We Have Two Office Locations
1528 Walnut St, Suite 2005
Philadelphia, PA, 19102
1601 Walnut Street, Suite 401
Philadelphia, PA 19102
Discuss with your specific provider.
Administrative requests are billed at each provider’s “Therapy Session” rate per hour. Please allow 14 days for such requests.
Initial Psychiatric Evaluations
$250 (Nurse Practitioners) $400 (Dr. Pagnani)
These are 60-minute rates. 90-minute appointments are also available
Initial Therapy Evaluations (Anna Ruggirello)
Medication Management Appointments
$115 (Nurse Practitioners) $210 (Dr. Pagnani)
Therapy sessions (Anna Ruggirello)
$150 (individual) $50 (group)
* Call Dr. Pagnani, Jessica Plocher and Elizabeth Milburn regarding their therapy fees, as they do provide therapy to a select number of patients.
Patients interested in scheduling an initial visit, may call any provider directly, or call the main line (267-358-6155), press 1 for “new patients” and leave a message for our office assistant Amy to return.
Initial consultations are scheduled following a brief conversation by phone. A credit card is used to reserve your time. Evaluations are 60 or 90 minutes in length and consist of an extensive medical and psychiatric history. Family involvement is preferred for 90-minute evaluations. Laboratory studies and a brief neurological examination may be part of your workup (with Dr. Pagnani or our Psychiatric Nurse Practitioners). With permission, your provider may request collateral information from medical providers, family or significant others, to aid in case formulation and diagnosis. The initial evaluation is considered a consultation, as it is an opportunity for both the patient and practitioner to decide whether they are a good fit for ongoing care (individuals are responsible for the consultation fee regardless). Should you and your provider agree to work together after this consultation, follow-up appointments are either 25-minute “Medication Checks” or 50-minute “Therapy Sessions” (which may also include prescription medication management – if seeing Dr. Pagnani or our Nurse Practitioners). You and your provider will collaborate to develop a treatment plan that fits your individual needs, which may include therapy, medication management or both. If you have a therapist that you would like to continue working with, our providers will be happy to collaborate with that individual, provided that they can have open communication. At a minimum, on-going patients are seen every three months. If you are seeing Anna Ruggirello for therapy, and one of our medical providers for medication management, coordination of care is often optimal, as case formulation and discussion can be done within the group.
Payment of Fees
All charges are due the day of service and payable by cash, check or credit card (Visa, MasterCard or Discover). Your credit card statement will read “Doctor’s Appointment.” Checks should be made payable to “Philadelphia Health Services.” Accounts that are delinquent may be sent to collections. All patients are required to keep an active credit card on file (used for missed appointments, late cancellations, administrative work, letters & family conferences). If a patient misses two appointments they will be required to prepay via credit card when scheduling. There are no changes to these policies, when someone other than the patient is paying for visits. Additionally, paying for visits does not change confidentiality; a patient’s progress, medical record and any privileged information can still only be given with direct consent from the patient.
Our providers are “out-of-network” with all medical insurance companies. If you have out-of-network mental health benefits, we will be happy to assist you by supplying bills, diagnosis and other information that is requested by your carrier for reimbursement. Patients are responsible for submitting their own claims if they choose to do so. We cannot guarantee reimbursement. Our providers do not accept Medicare. Therefore, individuals with Medicare must sign an agreement that states that they will not submit claims to Medicare.
Our providers do not release patient evaluations, progress notes or therapy notes. A summary of care will be provided to patients and/or third parties when medical records are requested. The above administrative rates apply to such requests and the card on file will be used for this service.
Missed Appointments/Weather Policy/Cancelations
If you are unable to keep an appointment, please give 48 business hours advanced notice (excluding weekends and holidays), otherwise you will be charged in full for the time that was reserved for you. Insurance companies do not reimburse for missed appointment charges. You may cancel your appointment by calling your provider and leaving a message. If you are late for an appointment, you will be seen for the remainder of your reserved time. You will be responsible for the full session fee (this includes initial visits). We do not close due to weather, unless it is a State of Emergency. If a patient misses a visit and your provider is unable to reach you by phone, they will run your credit card on file for the full appointment fee.
Medication Requests and Prescription Refills
Patients may call their provider and leave a message for prescription refills. Refills are called in Monday through Thursday only, during normal business hours. Please allow 48 business hours for all requests (excluding weekends and holidays). If you have not had an appointment within the last 3 months, there will be an associated 25-dollar fee (charged to your card on file). If you are prescribed a controlled substance, and have not been seen in 3 months, an appointment will be required for refills.
Contacting Your Provider
Patients have access to their provider’s business phone and e-mail address. E-mail is used for scheduling and canceling appointments, prescription requests and administrative requests only. E-mails are added to the official medical record at the provider’s discretion. Providers can typically return calls and e-mails within 48 business hours Monday thru Thursday. When patients call with questions that can be answered quickly, they are not charged any fees. If questions require a lengthy discussion (for example, medication changes), they will be asked to schedule an office or phone appointment (above rates apply). Providers will never charge a patient for a phone call, without discussing it directly with them first. If a provider feels that a patient is abusing access to their phone or e-mail address, this may result in termination of care, at their discretion. Social media is not an acceptable form of communication for current or former patients (no exceptions). Texting is never an appropriate form of communication and business lines and after hours lines do not accept texts.
If one of our providers are out of the office, they will leave the covering practitioner’s information on their answering machine and an automatic e-mail reply. For non-emergent issues, you may choose to call the covering provider or leave a message for your provider’s return. Prescription refills will be called in Monday through Thursday 9AM-5PM. Covering providers will generally be able to respond to calls within 48 business hours. Covering practitioners do not handle refills of controlled substances. Patients are responsible for keeping their appointments and re-scheduling (if they cancel or miss an appointment) several weeks prior to running out of these medications.
If you have an emergency, you are required to call 911 or go to your nearest emergency room. This is a requirement, as our providers are not able to be available at all times and emergencies require immediate attention. After doing so, call your provider’s “After Hours line” (listed on their answering machine) and leave a message with your name, number and the reason for the call. These lines do not accept texts. Furthermore, our providers are not always available to answer even this line (this is why patients must call 911 or go to the emergency room prior to calling). If you have any concerns about this policy, patients are required to discuss this with their provider (at the initial evaluation or if they develop concerns during their course of treatment). If a patient requires an inpatient psychiatric admission, has a suicide attempt or what is perceived as an attempt of self-harm by their provider, they will be transitioned to a new provider to take over their care. Our providers do not have a dedicated emergency line or admitting privileges at Philadelphia hospitals and individuals needing high levels of care would likely benefit from a provider with these additional services from a safety perspective. If you have a history of self-injurious behavior, suicide attempts or inpatient psychiatric hospitalizations, appropriateness of care will be discussed during the initial phone consultation with your provider, prior to setting up your initial appointment.
All patients must sign a copy of the office policies at their initial visits.
Policies are subject to change.