Investment in Your Care. Exceptional psychiatric care begins with time.
Practice Fees
BeyondBridge was intentionally designed around quality rather than volume, allowing the time necessary to understand each patient’s mental health, medical history, life circumstances, and professional responsibilities.
Every patient receives care directly from Santiago Almanzar, MD, FAPA, through comprehensive evaluations, thoughtful treatment planning, and continuity of care.
As an independent, physician-owned practice, treatment recommendations are guided by clinical judgment rather than insurance requirements. This model allows for longer appointments, greater accessibility, and individualized care focused on achieving meaningful, lasting clinical improvement.
Detailed superbills are available for patients who wish to pursue potential out-of-network reimbursement through their insurance plan.
Core Psychiatry Services
BeyondBridge provides comprehensive outpatient psychiatric care for adults through physician-led evaluation, individualized treatment planning, and continuity of care.
Every new patient begins with a Comprehensive Psychiatric Assessment, which includes a detailed diagnostic evaluation and development of an individualized treatment plan. When clinically indicated, ongoing care includes advanced medication management and treatment of complex and treatment-resistant psychiatric conditions.
For individuals seeking a comprehensive independent evaluation because of diagnostic uncertainty, complex clinical presentations, multiple unsuccessful treatment trials, or the need for an expert second opinion, a separate Diagnostic Clarification & Expert Consultation is available.
| Service | Duration | Fee |
|---|---|---|
| Comprehensive Psychiatric Assessment | 60 minutes | $500 |
| Follow-Up Psychiatric Care | 25–30 minutes | $250 |
| Service | Duration | Fee | Description |
|---|---|---|---|
| Comprehensive Psychiatric Assessment | 60 minutes | $750 | Comprehensive psychiatric evaluation, diagnostic formulation, individualized treatment planning, and initiation of treatment. |
| Follow-Up Psychiatric Care | 25–30 minutes | $350 | Ongoing medication management, treatment optimization, and continuity of care. |
Diagnostic Clarification & Expert Consultation
This advanced consultation is intended for individuals with complex psychiatric presentations who would benefit from a comprehensive independent diagnostic evaluation.
Appropriate for patients with diagnostic uncertainty, incomplete response to previous treatment, multiple prior medication trials, or those seeking an expert second opinion regarding diagnosis or treatment recommendations.
| Service | Duration | Fee |
|---|---|---|
| Diagnostic Clarification & Expert Consultation | 90 minutes | $750 |
Specialty Psychiatry Services
Available through Helping the Helper™ for Healthcare Professionals, Restoring the Shepherd™ for Clergy & Faith Leaders, and Helping the Rescuers™ for First Responders.
| Service | Duration | Fee |
|---|---|---|
| Comprehensive Specialty Psychiatry Assessment | 60 minutes | $500 |
| Follow-Up Consultation | 25–30 minutes | $250 |
| Extended Specialty Psychiatry Assessment | 80–90 minutes | $750 |
| Extended Follow-Up Consultation | 40–45 minutes | $375 |
| Service | Duration | Fee | Description |
|---|---|---|---|
| Comprehensive Specialty Psychiatry Assessment | 60 minutes | $750 | Comprehensive psychiatric evaluation and individualized treatment planning. |
| Follow-Up Consultation | 25–30 minutes | $350 | Ongoing treatment, medication management, and continuity of care. |
| Extended Specialty Psychiatry Assessment | 80–90 minutes | $1,100 | Recommended when additional physician time is needed for greater diagnostic complexity or comprehensive treatment planning. |
| Extended Follow-Up Consultation | 40–45 minutes | $525 | For established patients requiring additional physician time for more complex treatment planning or medication management. |
Appointment type is determined before scheduling based on clinical needs. There are no unexpected fees based on the length of your visit.
Superbills are available upon request.
Executive Performance & Psychiatry Services
The Steel Executive™
| Service | Duration | Fee |
|---|---|---|
| Comprehensive Executive Psychiatry Consultation | 90 minutes | $900 |
| Executive Follow-Up Consultation | 30–45 minutes | $450 |
| Service | Duration | Fee | Description |
|---|---|---|---|
| Comprehensive Executive Psychiatry Consultation | 90 minutes | $1,200 | Comprehensive psychiatric evaluation and individualized treatment strategy tailored to executives and professionals in high-responsibility leadership roles. |
| Executive Follow-Up Consultation | 30–45 minutes | $550 | Ongoing treatment, medication management, priority scheduling, and continuity of care. |
Priority scheduling is available for established executive patients, with appointments typically offered within 48 hours when clinically appropriate and scheduling permits.
Forensic Psychiatry Division
Independent Psychiatric Evaluations & Expert Consultation
The Forensic Psychiatry Division of BeyondBridge provides independent forensic psychiatric evaluations and expert consultation in selected legal and administrative matters.
Practice areas include:
- Criminal Forensic Evaluations
- Psychiatric Standard-of-Care Evaluations
- Immigration & Hardship Psychiatric Evaluations
- Independent Psychiatric Record Review
- Expert Consultation
- Deposition and Trial Testimony
Forensic psychiatric services are provided independently from the practice’s clinical psychiatric services and do not establish a physician-patient relationship.
| Service | Duration | Fee |
|---|---|---|
| Forensic Psychiatric Services | 60 minutes | $700 |
| Testimony and Deposition | 60 minutes | $900 |
A retainer is required before professional services begin. A detailed engagement agreement and fee schedule are provided before acceptance of each matter.
For additional information regarding forensic services, practice areas, professional fees, engagement policies, and referral information, please visit the Forensic Psychiatry Division.
Payment & Cancellation Policies
Payment is due at the time of service unless other arrangements have been made in advance.
Major credit cards, health savings accounts (HSA), flexible spending accounts (FSA), and other standard forms of payment are accepted.
Appointments represent dedicated physician time reserved exclusively for each patient. To avoid a cancellation fee, appointment changes or cancellations should be made at least two business days in advance whenever possible. Missed appointments or late cancellations may be subject to a cancellation fee.
Forensic engagements are governed by the executed engagement agreement, which outlines billing procedures, retainer requirements, cancellation policies, and professional fees specific to the matter.
Investment in Your Care
Psychiatric care is one of the most meaningful investments an individual can make in long-term health, relationships, and professional performance.
Rather than emphasizing brief, high-volume visits, BeyondBridge provides comprehensive physician-led care focused on diagnostic clarity, thoughtful treatment planning, and meaningful long-term outcomes. Appointments are intentionally structured to allow sufficient time to understand not only symptoms, but also the biological, psychological, medical, occupational, and lifestyle factors that influence mental health.
This practice is designed for individuals who value depth, discretion, continuity, and a long-term therapeutic relationship with their psychiatrist.
Whether providing clinical psychiatric care or independent forensic consultation, BeyondBridge remains committed to thoughtful, individualized, physician-led care delivered with professionalism, integrity, and respect.