P. Lynn Ouellette MD DLFAPA
80 Raymond Road Brunswick, ME 04011
207-721-0080
plouellettemd@comcast.net
General Adult Psychiatry practice providing both psychotherapy and medication treatment for mood disorders such as depression and bipolar disorder, OCD, anxiety and panic disorder, trauma related disorders, grief and loss, women’s issues and more. I provide care to patients ages 21 through 75. My psychotherapy approach varies as I do not believe that there is a single mode or philosophy that best meets everyone’s needs. I include trauma-informed, psychodynamic, mindfulness, cognitive behavioral as well as other approaches as they best meet my patient’s needs. If I determine that I cannot provide my patients with specialized treatment modalities that would best assist in their recovery and healing I will refer them to other clinicians who offers those treatments (such as DBT therapy, EMDR, specialized CBT treatment.)
I have a specialty interest and education in perinatal mood and anxiety disorders, providing treatment to women with depression and other mood disruptions and anxiety both during pregnancy and after having a baby. I will also provide preconception consultations regarding psychiatric medication use during pregnancy. I also provide care for mental health difficulties related to other women’s issues such as the menstrual cycle and menopause.
I AM ONLY ACCEPTING REPRODUCTIVE PSYCHIATRY RREFERRALS SUCH AS THOSE RELATED TO PREGNANCY, POSTPARTUM, MENOPAUSE, PMDD, AND RELATED ISSUES
About Dr. Ouellette:
I went to Tufts Medical School and completed my residency trainIng at Tufts/ New England Medical Center. I am a Board Certified Psychiatrist and a Distinguished Fellow of the American Psychiatric Association. When I first moved to Maine in 1988 I worked at Jackson’s Brook Institute which is now Spring Harbor Hospital for two years . I have been in private practice in Brunswick, Maine and on the staff at Mid Coast Hospital since 1991. My practice has always provided general adult psychiatric care, including diagnostic evaluations, medication treatment, and psychotherapy for mood disorders, anxiety, PTSD, personality disorders and more. However, over the years I have developed more training and expertise in the specialty area of perinatal psychiatry and women’s reproductive psychiatry. This includes the treatment of women during pregnancy and in the postpartum period, dealing with pregnancy loss, infertility, preconception counseling, and mental health issues related to the menstrual cycle and menopause.
I most enjoy and prefer to provide both the psychotherapy and the medication treatment; my focus is not exclusively medication treatment and believe that medication treatment should always be accompanied by psychotherapy. I consider it a great privilege to do this kind of work which allows me to be let into my patients’ personal thoughts and feelings in very intimate ways and I find it very gratifying to build trusting relationships which I feel are a huge component of healing in the treatment.
AVAILABILITY
My office hours are Tuesday through Thursday 8AM to 6 or 7PM and Friday 8AM until 12PM. I do not see patients on Mondays or on Friday afternoons though work on practice related paper work, calls, and emails on those days. I check my email frequently and my voicemail daily. My answering service is available 24 hours a day at 207-721-0080. In case of a medical emergency, you should call 911 or go to your local emergency and then contact me as well. In case of a psychiatric crisis you may call my answering service or call the statewide crisis line at 1-888-568-1112.
Medication Refills
It is expected that medication refill requests will be made during appointments and that you will keep track of when you need refills. Getting a huge volume of refill requests outside of appointments has become untenable. So please remember to make an appointment in advance of needing a refill. Most maintenance medications are prescribed to last for 6 months, some can only be prescribed for three months and there will need more frequent appointments for those and any medications which are frequently being changed.
INSURANCE
I am in-network with Behavioral Health Care (which includes Martin’s Point, Community Health Options and Aetna (Maine Health plans only, not other Aetna plans) Cigna and Medicare. I file claims with all other insurance companies whether in or out of network, except for MaineCare.. If out of network you may have a separate deductible before you can access out of network benefits. Please be sure to check your individual plan so you will know what your benefits will cover. I try to keep my fees quite reasonable so that even if I am out of network, and you will have a charge above your usual co-pay, the amount you are charged will still be manageable.
FEE SCHEDULE updated January 2024
90792/99205 Initial Psychiatric Evaluation 60 or more minutes $295
90833 Psychotherapy 30 minutes (range range 16-37 min) $75 when billed with medication management usually 99213 (see note below)
90834 Psychotherapy 45 minutes (range 38-52) $180
90836. Psychotherapy 45 (range 38-52) min $100 when billed with medication management usually 99213 or 99214 (see note below)
Most common visit for psychotherapy and meds is 99213 or 99214+90836 with total charge $ 205 or $245 (total time 50-60 minutes)
90837 Psychotherapy 60 (53-60+) min without medication management $205
90838 Psychotherapy 60 (range 53-60+) min $135 when billed with medication management (see note below)
90839 Crisis Evaluation (per 60 minutes) $275 (same) this refers to an emergency evaluation, often outside of office hours, unscheduled, in response to a crisis.
90847 Family Psychotherapy 60 minutes $210
99213 Medication follow-up visit approx 15 minutes or low complexity without psychotherapy OR routine medication management combined with psychotherapy $105
99214 Medication follow-up approx 30 minutes or moderate complexity without psychotherapy OR more complex med management combined with psychotherapy $140
99215 Medication follow-up visit of high complexity or 45 or more minutes without psychotherapy OR high complexity medication management combined with psychotherapy $195
90899 “Unlisted psychiatric service or procedure” to be used for billing for obtaining unusual time consuming procedures requiring over 15 minutes such as:
Extensive records review, preparing extra reports requiring time that is excessive beyond usual routine, filling out extra forms and paperwork. Usually not covered by insurance and billed to patient at $50 per 15 min interval.
99443 Phone Consultation 21-30 minutes $135
99442 Phone Consultation 11-20 minutes $95
Phone consultations are billable to insurance only if addressing medication treatment issues and not for psychotherapy
PLEASE NOTE: IF YOU ARE RECEIVING PSYCHOTHERAPY AND MEDICATION TREATMENT, current insurance standards for claims filing require that each visit be billed with one charge for psychotherapy and another charge for medication management resulting in 2 charges per one visit, most commonly 99213+90836. Since it is assumed that the med management, which is inseparable from the therapy, also requires time in addition to the therapy itself, you are most often charged for the 45 minute therapy code (technically 38-52 minutes) plus the 99213 or 99214 medication management code. The total visit time will usually be 50-60 minutes. The extra 5-10 minutes at the end is time I need to call in your prescriptions and to write down a few notes from the appointment.
Fees for appointments not cancelled at least 24 business hours in advance: $125 for 30 minute and $195 for a 60 minute appointment. This is less than the charge would be for the treatment and if missed appointments happen more often than twice, the full amount will be charged. This does not apply to missed appointments due to illness or personal or family emergencies.
If you pay for services out of pocket and I do not file claims with your insurance company, I will provide you with a Good Faith Estimate of what the cost of your treatment will be.
P Lynn Ouellette MD 