Transparent fees for adult ADHD and anxiety treatment, by telepsychiatry across Arizona. We're out of network and don't bill insurance, so there are no prior authorizations and no hidden costs.
A 15-minute phone or video call to figure out if we can help with what's blocking you. We'll confirm your situation fits our scope and answer questions about treatment. No pressure. Just clarity.
Typically 45-75 minutes, by video. A full assessment of your history, current functioning, and goals, with intake forms done beforehand so the time goes to your plan, not paperwork. Your provider is Robert Beukema, DNP, PMHNP-BC. Never been diagnosed with ADHD? Your provider can diagnose you at this visit. No psychological testing first, and no testing fee on top. Already diagnosed and on medication? You start here too, and your provider decides your treatment and doses. By the end: a clear diagnosis (ADHD or not), a personalized plan, and a first prescription if appropriate.
During medication adjustment, your provider checks in weekly to track your response and find your minimum effective dose. Not the maximum you can tolerate. The lowest amount that removes the barrier. Most people get there in weeks, not months.
Scheduled video visits to review progress, refill medications, and adjust treatment. $125 per visit, separate from the free weekly check-ins. How often depends on your medication. We tell you ahead of any planned time away, and your provider arranges your medication refills.
That's the pricing. Schedule your evaluation
Getting your medication right. Here's what comes with it, and what we leave to others.
You'll repeat short rating scales. Your scores show you and your provider when the dose is enough.
Your provider watches for side effects and, on a stimulant, your blood pressure and heart rate.
Message your provider through the patient portal or Spruce secure messaging.
Evening and weekend appointments when available.
We keep our focus narrow on purpose. When you need something else, we'll tell you directly.
Your provider can point you to therapist directories.
Your provider will refer you, including for medication-assisted treatment (MAT).
We don't do disability or court evaluations, or treat chronic pain.
In a crisis? Call or text 988, or go to your nearest emergency room. We don't provide emergency services or after-hours crisis support.
This is a cash-pay practice. Payment is due after each appointment. Pay through CharmHealth, in the patient portal or with the payment link in your email. You can carry a balance of one unpaid session. If your balance exceeds one session, we'll reschedule appointments until you pay the balance in full.
Credit cards, HSA/FSA cards, and electronic payments, all through CharmHealth.
Late cancellations (less than 24 hours notice): $25 fee
No-call no-shows: Full appointment fee charged
This respects everyone's time and keeps slots available for patients who need them.
Federal law requires healthcare providers to give you a Good Faith Estimate of expected charges before services. We give you our fee schedule at intake, and it serves as that estimate. The fees are fixed and listed above, with no facility fees or surprise charges. What you pay over time depends on how many appointments your treatment needs, and medication costs are separate, paid directly to your pharmacy. If your actual charges exceed the estimate by $400 or more, you have the right to dispute them.
Learn more at cms.gov/nosurprises →We're an out-of-network practice and don't bill insurance companies directly. What that means for you:
If your plan has out-of-network benefits, ask us for a superbill (it lists your diagnosis and procedure codes) and submit it to your insurer yourself. Check those benefits before we start so you know what to expect.
Book the evaluation, or start with a free call.
Full assessment to identify what's blocking you, personalized treatment plan, and first prescription if appropriate. If we can't help, you don't pay for the visit.
Schedule Initial Evaluation15-minute phone or video call to answer questions and confirm we can help with what you're facing.
Book Free ConsultationQuestions about pricing or what to expect? Reach out directly. We'll clarify anything before you schedule.