Who Can Prescribe ADHD Medication in NJ and NY?
A primary care doctor can sometimes write an ADHD prescription, but the visit that actually works long term usually comes from someone who evaluates and manages ADHD as a core part of their practice.…
Choosing an out-of-network psychiatric provider doesn't mean giving up on using your insurance entirely. Here's exactly how the superbill and reimbursement process works, what to ask your insurer before you book, and a free kit that does most of the legwork for you.
Self-pay practice · Superbill provided for out-of-network reimbursement
Out-of-network doesn't mean uninsured, and it doesn't mean insurance is irrelevant. It means I'm not contracted with any insurance company, so I don't bill them directly. You pay me at the visit, I give you a superbill, an itemized receipt with the codes your insurer needs, and you submit that to your plan yourself. If your plan has out-of-network benefits, this is how people who work with me use their insurance without me being in-network at all.
Insurance networks decide how long an appointment can be, how often you can be seen, and increasingly which medication has to be tried first before a different one is approved. Staying out of network is what makes a 50-minute first appointment and a follow-up schedule based on clinical need, not a fixed visit quota, possible. This is increasingly the norm across psychiatry, not the exception, and it's a large part of why in-network psychiatric providers accepting new patients have gotten harder to find.
A superbill is an itemized receipt, not a bill you owe. It lists what you paid, the CPT procedure codes for the visit, the ICD-10 diagnosis code, and my license and tax ID information, everything your insurer needs to consider a claim. I provide one after every visit. You submit it yourself, either by mail or through your insurer's online portal, and if your plan reimburses out-of-network care, the payment comes back to you, not to the practice, since you've already paid in full at the time of service.
Out-of-network benefits are a feature of PPO and POS plans specifically. HMO and EPO plans generally do not offer them, so this is worth checking before you assume either way. If your plan does have these benefits, reimbursement typically kicks in after you've met an out-of-network deductible, which is separate from your in-network deductible, and it's usually a percentage of your insurer's "allowed amount" for the service, which can be lower than what you actually paid. Two plans that sound similar can reimburse very differently. The only way to know your actual number is to ask your insurer directly, which is exactly what the call script in the kit below is built for.
Most insurers are required to respond to a claim within 30 days. You'll get an Explanation of Benefits showing what was covered and what wasn't. Submitting claims monthly rather than saving them up gets you to your deductible faster and avoids running into your plan's timely filing window, which is often 90 to 180 days from the date of service. None of this is a guarantee of reimbursement. It's a process, and the kit below is built to help you go into it with the right information instead of finding it out after the fact.
⚠ This information is educational and general. What your specific plan reimburses depends on your policy, and confirming it with your insurer directly is the only reliable way to know your number.
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Most psychiatric prescribing is trial-and-error. My background in
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checklists. That means fewer wasted medication trials, a clearer rationale for every decision, and mental health care built on biology, not guesswork.
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One of the most nicest, kindest and considerate doctors I met. He went over with me thoroughly on the documents and was generous enough to explain me everything that I asked. I think he is a real doctor of people and not just someone that's write prescriptions.
Michael is an amazing professional! He truly invests in his patients and provides care and feedback even during off hours. Although we have only been using his services for a short time, he already stands out as caring, knowledgeable, and confident in his approach. We plan to continue using his services and would absolutely recommend him to anyone!
Dr Michael Feldman is an amazing doctor. He prescribed the proper medication in the right dosage for me. He did this because he listens and asks very good questions. I highly recommend him
Michael Feldman is a wonderful and caring P.A. He always gives 100%. He listens attentively and provides many insights I would never thought of by myself. I find having him in my corner invaluable and I could not recommend him more highly. He's the best!
Michael Feldman is an excellent doctor! Very knowledgeable, attentive to patient's needs, caring, great bedside manners! Highly recommend!
I met Michael Feldman after years of search and trial and error. If you look for a professional who is invested in his patient's progress, research-oriented, with a deep understanding of the body-mind connection and a wholistic approach to treatment, look no further.
I had an exceptional experience with Dr. Feldman and truly feel fortunate to have found such a compassionate and knowledgeable psychiatrist for my teenager son. From the very first appointment, they took the time to listen without judgment and made me feel genuinely understood. Their explanations were clear, thoughtful, and grounded in evidence, which helped me feel confident in my treatment plan. The office staff is also friendly and efficient, making scheduling and follow‑ups easy. I highly recommend Dr. Feldman to anyone seeking a psychiatrist, especially for children.
My dad was recommended to see Dr. Feldman through his psychologist. He got him on track with medication and I finally feel like he’s himself again. Speaks Hebrew fluently as well which was a plus. Would recommend to anyone looking for an attentive and kind professional. Thank you!!
I was looking for support in working through my trauma. From the very first moment, I felt a comfortable atmosphere, even though the meetings were held via Zoom. It was clear that Mikhail was truly listening and delving into the problem. After each session, I felt empowered and calm. I definitely recommend Mikhail Feldman as an excellent specialist.
Great medication management! I was worried about the correct path to take to improve my mental health, and Michael really helped to properly explain my options and recommending the right medication. Highly recommend!
Dr. Feldman is very professional, intelligent, and highly knowledgeable. Appointments always run on time. After we switched to him, he immediately recognized that the previous diagnosis was incorrect. We’re very confident in his care and look forward to continuing with him.
I don't bill insurance directly, and I don't promise a specific reimbursement percentage, because it depends entirely on your plan. What I can promise is a complete superbill after every visit and the tools above to find out your actual number before you book.
Initial evaluation (up to 50 minutes): $350
Follow-up visit: $300
Discovery call: free, about 10 minutes
Things patients usually want to know before reaching out.
It means I don’t have a contract with any insurance company, so I don’t bill them directly. You pay me at the time of the visit, and I give you a superbill you can submit to your own insurer for possible reimbursement, if your plan offers that benefit.
That depends entirely on your specific plan. PPO and POS plans commonly include out-of-network mental health benefits; HMO and EPO plans generally do not. Rather than guess, call the member services number on your insurance card and ask directly, the kit above gives you the exact questions to ask.
An itemized receipt, not a bill you owe. It lists the CPT procedure codes, the diagnosis code, my license and tax ID information, and what you paid, everything your insurer needs to process a claim. I provide one after every visit automatically.
Most insurers let you submit online through a member portal, or by mailing the superbill with a claim form, which your insurer can provide. Submit monthly rather than saving them up, both to reach your deductible faster and to avoid missing your plan’s filing deadline, often 90 to 180 days from the date of service.
Insurers are generally required to respond to a claim within 30 days. You’ll receive an Explanation of Benefits showing what was covered.
Because it genuinely varies by plan, and giving you a number that turns out to be wrong for your specific policy does you no favors. Two plans that look similar on paper can reimburse very differently depending on the deductible and the “allowed amount” they use to calculate your payment. Your insurer is the only accurate source for your number.
No. When a provider is in-network, they bill insurance and insurance pays them. When a provider is out-of-network, you pay the provider directly, and then you (or the kit’s process) file the claim yourself using the superbill. Any reimbursement comes back to you, not to the practice.
No. It’s provided automatically after every visit, no request needed.
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