Service and Fee Transparency

Specialized Services 

Perinatal Peds Nursing, Inc. specializes in pediatric and perinatal mental health care, offering tailored support for: 

• Pregnant and Postpartum Patients: Addressing perinatal depression, anxiety, and mood disorders. 

• Children and Adolescents: Managing ADHD, anxiety, depression, and behavioral concerns. 

• Parent and Family Support: Helping caregivers navigate mental health challenges in their children. 

Psychiatric Services 

Initial Psychiatric Evaluation 

An initial psychiatric evaluation, or psychiatric diagnostic interview, is a formal evaluation with a mental health provider. The goal is to build rapport, gather information, and understand the patient’s mental health concerns to determine if they have any mental health conditions. An initial psychiatric evaluation is 60 minutes and includes discussion of symptoms, a mental status examination, and possible diagnosis with a treatment plan. Treatment plans include pharmacological and/or non-pharmacological interventions. Please note, all new patients require an initial psychiatric evaluation before receiving other services. This appointment is available as either a home, office, or telehealth visit. Home visits are recommended for the initial psychiatric diagnostic interview, but they are not required.

Consultations 

After the initial psychiatric evaluation, follow-up consultations provide additional time to explore treatment options, discuss concerns, and receive specialized support. These sessions are tailored to the unique needs of pediatric and perinatal patients and their families. These appointments are 60 minutes and available as either a home, office, or telehealth visit. These appointments can be scheduled any time after the initial psychiatric evaluation. 

Follow-up consultations can include: 

• Medication Consultation: This consultation is designed for patients and families seeking additional time to review medication options after the initial psychiatric evaluation. A comprehensive discussion will cover the risks, benefits, and alternatives of medication treatment. This consultation is highly recommended for perinatal patients who may require a more in-depth review of psychiatric treatment considerations. 

• Perinatal Consultation: For perinatal patients seeking additional support, this consultation provides a dedicated space to discuss mental health concerns during pregnancy and postpartum. Sessions include a risk-benefit analysis of treatment options and tailored strategies for managing perinatal mood and anxiety disorders.  

• Parental Consultation: This consultation is designed for parents or guardians seeking additional guidance on child development, behavioral concerns, and parenting strategies following the initial psychiatric evaluation. Sessions include general education, personalized recommendations, and practical approaches to support their child’s emotional well-being.   

Standard Follow-Up Appointment

Standard follow-up appointments are 30 minutes. They are designed to monitor a patient's mental health progress, assess treatment effectiveness, and make necessary adjustments. This appointment is only available as an office or telehealth visit. 

A standard follow-up appointment can include: 

• Symptom Check-In – Review of current symptoms, mood, sleep, appetite, stress levels, and any significant life changes. 

• Medication Management – Assessment of medication effectiveness, side effects, adherence, and any necessary dosage adjustments or changes. 

• Therapeutic Interventions – Brief supportive therapy, coping strategies, and reinforcement of treatment goals. 

• Risk and Safety Assessment – Evaluation of any suicidal ideation, self-harm, or safety concerns, if applicable. 

• Psychosocial and Environmental Review – Discussion of relationships, work/school performance, family dynamics, and lifestyle factors. 

• Patient Education and Treatment Planning – Discussion of next steps, recommendations for therapy, lifestyle modifications, or referrals if needed. 

• Scheduling and Follow-Up Plan – Determination of when the next appointment should be and any additional steps before the next visit. 

Extended Follow-Up Appointment

Extended follow-up appointments are 60 minutes. They are also designed to monitor a patient's mental health progress, assess treatment effectiveness, and make necessary adjustments, but extra time is allotted for psychotherapy. These appointments are available as either a home, office, or telehealth visit.  

Disclaimer: An extended follow-up appointment accommodates those seeking supplemental psychotherapy. While psychotherapy is integrated in all services, it is not solely provided. The frequency of a follow-up appointment varies, so a referral to a therapist will be provided if psychotherapy is recommended weekly or biweekly as a part of your care plan. 

Fees 

Initial Psychiatric Evaluation 

(Office, Telehealth) 

60 min 

$450 

Follow-Up Consultation 

(Office, Telehealth) 

60 min  

$400 

Standard Follow-Up Appointment 

(Office, Telehealth) 

30 min  

$200 

Extended Follow-Up Appointment

(Office, Telehealth) 

60 min 

$400 

Home Visit Service Fee 

(add on fee) 

60 min 

+ $250 

Travel Fees 

A travel fee applies to any home visit services outside of Santa Barbara, Goleta, or Montecito. This fee is calculated based on a flat hourly rate of $400 and will be added to the total service fee. All travel fees will be disclosed prior to booking to ensure transparency. Patients are responsible for covering these costs, which must be paid in full at the time of service. For more details or to determine whether a travel fee applies to your location, please contact our office before scheduling.   

Documentation Fees 

Please be advised that requests for documentation, including but not limited to letters, forms, disability paperwork, school or work accommodations, medical records summaries, prior authorizations, and other written statements, may be subject to additional fees. These fees are determined based on the complexity and time required to complete the request. 

Completion of documentation is at the sole discretion of the provider and requires adequate clinical justification. Requests will not be fulfilled on an urgent basis unless explicitly agreed upon, and additional expedited processing fees may apply. Documentation fees will be disclosed in advance, and payment must be made before any documents are released. 

Perinatal Peds Nursing, Inc. reserves the right to deny any documentation request that is not clinically appropriate or falls outside the scope of care provided. By submitting a request, you acknowledge and agree to these terms. 

Disclaimer: Fees are subject to change. Patients will be notified in advance of any updates.

Insurance and Payment Policies 

Perinatal Peds Nursing, Inc. is a private-pay practice and does not accept insurance. Payment is due at the time of service. However, we can provide a superbill that you may submit to your insurance company for possible out-of-network reimbursement. 

Accepted Payment Methods: 

• Credit/Debit Cards (Visa, MasterCard, American Express, Discover) 

• HSA/FSA Cards 

Good Faith Estimate (No Surprises Act Compliance) 

Under the No Surprises Act, you have the right to receive a Good Faith Estimate for expected costs before receiving care. This estimate is provided to self-pay and uninsured patients before treatment begins. If your bill is $400 or more above the estimate, you may dispute the charges. For more details, visit www.cms.gov/nosurprises. Disputes must be filed within 120 days of receiving the bill. 

Additional Considerations 

• Your actual cost may be higher or lower depending on treatment complexity and session length. 

• If your treatment plan changes, you will receive an updated Good Faith Estimate. 

Sliding Scale and Financial Assistance 

Perinatal Peds Nursing, Inc. does not offer a sliding scale or financial assistance at this time.  

Cancellation and No-Show Policy 

To ensure availability for all patients, we require: 

• 24-hour notice for cancellations or rescheduling. 

• A late cancellation fee of $100 is applied for appointments canceled with less than 24 hours’ notice. 

• If you miss your scheduled appointment without notice, you will be charged the full session fee. 

Legal Disclaimers and Liability Protections 

• No Guarantee of Reimbursement: We make no guarantees regarding insurance reimbursement for services. Patients are responsible for verifying out-of-network coverage with their insurance provider. 

• No Emergency Services: Perinatal Peds Nursing, Inc. is an outpatient practice and does not provide crisis or emergency psychiatric services. If you are experiencing a psychiatric emergency, call 911, go to the nearest emergency room, or contact the 988 Suicide and Crisis Lifeline. 

• Scope of Practice: Our providers operate within the legal scope of practice as defined by the California Board of Registered Nursing. We do not provide forensic evaluations, court-ordered assessments, or disability determinations. 

• Medication Policies: Patients prescribed medication must adhere to all state and federal prescribing guidelines, including controlled substance regulations. Early refills, lost prescriptions, or dose changes may require an in-person assessment. 

• Termination of Care: We reserve the right to terminate care in accordance with our Termination of Care and Patient Dismissal Policy, including for repeated missed appointments, non-adherence to treatment, or inappropriate behavior.