Professional Fees

Fees effective as of July 1, 2022

Typical Hourly Charges: $300.00/hour

Psychiatric Evaluation

99205           $600.00          Single session evaluation – up to 2 Hours

99205+          $850.00        Single session evaluations of 2 ½ hours or more


90791             $425.00          Parent interview (first of two session eval)

90792             $425.00          Child interview (second of two session eval) 

Note: 99350 will be used if the second evaluation session is home-based)

Psychiatric Follow-Up Visits

99212             Typical appointment < 15 minutes                        $125.00                      

99213             Typical appointment: 15-30 minutes                     $195.00                      

99214             Typical appointment: 30-55 minutes                     $235.00          

99215             Typical appointment: 55-75 minutes                     $295.00

Note: Time for telemedicine sessions also includes tumescent on documentation, prescription writing after the online component of the session has ended.

Family therapy with/without patient billed at rates for individual follow-up

90846             Family therapy without patient       

90847             Family therapy with patient

-95                  Telemedicine modifier

+90785           Interactive complexity add-on code                        $50.00                      

+90833           18-37 minutes psychotherapy plus E/M                 $65.00                      

+90836           38-52 minutes psychotherapy plus E/M               $145.00                      

+90838           53+ minutes psychotherapy plus E/M                  $215.00          

99354             $250.00          Prolonged Service Time (30-74 minutes)

99355             $125.00          Prolonged Service- (added to 99354, 75-104 minutes)

Other Psychiatric Services

90882             $250.00          Environmental Intervention (school visits)                       

90885                                     Record Review ($50.00 + $75.00/15 minutes)

90889                                     Report Writing ($50.00 + $75.00/15 minutes)

99344             $600.00          In-home psychiatric evaluation 

(Single session, two hours)

99347             $195.00          In-home services < 25 minutes

99348             $235.00          In-home services, 25-50 minutes

99349             $295.00          In-home services, > 50 minutes

99350             $425.00          In-home services, second visit of two-visit evaluation

99441             FREE               Telephone calls < 10 minutes

99442             $50.00            Telephone calls: 11-20 minutes

99443             $100.00          Telephone calls > 21 minutes

99444                                      E-mail (similar to telephone calls)

It is likely Dr. Grcevich will ask you to come in for a follow-up visit or take part in a video visit if your clinical concern can’t be resolved in ten minutes or less by phone or e-mail. Please note that you will not be billed for any contacts that are part of a previously discussed clinical plan such as a brief, planned follow up.  We will continue to make every effort to inform you when a contact will be charged.  

In-home appointments or school-based meetings within 30 minutes of Chagrin Falls will not incur an additional charge. In-home appointments more than 30 minutes from the office that can’t be scheduled immediately before or after another appointment in the area will result in a surcharge for travel time billed at 50% of the Dr. Grcevich’s hourly rate on a pro-rated basis. 

Charges for Prescription Refills:

Patients obtaining medical services from Dr. Grcevich will receive prescriptions sufficient to last until the next scheduled follow-up visit. Exceptions may occur when Dr. Grcevich is initiating a new medication, adjusting the dose of medication, or discontinuing medication. If you cancel or reschedule an appointment and need a new prescription or refills prior to your next appointment, please e-mail at least five working days in advance of the prescription running out. We don’t accept prescription requests from pharmacies by phone or fax. There will be a minimum $30.00 charge for prescriptions provided outside of scheduled appointments unless a medication change is initiated by Dr. Grcevich. If more than one prescription is requested outside of a scheduled appointment, there will be a $10.00 charge for each additional prescription. The credit card you keep on file with us will be charged.

Charges for Prior Authorization Requests from Insurers or Pharmacy Benefit Managers:

The vast majority of prescriptions Dr. Grcevich writes are for medications available in generic form for a modest cost. Some medications (branded products for which there is no generic version, and many extended-release medications for ADHD) often require a “prior authorization” process, even in situations when the family is required to pay the full price of the medication because of not having met a deductible. Some companies demand prior authorization for relatively inexpensive medications when arbitrary limits are exceeded on the number of pills in a prescription – more than one pill a day or 30 pills per month. 

Such requests are time-consuming because companies demand detailed explanations of why previous medication trials failed. The same policy that applies to letters and reports will apply to prior authorization requests - time spent in response to requests will be billed on a pro-rated basis of Dr. Grcevich’s hourly rate with a minimum charge of $30.00. Prior to submitting such requests, Dr. Grcevich will attempt to notify parents if the cost of the medication does not justify the anticipated time required for the prior authorization process. If the prescribed medication is available for less than $20.00/month at two or more retail pharmacies in the greater Cleveland area using discount services such as GoodRx, the time spent on prior authorization isn’t justified. 

It is your responsibility to pay for any medication prescribed to you or your child. If you are unable to do so, please contact Dr. Grcevich. He is happy to work with families to identify affordable treatment alternatives.

Legal Issues:

We do not provide legal advice or forensic services as part of our practice. Please notify Dr. Grcevich immediately if you or your child become involved in a legal or criminal matter that may require his participation. If you become involved in legal proceedings and require Dr. Grcevich’s participation, you will be charged for professional time at the rate of $600.00/hour, including any travel or preparation time. Also, potential conflicts may arise from involving Dr. Grcevich in legal proceedings that preclude him from providing ongoing mental health care to your child.