Pediatric Services Frequently Asked Questions
We currently file most Blue Cross Blue Shield Private Plans (Boeing, Roper, and some PPOs require an out of network exemption – if you have these plans contact BCBS request an exemption for us to file your insurance).
While we attempt to keep this list up to date, please call us to ask specifically about your insurance plan as we are filing for approval with other plans on a regular basis.
We accept payments from your Health Savings Accounts (if they are visa, mastercard, etc.)
We offer a simplified, transparent fee schedule for self-pay patients.* This fee schedule will change on 1/1/2020.
Office Visits (3227 Walter Drive Ste C1 Johns Island) –
- Visits up to 30 minutes (a typical sick or well visit, sports physical) – $50
- Visits over 31 minutes (chronic illness, functional evaluation, ADHD evaluation) – $99
- Nebulizer treatment – $10
- Rapid Strep Test – $10
- Rapid Influenza A & B – $20
- If we take your insurance, your co-pay, co-insurance, and/or deductible will apply.
*We are a membership based primary care practice. See our membership page for additional information. We do allow people who are visiting the area to have up to 2 office visits for illness without joining our membership.
We provide holistic primary care services for infants, children and adolescents [ages birth to 21]. This includes well child care, as well as treatment of illness, injury and disease. We also offer sports physicals.
We also treat chronic illnesses from a functional perspective of looking for the root cause of the illness or disorder. We offer hope that healing is possible for children dealing with chronic illnesses. Examples include ADHD, PANS/PANDAS, Eczema/Allergies/Asthma, Diabetes.
We utilize alternative and complementary healthcare options whenever possible. Please call our office with any questions.
We accept cash, all major credit cards and paypal. We accept HSA account payments that use a major credit/debit card. We do not accept checks.
Payment is due in full at the time of service. Payment is due even if referred to other providers, including emergency room/urgent care, is deemed necessary.
We take payment in the form of major credit cards and cash. We do not accept checks.
We will provide the best care possible within our scope of practice and ability to treat in the home/office. We do referrals when the evaluation or treatment needed exceeds what we are trained in or what we are able to perform in the home/office setting.
This includes referrals to the emergency room. We do our best to triage your appointment on the phone to make sure our care is appropriate for your needs. However, there are times when we see patients and determine they need urgent/emergency care that is beyond our ability to treat in home/office.
We now offer all vaccines, with the exception of federal & state flu, which we expect to have available by mid-November.
We believe it is every parent’s right to informed choice regarding vaccination for their children. We also believe that children deserve healthcare, regardless of their vaccination status. Please attend an upcoming meet and greet to learn more about our practice and ask your vaccine related questions.
All of our services are provided by a pediatric nurse practitioner, Marsha Cayton. She will assess your child, then provide a diagnosis and treatment plan. She may prescribe medications and order labs/imaging when appropriate.
She collaborates with a physician via telecommunication when it is appropriate for the care of the child. We also refer to other healthcare providers, including physicians, when it is appropriate for the care of the child.
We evaluate and treat minor illnesses and injuries, but do not have the capability to do X-ray or imaging in an urgent time frame (ie for fracture). It is best if you suspect fracture or similar injury that you are seen at an urgent care or emergency room setting.
We do not perform stitching, but do perform skin closure using skin adhesive.
If you suspect severe allergic reaction or anaphylaxis, please call 911 immediately.
It is very rare for a child to need pain medication that requires a prescription and is most likely an issue that is not treated in our practice. We do not prescribe narcotic pain medications and do not keep any at our locations sites.
A nurse practitioner (NP) is a health care provider offering patient-centered primary, acute, and specialty care. NPs are able to diagnose and treat health conditions, offer prevention education, and counsel patients on how to live a healthy lifestyle. They are able to order diagnostic testing and interpret the results, prescribe medications, and manage both acute and chronic illness.
Nurse practitioners have completed a master of science in nursing or a doctorate in nursing practice after having obtained a nursing degree. NPs complete advanced clinical training in specialty and/or subspecialty areas and are recognized in the medical field as health care experts. NPs are certified in the field of their specialty and maintain ongoing continuing education to remain certified.
If you wish to verify my license and supervising physician you may do so here.