Dr. Matthew Sachs logo

A concierge, psychiatric practice offering direct access, quick communication, MD-only care, and minimal wait times. 
Serving all VA or NC patients - Zoom from anywhere.  
We do not take insurance - credit cards are stored w/ encryption.

Text us (encrypted) anytime at 757-219-2753. Fast response.

Follow-ups: $145 for ≤ 15 mins, $175 for ≤ 30 minutes
Intakes: $379 for ≤ 60 min. Longer, more expensive intake options may be required. We CAN diagnose and treat ADHD from scratch.

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Payment Information

  • $145 for a focused exam, small med changes only, up to 15 mins -- the most common established patient appointment type.

  • $175 follow-up up to 30 mins for complicated cases, multiple medications, med changes or reviews of changes, or therapy added

  • $379 initial evaluation, w/ treatment if time permits, up to 60 mins if there are previous treatment records. 

  • $569 initial evaluation, up to 90 mins if there are NO previous treatment records. This is a complete ADHD diagnosis and treatment from scratch. Usually, patients have to see a psychologist to get tested, up to $1500 out of pocket and months to wait, then go see a psychiatrist for medication. Dr. Sachs does it all in ~ 90 mins.

  • This is a one-stop shop for all your ADHD needs -- no other providers are necessary. Dr Sachs can diagnose and treat.

  • At other places, normal ADHD testing and treatment can cost upwards of $1500 or more, with a wait-time of several months, & is mostly cash-based. Often, patients are referred for psychological testing first, then sent to a provider if indicated, which is generally expensive and time consuming. Availability for such appointments are rare. This is a one-stop shop for total ADHD care with minimal wait times.

Practice Overview, Other Prices, & Appointment Policies – Dr. Sachs

Medication Transfers: $25 for each controlled medication prescription transfer. respectively. These fees cover the time and cost for double-authenticating each electronic prescription, cancelling old medication requests, and verifying the patient's PMP if needed.  Non-controlled medication transfers are $15 per prescription.

Cannabis: initial evaluation and treatment: $89 ... Yearly Renewals: $69

Once you’re stable, the typical plan is to see you every 3 months for 15 minutes, making the cost just $150 per visit, or about $50/month. That’s often comparable to what you’d pay with a specialist copay—even with insurance.

And with that $50/month, you have direct access to Dr. Sachs via text for quick questions or minor concerns—something you won’t get in most traditional practices.

Appointment Experience: We don’t believe meaningful psychiatric care can be rushed. Every initial evaluation is comprehensive, on your schedule, and follow-ups are planned in advance for a date/time that works for you. You’ll feel heard, respected, and fully supported — just as we would want for ourselves or our loved ones. We try to follow the Golden Rule in every patient interaction, and we consider ourselves the most responsive practice in town. Just drop us a text.

Access & Availability: As a concierge practice, we offer fast appointment availability—typically within one to two weeks, often sooner.

Additional Services: Crisis support and emergency services available, House calls considered on a case-by-case basis.

We’re here to make your care effective, respectful, private, and accessible via HIPAA-protected Zoom rooms or encrypted phone calls.

Emergency, same-day appointments, weekend appointments. These types of appointments can be discussed as they occur, as prices depend on what's involved and needed at the time. 

If you're interested in using your insurance for reimbursement, please contact your insurance provider to ask about out-of-network mental health benefits. We’re happy to provide claim forms upon request as a courtesy, but it’s best to find out in advance if submitting them is worthwhile in your situation.

Concierge Psychiatry Payment & Cancellation Policy

Payment

  • All appointments (initial and follow-up) must be paid in full at booking to reserve your time. That's a non-refundable payment to hold your time and space exclusively.

  • A valid credit or debit card must be kept on file for any fees incurred.  Establishing yourself as a patient gives us the right to charge your credit card the amount due for that appointment through Quickbooks, again, encrypted with a cyberinsurance policy.

Cancellations

Cancellations must be made within 48 business hours or incur the full cost of the appointment due to the high demand for appointments and the operational costs involved on our end. If your card is declined, arrangements must be made to pay the outstanding balance and pre-pay the next appointment to ensure uninterrupted care. Prescriptions more than 30 days from that missed appointment will be discontinued until payment has been made.  The office is open 9AM - 3PM Monday-Thursday.

Updating Credit Cards

Superbill Payment Info

Quickbooks handles all credit card transactions with encryption. The office has additional cyber-insurance policy protection.

Additional services like letters, school notes, forms, reports, medical summaries, marijuana prescriptions, etc, are available and prices can be discussed with Dr. Sachs or the office by generally start at $50.

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