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Professional Services and Fees

Dr. Middleton's expert knowledge and experience underlies the decision making required for the proper selection of medications and treatments necessary to minimize the risks to a person's sobriety, help prevent relapse, promote each individual's well being and their ongoing successful recovery from addictive diseases. All communication is confidential.

This is not a program for pain management.

Caseys Law Evaluation

$295.00
(2+ hours)

Complete history of substance use and treatments;

Thorough review of medical, psychiatric, social, family and medication histories;

Determination of level of understanding of abuse, addiction and recovery;

Urine drug screen; Monitor KASPER;

Notarizing of Court documents.

Opioid Dependence Out-Patient Treatment Program (MAT)

$325.00 Initial Consultation
(3+ hours)

Establish eligibility and initiate treatment plan;

Complete history of substance use and treatments;

Thorough review of medical, psychiatric, social, family and medication histories; Monitor KASPER;

Physical examination; Urine drug screen;

Determine level of understanding of abuse, addiction and recovery;

Begin psychotherapy and education;

Appropriate prescriptions and specific treatment goals;

Request prior medical records.

$75.00 weekly for 3 visits
(15-30 min each)

Review compliance to treatment plan;

Evaluate progress and discuss living and recovery issues;

Urine drug screen; Monitor KASPER;

Continue psychotherapy and education;

Appropriate prescriptions and specific treatment goals;

Schedule return visit.

$210 monthly
(30 min)

Review compliance to treatment plan;

Evaluate progress and discuss living and recovery issues;

Urine drug screen; Monitor KASPER;

Continue psychotherapy and education;

Appropriate prescriptions and specific treatment goals;

Schedule return visit.

Most patients can eventually be safely tapered off their medications when done carefully and intelligently in collaboration with Dr. Middleton. Lifelong treatment with replacement opioids is not always necessary.

 

Transfer from another Opioid Treatment Program (MAT)

$325.00 Initial Consultation
(2+ hours)

Confirm eligibility and initiate treatment plan;

Complete history of substance use and treatments;

Thorough review of medical, psychiatric, social, family and medication histories; Monitor KASPER;

Physical exam; Urine drug screen;

Determine level of understanding of abuse, addiction and recovery

Begin psychotherapy and education;

Appropriate prescriptions and specific treatment goals;

Request prior medical records.

$210.00 2 or 3 week follow up
(30 min)

Review compliance to treatment plan;

Evaluate progress and discuss living and recovery issues;

Urine drug screen; Monitor KASPER;

Continue psychotherapy and education;

Appropriate prescriptions and specific treatment goals;

Schedule return visit. Review prior medical records.

$210.00 monthly
(30 min)

Review compliance to treatment plan;

Evaluate progress and discuss living and recovery issues;

Urine drug screen; Monitor KASPER;

Continue psychotherapy and education;

Appropriate prescriptions and specific treatment goals;

Schedule return visit.

Evaluation of Alcohol or other Drug Use;  ADHD;  Mood, Behavior or Living Issues

$250.00 Initial Consultation
(2+ hours)

Thorough review of the history of current symptoms;

Complete medical, psychiatric, social, family and medication histories;

Monitor KASPER; Urine drug test if appropriate ($45.00);

Provide impressions/diagnoses, feedback, recommended treatment plan with goals, appropriate prescriptions and schedule return visit;

Begin psychotherapy and education;

Request prior medical records.

$95.00 follow up visit
(30 min)

Review compliance to treatment plan; Monitor KASPER;

Evaluate progress and discuss living and recovery issues;

Continue psychotherapy and education;

Appropriate prescriptions and specific treatment goals;

Schedule return visit.

(Urine drug test if appropriate, $45.00)

Discussion with Patient for Living and/or Recovery Issues

$75.00
(30 min)

Offers a safe and confidential opportunity for established patients to openly discuss any issues, especially those that may threaten their sobriety.

Discussion with Family Members and/or Other Concerned Persons

$75.00
(30 min)
Confidential discussion of any issues of importance.

 

Hours and Payments

Office hours are by appointment only. (ph: 502-454-6001)

Payment is required at the time of service and only by money order, cash, cashier's check.
(No personal checks).