Frequently Asked Questions

Payment Information

Dr. Barrera is NOT on any insurance networks so your payment using cash, credit or check will be due at the time of service. However, the office will provide you with a superbill at each visit so that you can submit it to your PPO insurance provider. Reimbursement rates for out of network primary care or osteopathic visits vary greatly depending upon insurance plans (any where from 0% to 80% of your visit may be paid back to you). 

Health savings accounts/ debit cards can be reimbursed 100% of costs. 


What are the costs? – Fees due depend on the complexity of the visit, number of procedures done and time spent. First time visits range from $275-$395. Follow up appointment range from $175-$295.


How long are appointments?  – First time appointments are 90 minutes. Follow up appointments range from 30-60 minutes. 


What should I expect? Even though Osteopathic Physicians are trained in gross, forceful manipulation (like cracking joints) and use them when necessary, most of our treatments consist of very gentle and subtle manipulation. Patients generally lie down on the treatment table and relax during the whole visit, with a good percentage of them falling asleep as they are being treated. In most cases patients do not need to disrobe during treatments, however it is preferred that loose, thin clothing be worn (no denim, flannel, etc.)


Can newborns or pregnant women be treated with Osteopathy? An Osteopath Physician is guided by your inherent healing mechanisms which lead him/her to make a diagnosis and formulate a treatment plan. They will rely on an extensive knowledge of normal anatomy (structure) and physiology (function) and finely tuned palpatory skills to treat the patient regardless of age or condition.


How frequently would I need to schedule a visit?  An Osteopath (D.O.) is a medical doctor who aims to resolve issues on the first visit. Often times acute issues are treated and resolved in one visit, whereafter bi-annual check ups are recommended. More chronic conditions that the body has adapted to live painfully with may require multiple appointments to effectively treat at the source.


The following are some common examples of chronic conditions*  frequently seen by a 

Doctor of Osteopathy: 

1. A pregnant woman with steadily worsening pelvic and back pain delivers a healthy baby after 16 hours of labor. Her pelvis and back continue to hurt for years after and she slowly adapts to a locked pelvis having worsening menstrual pain, back pain, leg pain, then chronic headaches from guarding and stiffening when walking. --Osteopathic doctors treat this one layer at a time and try to get to the source of pain in order to let the healthy tissue of her pelvis return to it's physiologic movment. 

2. A man in great physical shape lifts a heavy object up stairs and knows he heard "a pop". Time goes by and his back starts to ache. Years go by and he notices his energy level and sex drive depleted. His mind is distracted and he can't focus on things he previously loved. His PCP prescribes opioids to treat his pain and he feels much better for a few weeks, until the pain returns and he can't sleep. --Osteopathic physicians rebalance the body and help stop the medication that only masks the pain.  

3. A baby is born after 16 hours of arduous labor and has compression in parts of their skull. The child has frequent ear infections and congestion despite being breastfed. --Osteopathic manipulation has been shown to be most effective in treating newborns and preventing and treating ear infections.  


How does an Osteopath treat substance use disorders?   

An Osteopath is trained to see patients as a dynamic interchange of whole body and mind, which is vital in helping patients understand the nature of their addiction. When dependent on substances of abuse (i.e. drugs, alcohol, food, cigarettes or electronics) the body remains in constant sympathetic overdrive, making it virtually impossible to develop healthy habits. Manipulation to release the sympathetic hold and emotional bondage can be done using Osteopathic techniques. Dr. Barrera is a specialist in Addiction medicine and one of the few physicians with post-doctorate fellowship training. She emphasizes compassion and motivates her patients while they find freedom from the constraints of substances.

  

If I've seen Dr. Barrera in the past, will it be a new visit or follow up visit? 

If Dr. Barrera has seen you in a another clinic or hospital in past 3 years it will be considered a follow up visit, with a 90 minute appointment to get started at Kin Health and coordinate care with other providers if needed. 


* Any medical condition issue can be addressed and treated by an Osteopathic physician. 

What services can you provide for pain management?

Honesty without judgment

  Pain is real and requires an honest and integrative approach to manage. 

Since the 1990’s the rate of opioid prescribing has skyrocketed despite the devastating effects opioids have had on the mind, body and community. Dependency and tolerance is a side effect of opioids that is integral in understanding when taking narcotics for pain management. 

Although Dr. Barrera will not prescibe narcotics for pain, she does help patients develop a strategy and plan to wean off medications and can work with their provider to gradually taper off of short acting medications, while providing medications to mitigate withdrawal.  

All patients can benefit from hands on manipulation, which is done at every visit. 

Medication management

Dr. Barrera does offer for those dependent on opioids the option to transitioning to buprenorphine (Suboxone ®, Bunavail ®, etc.). 

Buprenorphine is a long lasting 24-hour medication that is used in lieu of multiple pain medications/ narcotics. Due to its agonist/antagonist properties it does not cause tolerance and can be used safely for years (if needed) without increasing the dose.