Your neurological consultation in this office will review your history and prior testing, medications and supplements, complete a neurological examination, provide counseling and testing as needed, and integrative treatment plan or advice. We believe that getting to know you as a person is important in developing a successful plan to improve your quality of life in ways we can. Your preferences as far as work up and treatment are always taken into consideration. Please bring with your any test results you have, any prior notes and labs, your medication list, and anything else you find useful.
We provide in office nerve conduction studies, electromyography, vagal nerve stimulator testing and programming, nerve blocks and trigger points, Botox injections for migraine and movement disorders. Tests will be ordered when needed, and we will discuss with you the pros and cons of every test ordered. Not all tests are indicated or medically necessary, and we will help you make the best decisions for your health and priorities.
We will continue to provide ongoing care for you as needed. It is important to update your medication and supplementation list every time and to run an interaction screen for you. Sometimes this results in regular screening laboratory studies to make sure every medication you are taking is not causing you harm. You may need other tests to check the progress of your disease. We provide a neurological examination at each visit which can be focused and brief or extensive as needed. We will make sure you understand when and why we need to repeat your evaluations. For some diagnoses like Headache/Migraine and Multiple Sclerosis we also offer group visits which discuss both a disease overview and up to date review of current treatments and strategies.
Medicare patients require a referral for this 45-90 minutes visit reviewing your history, testing, neurological examination, and counseling. We provide a most integrative approach to outpatient adult neurology issues , and we will give you written materials at the end of the visit. We review prior records and tests, labs, and your up to date medication list. We want to know about your lifestyle, what your goals are for treatment, and how to prioritize your issues. The cost is either your copay, or for out of network patients : $400, or $250 for Senior plan/Medicaid/Advantage plans. For each visit, a claim and receipt are produced to submit to your out of network plan for reimbursement. On line New Patient Appointments do not require a referral, so it is up to you to know whether you need a referral, and whether you have out of network benefit.
This is a 20-40 minute visit reviewing your history, events since last visit, test results, medication changes and problems, and a neurological examination often focused at this point. We provide integrative advice to improving your health and well being, tests needed, follow up needed, and further intervention if needed. Written instructions are provided. The cost is your copay, or $150 or $125 for Senior plan/Medicaid/Advantage plans.
This is an injection visit. You may either schedule a Botox injection if your Botox has arrived from your specialty pharmacy (email us to find out) or nerve blocks/trigger points at any time. You may also select to schedule a Cosmetic Botox utilizing a specific number of units we have on stock. (Please email us to find out if we have enough stock on hand before scheduling your appointment.) Presbyterian and Medicare insurances generally cover both injections. United covers just the Botox injections. The cost is your Copay, or for out of network patients -
Botox ( $250 or $200 for Medicare/Medicaid) or
Nerve Blocks ($200 or $150 for Medicare/Medicaid/Advantage plans)
This is a group clinic to review the current understanding, approach, and strategies to help you deal individually with your headache/migraine issues with the input of other attendees. In operation since early 2014, we have had great success with these clinics and always result in a new approach for each patient This is open to patients, caregivers, family members, or anyone interested in learning more about headaches. We cover preventative strategies, medications, injections, devices, lifestyle changes, alternative medicine, current research, clinical trials, and up to date information from conferences and journals. Each clinic is different and new information is presented each time. Subjects are chosen by attendees. You do not have to be an established patient to attend. Cost: for IN NETWORK either your copay or $50 whichever is less, for OUT OF NETWORK $50 or $35 senior plan/Medicaid.
This is a 2 hour group clinic to review our current understanding of this disorder, current treatments, options, and strategies to deal with the myriad of associated symptoms you may experience. Each group clinic is different and provides the latest research on this disorder and current studies. We include new developments in research, medications, lifestyle, alternative medicine, clinical trials, and recent journal publications and scientific presentations if the group elects. Subjects are selected by the group. You don't have to be an established patient to attend. This is open to patients, caregivers, family members, or anyone who wants to learn more about MS. Cost - IN NETWORK copay of $50 whichever is less, OUT of NETWORK and non patients $50 or $35 for senior plan/Medicaid.
Medicare requires a referral for this test which is used to determine the cause of numbness, tingling, electrical sensations, weakness, imbalance, twitches, or other neuro muscular symptoms. It involves tiny electrical stimulation to each of the major nerves in a limb usually, followed by intra muscluar amplification of muscle activity with a tiny needle electrode . A copy of results AND full explanation provided. It is generally covered by insurance but for OUT OF NETWORK please see our fee schedule listed on the FORMS page
This is a visit to review your symptoms that should be improved with the VNS and to interrogate and reprogram if necessary your device. Refills may be given, and integrative approach to controlling your symptoms will be reviewed. Bring your magnet! For fee schedule, please see the FORMS page.
We accept Presbyterian, United, and Medicare (most plans). Please check if you need a referral. Others are self pay.