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Evaluations

A 90 minute session with board certified psychiatrist, Dr. Lubinsky, for the purpose of receiving a diagnosis and evaluation of current medications (if applicable). You will receive a detailed report with findings, recommendations and diagnosis.

 

Recommended for adults who:

  • Want to re-evaulate effectivness of current medications

  • Are looking for a formal diagnosis

  • Are planning to continue getting medications from their PCP or other practitioner. 

  • Are looking for a second opinion 

Includes:

One 90 Minute Session 

 

Orders for necessary lab work or blood tests needed to confirm diagnosis

Detailed report from doctor

Collaborative communication with other members of your care team

Medication Management

A series of appointments offering therapeutic interactions with your doctor that focus on medication assisted treatment for a wide range of symptoms.

Recommended treatment for:

  • anxiety

  • depression

  • brain injuries

  • PTSD

  • bipolar

  • OCD

  • and other conditions in which medication management is indicated

This is ideal for adults who wish to address life patterns contributing to distress while also receiving medication management. 

Includes: 

Electronic Script Submission to your pharmacy 

Initial 90 Minute Session 

30 Minute Follow-up Sessions

Orders for necessary lab work or blood tests needed to support diagnosis

Collaborative communication with other members of your care team

Psychedelic Medicine Consultation
$550 (120 minutes, one time consultation)

If you are planning a psychedelic experience with a goal of treating or improving a mental health condition, there are many underlying medical and psychiatric factors to consider. Dr. Lubinsky provides complete psychiatric diagnostic assessments and consultation regarding treatment options with a focus on harm reduction. 

 

Consultation includes discussion of intention, preparation, safety, and integration. Please note we do not provide psychedelic treatment or psychotherapy associated directly with psychedelic use. 

 

Dr. Lubinsky has trained with researchers conducting landmark studies for MDMA for PTSD affiliated with MAPS (Multidisciplinary Association for Psychedelic Studies).

Telehealth

All sessions are conducted via telehealth at this time. You can access scheduled appointments by visiting the patient portal.

Combined Medication Management & Psychotherapy

The most efficient way to meet your mental health needs. A 60-minute psychotherapy session with Dr. Lubinsky, a psychodynamically trained psychiatrist, along with medication management. This is the treatment of choice for many conditions.

Recommended for adults who are experiencing:

  • anxiety

  • depression

  • brain injuries

  • PTSD

  • bipolar

  • OCD

  • and other conditions in which therapy plus medication is the treatment of choice

Includes:

One 90 Minute Intake Session 

60 Minute Follow-Up Sessions

 

Orders for necessary lab work or blood tests needed to confirm diagnosis

Detailed report from doctor

Collaborative communication with other members of your care team

Psychotherapy

Weekly or bi-monthly 60-minute appointments with Dr. Lubinsky, a psychiatrist with psychodynamic training who utilizes a wide range of therapeutic strategies and therapies. Beginning the therapeutic process can be an intimidating undertaking for many adults but can be a catalyst for lasting change.

 

Includes: 

Initial 90-Minute Session 

 

Follow-Up 60 Minute Sessions 

Comprehensive Psychiatric Assessment
for Airmen (Pilots)
$300/hour

Complete FAA Psychiatric Assessments - NOT HIMS certified (this means no substance use evaluations). 

 

Telehealth Evaluations are 120 minutes. Time for record review varies depending on volume. Total time can take up to 10 hours including completion of detailed report. 

 

Airmen will at times be required by the FAA to complete psychiatric evaluations in the process of applying for certification or re-certification of their pilot licenses. Dr. Lubinsky has experience in conducting these evaluations consistent with standards of aerospace psychiatry and aviation and communicating with the FAA pursuant to 14 C.F.R. $ 67 and 14 C.F.R. $ 67.413(a) . This includes a review of all relevant mental health records.

Insurance

Included in your care, we will send you claim receipts for your insurance company as an out-of-network provider.

*Samantha is in network with United & Aetna Choice

Services
Insurance & Rates

Insurance

Samantha is in-network with Aetna Choice & Optum/United Healthcare.

 

For all other insurance plans, we are considered an out-of-network provider. We provide receipts for services for partial or full compensation if insurance carrier provides out-of-network reimbursement. You may want to contact your insurance company prior to scheduling to see what they will reimburse via the codes below.

Dr. Lubinsky

Outpatient Mental Health  Diagnostics, Evaluation, Intake CPT Code:

  • ​90792 Psychiatric Eval with Medication 

  • 99214 Office visit established patient

with

  • 90836 Psychotherapy 45min

or

  • 90833 Psychotherapy 30 min

Samantha Torres, LPC

  • 90837 — Psychotherapy, 60 minutes

  • 90791 — Psychiatric diagnostic evaluation without medical services

  • 90847- Family psychotherapy (with client present

Telehealth

All sessions are conducted via HIPAA secure doxy.me and can be accessed at your appointment time by visiting the Patient Portal.

Release of Protected Health Information

To request use or disclosure of protected health information to a third party or yourself, please use your luminello portal to send a secure request to your provider.

Rates

Dr. David Lubinsky 

Medication Management

$175 per 30 Minute Follow Up Session

$450 per 90 Minute Intake 

Psychotherapy+Medication Management

$300 per 60 Minute Session

$450 per 90 Minute Intake 

One Time Evaluation/Second Opinion

$550 per 90 Minute Evaluation 

Samantha Torres, LPC

Samantha is in-network with Aetna Choice & Optum/United Healthcare. Please call your insurance to determine copays/coinsurance for visits.

Counseling

$135 per 60 Minute Session

$195 per 90 Minute Session 

Cancellation Policy

Cancellations must be made 48 hours prior to the scheduled appointment. A no-show fee of $100 will be charged for missed appointments or late cancellation. 

Intake Appointments

New clients are allowed 1 reschedule with 48 hours notice. 

To provide equal access to all clients, a missed intake appointment will result in a referral to alternate services. 

Missed Appointments

Two consecutive missed appointments without notification will result in a 30 day discharge and referral to alternate services. 

General Questions 

Email admin@mesaguidance.com for general questions.

Combining psychotropic medications and psychotherapy generally leads to improved outcomes and therefore reduces the overall cost of care By Morgan T. Sammons, PhD, and Kevin M. McGuinness, PhD, ABPP

 

A number of individuals do not respond to psychotropic medication alone. For these individuals, the combination of psychotherapy with medication can both improve outcomes and reduce costs. The opposite can also be true. For patients not responding to psychotherapy alone, the addition of pharmacotherapy to the treatment regimen can improve outcomes and lower overall costs. Cost-benefit is measured not only in the additional costs of providing another treatment but in terms of the effectiveness of those treatments in reducing healthcare utilization and future treatment. In other words, patients who recover more completely are less likely to use mental health resources in the future as opposed to those who do not experience significant improvement or only achieve partial remission. 

Read full article 

Effectiveness
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