New Patients

Appointment Fees

  • Alex Dimitriu MD $1000/hr ($500/25 min for follow up visits)
  • Thomas Adams MD, $800/hr ($400/25min for follow up visits)
  • Susan Smith, MD $800/hr ($400/25min for follow up visits)
  • Lauren Varma NP $600/hr ($300/25min for follow up visits)
  • Jeff Leininger, NP $600/hr ($300/25min for follow up visits)
  • Emily Heard, MFT $200/hr

*Once admitted to the practice, patients are free to visit any provider for follow ups or further consultation.

Initial visits are scheduled for 1-2 hours depending on complexity. Follow up visits are typically 25 minutes and may be longer if you request. We ask our patients to be seen at minimum 4x/year to maintain treatment. We collaborate as a group practice of like-minded professionals. Once admitted, patients are able to and encouraged to work with all of our providers. Urgent appointments are available on a case by case basis, please email us for more information.


We are a contracted provider for LYRA health (Lauren Varma, NP). Otherwise, we are an out of network provider for all insurance claims, and do not accept Medicare.

We do provide a super bill for services, which allows some patients to obtain out-of-network reimbursement. As a “fee for service” practice, payment is expected at the time of service.

We believe your health and privacy are your business and our model facilitates that. Practicing independently allows for the delivery of the most effective, state of the art treatment and care.