We travel to your home throughout Manhattan, Brooklyn, Queens, and sections of Long Island, such as Nassau County. The hourly rate includes travel time! For new clients, as of January 1st, 2018, rates for Manhattan on average range from $140 to $160 per hour, and for Brooklyn/Queens/Long Island rates range on average from $115-$140 per hour. Rates vary based on the neighborhood you live in and which reading specialist works with your child. Please note that some literacy specialists might charge slightly higher rates than our average posted rates. We will quote you on the phone once we learn the specifics regarding the nature and location of your tutoring needs.
PRIVATE PAY NEW YORK CITY SPEECH LANGUAGE THERAPY & READING TUTORING
We travel to your home New York City (Manhattan, Brooklyn, Queens, Staten Island), Long Island (Nassau and Suffolk), and sections of New Jersey close to Manhattan. We also provide telepractice or internet online speech therapy. Our telepractice rates are $140-$
We DON’T accept the following: in-network insurance (see below for more information), Early Intervention, Board of Ed. (CPSE, CSE, RSA’s), Medicare, etc. Out-of-network means that we don’t accept insurance. You pay us directly on a weekly basis, and we provide you with a monthly out-of-network receipt. It’s your responsibility to submit this invoice to your insurance company for reimbursement- scroll down to read more about insurance reimbursement codes.
TRAVEL TIME IS INCLUDED WITH THESE RATES!
Speech, Language, Feeding rates
$140-$150 for 60 minutes
$120-$130 for 45 minutes
$100-$110 for 30 minutes
$115-$140 Per Hour
*Please note that some speech-language specialists might charge slightly higher rates than our average posted rates.
We will quote you on the phone once we learn the specifics regarding the nature and location of your speech-language therapy needs.
EVALUATIONS & CONSULTATIONS
Read more about our professional speech and language assessment services. We are professionals who provide a wide range of evaluations custom tailored to your needs. We are here to answer your questions and to help you better understand your child’s development. If you are concerned, we recommend that you contact us.
*An evaluation is not necessary to start with our speech/language and professional learning services. Read more about how to get started.
Bilingual evaluations We perform bilingual speech language therapy currently in Spanish, Russian, Polish, Korean, Italian, and Swahili.
Social Skills Group Rates: $85-$100 per session (10 session minimum); we do not accept insurance, but we do provide you with a receipt for the out-of-network speech language therapy (not an evaluation). The CPT code 92508 is for group speech language therapy, e.g. social skills, only when the group contains 4 or less children/students. If your insurance company requests an ICD-10 code (as of 10/1/15 ICD-9 codes can no longer be used, please refer to this link for ICD-9 to ICD-10 conversion), it has to be furnished from a full evaluation, e.g. psychologist, speech language therapist, etc., and we will need a copy of this evaluation prior to starting. Here’s more information- Brooklyn Letters Social Skills Groups.
If you are interested in speech language therapy or reading services, please contact Craig 347-394-3485 & firstname.lastname@example.org (immediate response). Craig is a licensed speech language therapist and a learning specialist who will fit your child’s learning and scheduling needs with the right Brooklyn Letters professional.
Before contacting us, please call your insurance company to find out if you are eligible for out-of-network speech language therapy and/or evaluation reimbursement. Out-of-network means that we don’t accept insurance. If your insurance company requests a predetermination note, please ask your pediatrician. We do not accept insurance payments, but we are considered out-of-network providers: you pay us directly and we don’t coordinate with insurance companies. We provide you with a monthly receipt of paid speech and language therapy services; you submit it to your insurance company for reimbursement. Payment (cash or check) is expected on a weekly basis. We also do not accept Early Intervention, and we do not accept Board of Ed., e.g. RSA’s- see if our services are eligible for flexible spending account reimbursement. We are team players; we are happy to collaborate with speech language providers and other professionals who work with your child.
There are two types of codes: ICD-10 and CPT
LET’S TALK CPT CODES
CPT codes describe the type of service being offering, e.g. one-on-one speech therapy.
For out-of-network speech language therapy (not an evaluation), the CPT codes are 92507 for one-on-one speech language therapy services and 92508 for group: the only group therapy we personally provide is for social skills groups. The CPT code for feeding therapy is 92526. CPT code 95 is for telepractice support.
As of 2014, for evaluations, contact your insurance company to see if they reimburse for the following CPT codes:
92522- evaluation of speech sound production (articulation, phonological process, apraxia, dysarthria).
92523- evaluation of language expression and comprehension (receptive language) AND evaluation of speech sound production (articulation, phonological process, apraxia, dysarthria).
92521- evaluation of speech fluency (stuttering, cluttering).
92524- behavioral and qualitative analysis of voice and resonance.
Reporting Telepractice Related Services
95- The American Medical Association (AMA) created a new modifier “95” to reflect synchronous (i.e., real-time) telepractice services, as follows: Synchronous telemedicine service rendered via a real-time interactive audio and video telecommunications system.
NOW ICD-10 CODES
ICD-10 codes are the diagnostic codes, e.g. expressive language disorder or speech sound disorder, and must come from a written evaluation. ICD-10 codes can come from a licensed therapist or a medical provider, e.g. psychologist, neurologist, speech language therapist, etc. Ask your insurance company for their New York state medical coverage policy for speech language therapy (it will contain a description of their policy and list of ICD-10 codes that are and are not covered for speech language therapy). Speech language therapy is a medical necessity (read page 9) (don’t let the insurance company tell you otherwise), when there is a significant speech language delay and/or issue.
Many insurance companies reimburse for out-of-network speech language therapy when there is a significant speech-language delay for children under 36 months, once you meet your deductible. Ask your insurance company if they have a New York State Speech Therapy and Early Intervention Program (birth to three years old); here’s an example.
If your child has a diagnosis of apraxia of speech etc. from a neurologist, here’s more info. on insurance reimbursement.
ADDITIONAL INSURANCE TOOLS
Health Savings Accounts: Audiology and Speech-Language Pathology Coverage [PDF] (flyer) – Learn how you can get speech, language, and hearing services covered through a Health Savings Account
Brochure: Making Sense of your Health Insurance Plan [PDF] – Use this as a quick guide to understanding your health insurance
Adding Speech, Language, and Hearing Benefits to Your Policy – Tell your employers to check this page out to get the answers they need about adding valuable speech, language, and hearing benefits to your current insurance policy