Psychiatrist Janine Fuertes-Ramirez, M.D.

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 needs.

Since 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.