Billing Policies and
Fee Schedules

  • Dr. Brooks is not contracted with any health care insurance company including Medicare Part B, Medicare Advantage, and those that function for and as Medicaid (“AHCCCS” in Arizona).

  • Dr. Brooks DOES uniformly discount his fees for all patients holding Medicare Part B, Medicare Part C (Medicare Advantage), and/or Medicaid (AHCCCS) as detailed in our Fee Schedule heading below.

  • All patients are required to pay in full at the time of each visit by check, debit, or credit card.

  • Each patient will be provided a codified receipt (“superbill”) detailing the diagnoses, the services rendered, the charges, and the payment verification. All patients should retain a copy of each receipt for tax filing purposes.

  • Patients who do not hold Medicare and/or Medicaid insurance policies may submit the receipt ("superbill") to their insurance company for processing under the “out of network” or “out of plan” parameters of th eir policy.​ Dr. Brooks codes his services in accord with rules established by Center for Medicare Services and the American Medical Association. He does not take responsibility for how an insurance company processes a patient's claim.

  • Dr. Brooks is voluntarily “opted out” of Medicare.  As required by Federal law, patients who do hold Medicare and/or Medicaid (AHCCCS) insurance may not submit the receipt ("superbill") to their Medicare or Medicaid (AHCCCS) insurance company. Patients must sign a contract with William James Brooks, DO, PC prior to being seen by Dr. Brooks acknowledging that neither they nor Dr. Brooks may file for reimbursement from their Medicare or Medicaid (AHCCCS) insurance company.

  •  Patients who hold Medicare Part B Supplemental ("Medigap") insurance plans may submit the superbill to that plan. (Dr. Brooks will not submit the superbill.) Please note that the vast majority of plans will not approve charges unless Medicare Part B has first processed and approved those charges.

  • Dr. Brooks does not accept liens.

  • Fees for any patient whose care is covered by an institution will not be discounted. Those patients will only be seen upon advance written acknowledgement that fees will promptly be paid in full, along with clearly defining any limitations on the extent of care. Dr. Brooks reserves the right to decline initiation of care should such definitions limiting the extent of care either be unstated or incompatible with a realistic chance of successful restorative care.​​

 

Fee Schedules

Fees for medical care

 

For any specific service are those based on the Industrial Commission of Arizona (ICA) Fee Schedule from November of the previous year to November of the current year (currently: November 2021 - November 2022) and rounded to the nearest lower dollar as detailed below.

For patients enrolled in Medicare Part B or Medicare Part C (Medicare Advantage) a 33% discount is applied to the ICA fee schedule.

For patients enrolled in Medicaid (AHCCCS) a 66% discount is applied to the ICA fee schedule.

 

 

For medico-legal services

 

  • For all attorney requested services not subject to adversarial examination including travel time: $400 for the first hour and $100 for each additional 15 minutes

  • For all attorney requested services subject to adversarial examination including travel time: $800 for the first hour and $200 for each additional 15 minutes

Estimated Charges

Actual charges are based upon the specific services rendered at a given visit. Click the links below to see estimates of the range of charges for typical new  patient and typical established patient visits based on your insurance coverage.

Patients who do NOT have Medicare or Medicaid (AHCCCS) please click the “Self Pay Fee Estimates” button below for your estimated charges.

Patients who DO have Medicare please click the “Medicare Fee Estimates" button below for your estimated charges.

Patients who DO have Medicaid (AHCCCS) please click the “Medicaid Fee Estimates” button below for your estimated charges.