Holistic Psychiatric Treatment and Ketamine Therapy in South Bay of Los Angeles, CA
Fees & Insurance
I have elected not to participate in any insurance plan network in order to avoid the administrative problems plaguing the healthcare system today.
Working outside of the insurance system allows me to customize your treatment plan so that you can receive the best treatment that your condition warrants rather than the treatment that insurance employees have preselected for you.
My office is not set-up to bill any insurance. Payment is due at the time of your session and I provide you a statement (in “superbill” format) that you can submit to your healthcare insurance company as a claim. Once your insurance company processes your claim, they will directly reimburse you the portion of the fee that they allow for out-of-network providers. If you have questions about insurance coverage or need to find out what percentage of my fee will be covered by your health plan, please contact your healthcare insurance company directly to inquire about reimbursement for CPT codes listed below.
Fee Schedule
Adult Diagnostic Evaluation (CPT code 90792) $375
Child/Teen Diagnostic Eval (CPT code 90792 x2)$750 includes 1-hour appointment with child/teen and additional 1-hour session with parents for minimum 2 appointments @ $375 each.
Complex cases may require more than the minimum listed initial appointments for thorough evaluation
Interactive Complexity add-on (CPT 90785) $25 in addition to baseline evaluation fee above, added for evaluations that require communication with other individuals legally responsible for their care, such as minors or adults with guardians, adults accompanied by a family members or interpreter, and any other circumstances that add to complexity of evaluation.
Follow-up sessions for ongoing treatment are billed as follows:
30-min session $210
(=$120 med management CPT 99214 + $90 psychotherapy CPT 90833)
45-min session $280
(=$120 med management CPT 99214 + $160 psychotherapy CPT code 90836)
60-min session $350
(=$120 med management CPT 99214 + $230 psychotherapy CPT 90838)
Interactive Complexity add-on $20-25 (CPT 90785) in addition to baseline fee above, added for complexity in communication
Ketamine Session Fees
$600 for 2-hour ketamine journey with Psychedelic Facilitator +45min psychotherapy with Dr Rai = $300+300
Or $700 for 2-hour ketamine journey with Psychedelic Facilitator +60min psychotherapy with Dr Rai = $300+400
Or $1200 for 2-hour ketamine journey with Dr Rai +60min psychotherapy = $800+400.
If longer sessions are required you are billed accordingly.
Detailed CPT Codes are listed below so you can check with your insurance regarding reimbursement.
2-hour Ketamine journey with Psychedelic Facilitator $300 (CPT H0033)
2-hour Ketamine journey with Dr Rai $800
($400 prolonged service CPT 99415 + $200x2=400 CPT 99416 for 2 additional 30-min periods)
Psychotherapy (billed in addition to 2-hour session). Each KAP session includes at least 45 min time with Dr Rai in addition to 2-hour ketamine journey, which may be split into 15 min before ketamine journey and 30 min after. If you need more time, you are billed for length of session you require.
45-min Psychotherapy $300
(=$120 med management CPT 99214 + $160 psychotherapy CPT 90836 + $20 Interactive Complexity)
60-min Psychotherapy $400
(=$145 med management CPT 99215 + $230 psychotherapy CPT 90838 + $25 Interactive Complexity CPT 90785)
Medicine (ketamine) cost is approximately $150-175 for 4-week supply, and paid directly to pharmacy, not to Dr Rai’s office
Breathwork Session (no Ketamine) 1-hour $200
Learning effective ways to use breath to regulate arousal in body can be very effective to prepare for ketamine sessions and also help in integration phase by enabling one to journey on music and breath without medicine once ketamine sessions are discontinued.
Payments
Payment for treatment is due at the time of your visit, and you may pay by cash, check or credit/debit card.
All patients are required to have a valid credit card on file. If you do not cancel your appointment with 2 business days notice by calling/emailing my office, the credit card on file will be charged the full fee for that session since all appointments are reserved exclusively for you.
Good Faith Estimate of Treatment Costs
As of 2022, a new law requires that I offer you a “Good Faith Estimate” explaining how much your mental health care will cost. Under the law, health care providers (including mental health clinicians) need to give patients who don’t have or who are not using insurance an estimate of the expected charges for medical services, including psychotherapy services. This is based on the No Surprises Act of 2020 and was originally designed with hospitals and bigger treatment facilities in mind, where you may be surprised by unexpected high costs of surgery or hospitalization or other treatment.
Unlike a surgical procedure or other discrete medical services, it can be difficult to estimate the total cost of therapy services because this number is influenced by length, frequency and type of sessions you need. However, if you would like a Good Faith Estimate, based on once or twice weekly visits per month for 30, 45 or 60-min appointments, my office staff can provide one for you. For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises.
Live the Life You’ve Always Wanted
Solutions-Oriented Holistic Mental Health Care for Adults, Teens & Children