Insurance & Fees
Transparent Pricing. Unconstrained Care.
Dr. Gordon is an out-of-network provider. This means insurance visit limits do not set the length of your treatment plan.
Why Out-of-Network?
In-network providers are often required to shorten visit times, overlap patients, and follow generic protocols to satisfy insurance reimbursement rules. That can make care for complex conditions rushed and fragmented.
As an out-of-network provider, Dr. Gordon works exclusively for you. Every session is one on one, and Dr. Gordon chooses treatments based on what your case needs.
Full, One-on-One Time
Dedicated attention to your case with no double-booking or rushed appointments.
Most Effective Modalities
Dry needling, electroacupuncture, and manual therapy used without reimbursement restrictions.
Outcome-Driven Plans
Your plan follows your recovery goals.
PPO Submission Handled
The clinic submits claims to most major PPO plans for you. If your carrier requires you to file, the clinic provides a detailed superbill.
Fee Structure
There are no facility fees or surprise bills, and you know the fees before your first visit.
Initial Evaluation & Treatment
$300
Comprehensive medical history review, full assessment, and your first treatment session, all included in a single appointment.
Follow-Up Treatment
$250
One-on-one care including dry needling, neuro-modulation, and any additional modalities indicated for your case.
Note on New Wave Weight Loss: The New Wave Weight Loss program is self-pay. It is paid at the time of your visit and is not submitted to insurance.
The Claims Process
The clinic handles the paperwork so you can focus on recovery.
Complimentary Benefits Verification
Before your first visit, the clinic offers a free verification of your out-of-network benefits. The clinic contacts your insurer to confirm your deductible, coverage percentage, and eligibility.
Payment at Time of Service
The clinic's fees are fixed and transparent. Payment is due at the time of your appointment. The clinic accepts all major credit cards, HSA cards, and FSA cards.
The Clinic Handles the Claim
For most major PPO carriers, the clinic submits your claim directly after your visit. If your carrier requires you to file, the clinic gives you a detailed superbill and walks you through it.
Direct Reimbursement to You
If your plan covers your treatment, the insurance company sends the reimbursement check directly to you.
Coverage Details
PPO Plans
The clinic submits to most major PPO plans that offer out-of-network benefits, including Aetna, Cigna, United Healthcare and BCBS.
Medicare & Medicaid
Dr. Gordon is not a Medicare or Medicaid provider. The clinic cannot submit claims to Medicare, including Medicare Part C / Advantage plans.
Reimbursement Amounts
While the clinic handles submission and provides full clinical documentation, it cannot guarantee reimbursement amounts. Outcomes are determined by your specific plan and deductible status.
Common CPT Codes
If you prefer to verify your coverage directly with your insurer, reference the following codes used in Dr. Gordon's practice.
Evaluation & Management
New Patient Evaluation (Initial Visit)
99202 / 99203Acupuncture & Dry Needling
Acupuncture - Manual / No Stimulation
97810 / 97811Electro-Acupuncture - With Stimulation
97813 / 97814Dry Needling - Needle Procedures into Muscle
20560 / 20561Manual Therapy
Manual Therapy - Myofascial Release, Trigger Point Therapy
97140Infrared Therapy
Infrared Heat Therapy
97026Ready to Get Started?
Invest in a treatment plan designed to solve the problem, not just manage it.