Janine Fuertes-Ramirez, M.D.
is board-certified in both adult and child and adolescent psychiatry.
She has extensive experience diagnosing and treating a wide range
of psychiatric disorders and mental health challenges with a calm,
supportive demeanor. Her treatment expertise includes depression,
anxiety, ADHD, Bipolar Disorder, oppositional defiant disorder,
eating disorders, post-traumatic stress disorder, and psychotic
disorders. Initial consultations include a comprehensive interview
and diagnostic assessment as well as recommendations about treatment
approaches. She considers a full range of factors including biochemical,
genetic, psychological, environmental, and behavioral factors
in developing a treatment plan. She utilizes a combination of
psychoeducation and medication management when appropriate.
Dr. Fuertes-Ramirez earned her bachelor’s
degree in mathematics from Bryn Mawr College. A New Jersey native,
psychiatry runs in her family. Her mother is an adult psychiatrist
in her hometown and her sister is an inpatient geriatric psychiatrist
in Tennessee. Following in her family’s footsteps, she earned
her doctorate of medicine from the University of Santo Tomas in
Manila. During her psychiatry residency at Virginia Tech-Carilion
Clinic, she applied the aspects she loved about math – the
problem solving and finding different routes to a common solution
– to the psychiatric challenges of her patients. She completed
her child and adolescent psychiatry fellowship at the University
of Maryland in 2011, where she served as chief fellow. One thing
that compelled her to work with children was knowing that with
early identification and treatment of mental illness, children
will build the skills and confidence they need to be better equipped
to handle the increased stressors of adulthood. With adults, she
often inquiries about childhood history because she can help to
course correct ineffective coping mechanisms and behaviors that
with improved mental health, may no longer serve the patient’s
completing her fellowship, Dr. Fuertes-Ramirez has worked extensively
in the outpatient realm both in the urgent care setting and in
the maintenance of chronic conditions.
What are the fees for Dr. Fuertes-Ramirez?
The CPT codes reflect the extent of service,
but billing for appointments is always based on time. Appointments
are set up as ½ hour (up to 25 minute face-to-face) or
1 hour (up to 50 minute face-to-face). The length of the appointment
is established before the appointment, but if a session runs over
time, the fee will be pro-rated. Half-hour appointments are $175
and one-hour appointments are $350. The initial assessment with
Dr. Fuertes-Ramirez is a flat fee of $550 for a comprehensive
single visit that is 1½ - 2 hours duration (rather than
two separate 50 minute sessions preferred by many other psychiatrists).
The receipt for the initial evaluation includes a CPT code 90792
(up to 75 minutes evaluation by a child psychiatrist) and a second
CPT code as applicable, usually a 90785. Follow up medication
management appointments typically have a code of 99214. (HOW
TO CHECK YOUR HEALTH INSURANCE)
Dr. Fuertes-Ramirez adjusts the rates for additional
family members seen as patients. She also has appointment time
available to see patients on a sliding scale fee structure, usually
at the request of a referral source or otherwise determined prior
to the initial meeting. A flat fee of $50 is charged for any paperwork
correspondence generated outside of an appointment or for any
prescription(s) that must be managed outside an appointment.