I offer comprehensive evaluations that provide a clear picture of the individual’s areas of strength and challenges and that provide diagnostic clarification. It’s not just about answering the question if a child/person shows features consistent with a specific diagnosis, but what is the person’s unique learning and social-emotional profile. Because each individual has unique needs, the scope of the evaluation will be personalized, and may cover areas such as: intellectual/cognitive abilities, academics, memory, attention, executive functioning, adaptive functioning, social communication, and emotional/behavioral functioning. Cost: $3,000

1-session Evaluation (when a child has had recent testing)

If a child/person had recent standardized psychological or neuropsychological testing completed, and there is additional clarification or supplementation needed, a 1-session evaluation may be appropriate. This may be the case if the child/person recently had testing completed by the school district or a different provider. The testing would need to have been completed within the past 1.5 years. I can review the documentation and confirm whether a 1-testing session evaluation would be sufficient. Please note, there are times that despite some testing having been recently completed, it’s in the best interest that a comprehensive evaluation be completed. Cost: 2,120

Cognitive Testing/Gifted Evaluation

This type of evaluation is designed to gather information about a child’s cognitive abilities when there are questions about possible giftedness. The assessment may also be used to meet admission requirements for specific educational programs. The process includes a brief intake, testing, and feedback, all completed within a three-hour session. You’ll receive a written report summarizing the results. If additional academic testing is required and extends beyond the three hours, extra time can be scheduled and billed at the standard hourly rate. Cost: $800

Follow-up/Extended Feedback

After the evaluation and feedback are completed, I am happy to answer brief questions via e-mail or speak on the phone for 15 minutes at no additional cost. I also offer 1-hour appointment follow-up options for clients to reiterate results, problem-solve implementing strategies, or answer questions. Cost: $220

I am an out-of-network provider, meaning I do not accept or work with health insurance (the client is responsible for payment). I accept debit/credit card, HSA/FSA, cash, or check. A deposit of 250$ is due at time of scheduling. The remainder of the balance is due prior to beginning testing (paid at the time of the first in-person appointment).

Your insurance company may reimburse part or all of the cost for out-of-network services, but coverage is never guaranteed. Check with your health insurance company about your out-of-network coverage.

Script for Calling Your Insurance Company About Out-of-Network Reimbursement

When you call, have your insurance card ready. Ask to speak with someone about outpatient mental health or neuropsychological testing benefits. You can use this script as a guide:

1. Introduce Yourself
“Hello, I’m calling to find out if my plan covers out-of-network neuropsychological testing for my child.”

2. Ask About Coverage

  • “Does my plan cover out-of-network neuropsychological or psychological testing?”

  • “If so, what percentage of the cost will be reimbursed?”

  • “Is there a deductible I must meet before coverage begins?”

3. Ask About Specific Codes
“Our provider may use the following billing codes. Can you tell me if these are covered under my plan?”

  • 96116 – Neurobehavioral status exam

  • 96132 & 96133 – Neuropsychological testing evaluation

  • 96136 & 96137 – Psychological or neuropsychological test administration/scoring

4. Ask About Requirements

  • “Does testing need to be pre-authorized?”

  • “Do I need a referral from my pediatrician?”

  • “Are there limits on the number of testing hours or sessions covered?”

5. Clarify Reimbursement Process

  • “If I pay the provider directly, how do I submit a claim for reimbursement?”

  • “What documentation is required (e.g., superbill, diagnostic codes, provider’s NPI)?”

  • “How long does reimbursement usually take?”

✅ Tip for Parents: Write down the date of your call, the name of the representative you spoke with, and all of the details they provided. This can help if you need to follow up later.

They may also want the diagnosis (ICD-10) codes. I can provide these for you, or you can also find them on CMS.gov. After your appointment, I’d be happy to give you a superbill, which is the paperwork you’ll need if you’d like to submit a claim to your insurance company.

In addition, I provide a written Good Faith Estimate for all services, as required by the No Surprises Act. You can learn more about this at CMS.gov.