FAQs

At this time, we are out-of-network with insurance.

However, we offer a superbill upon request after every visit. A superbill is a detailed, itemized receipt provided after any visit documenting the services that were rendered for insurance reimbursement. CPT codes and ICD-10 diagnosis codes are listed on the superbill, allowing you to seek partial or full reimbursement from your insurance provider after every visit. We are committed to helping every family and individual with the resources needed to submit these superbills appropriately to receive the most reimbursement possible, and will provide guidance to you along the way. 

We are always committed to being transparent with our pricing and fees. Click here to view our current Fee Schedule. 

Our fees are fairly based off the Virginia Medicaid rates for the typical CPT codes that are usually charged in a treatment session or during an evaluation, while also staying within market range of neighboring physical therapy clinics. We adjust for services provided at home or daycare, delievering the convenience of therapy services without having to leave your home! 

A PT evaluation will include a full assessment, 2-3 additional CPT codes for home exercises or the initiation of treatment, and parent education/resources about the full evaluation. We take the cost of the Medicaid rate for an evaluation (differs based on complexity), in addition to the Medicaid rate for 1-2 CPT codes that are charged for home exercises/treatment, as well as the time for education and resources for the family after the evaluation. The travel and documentation time for the report is also built into this price.

Most of our 60-minute sessions will bill 4-5 CPT codes ranging in cost from $30-$40 each, depending on the code. We take this cost, and add a small travel fee. This is where the total cost of a PT Session comes from. 

No, you do not need a referral from your pediatrician to schedule an evaluation with us. Virginia allows "direct access" for physical therapy for up to 60 consecutive days before requiring authorization from your pediatrician. Having direct access to physical therapy offers significant benefits for your child, as it saves time and money (since there is no need to see primary care first). 

If your child requires services beyond the initial 60 days, Mini Petals will be in touch with your pediatrician to request additional sessions. 

Yes, it is required to start with an initial evaluation in order to properly assess the areas of needs that will inform the following treatment sessions. This evaluation should be recent to provide the most relevant treatments. 

If you are not looking for treatment sessions, but rather consultative sessions or educational consults about your child's developmental progress, you can opt for PT Consults. These can occur one time or as often as you'd like, and focus on education and discussion. You do NOT need a PT Evaluation in order to receive PT Consults. However, PT Consults are NOT reimbursed by insurance for this reason.