Our Care Model
PANS/PANDAS and related neuroimmune conditions often benefit from early evaluation and close follow-up.
Our practice is designed to provide timely access to care, consistent follow-up, and ongoing treatment management through a simple monthly care model.
Rather than charging separately for every service, our practice uses a straightforward membership model that allows families to receive consistent, personalized care throughout treatment.


1. Initial Consultation
All new patients start here
$595 first month
Your initial evaluation includes:
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Comprehensive review of your child's medical history and submitted records
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Initial 60-minute consultation with Dr. Roth
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A second 30-minute follow-up visit (typically 2–4 weeks later)
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Development of an individualized treatment plan
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Recommendations for ongoing care
This initial evaluation is currently offered at a reduced rate to help make specialized care more accessible to families beginning treatment.
Ongoing Care Membership
Follow-up care
$450 per month
After the initial evaluation, patients may continue to work with Dr Roth by enrolling in a monthly membership.
Membership includes:
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One 30-minute follow-up appointment each month
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Ongoing medication management and prescribing
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Review of interval progress
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Treatment adjustments as needed
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Secure messaging/email for brief clinical questions between visits
The membership is billed monthly and continues until you choose to transition your child's prescribing and ongoing management to another physician or otherwise close your chart with Dr. Roth.


Between Visits
Member access
Families enrolled in the membership are welcome to email brief clinical questions between appointments.
For questions requiring a more in-depth discussion or significant medical decision-making, a follow-up appointment may be recommended.
Our Commitment to Access
No child should go without appropriate care because of financial circumstances.
Dr. Roth is committed to improving access to early evaluation and treatment for children with PANS, PANDAS, and related neuroimmune conditions, and will work with families whenever possible to ensure that financial barriers do not prevent a child from receiving care.
If the cost of treatment presents a hardship for your family, please let us know. Reduced fees may be available on a case-by-case basis.
Families who pay the standard fee help make care accessible for children who might otherwise be unable to receive treatment. Thank you for being part of that mission.
