Samir Patel, MD

Specialty 1: Pain Management - Medicine

Specialty 2: Anesthesiology

Medical School: Louisiana State University Health Sciences Center School of Medicine

License(s): Louisiana

Years in Practice: 14

Additional Information

SMO/IME: $3,400 • Fee includes up to 2 ½ inches of record review, examination, and report. • Upon receipt of all records, a list of questions to be addressed by the doctor in the report, ALL imaging/discs for the reports provided, and payment, an appointment will be scheduled at minimum two weeks from the date of receipt. If any items, including imaging, aren’t received prior to scheduling, the scheduled SMO/IME will have to be rescheduled and will follow the CANCELLATION/RESCHEDULE policy below. • Additional records exceeding 2 ½ inches= $680 per ½ inch. • Additional video/surveillance reports to be reviewed: $700 per video/report • We are unable to determine the amount of time that will be needed for the physician to review the records and generate a report. If an excessive amount of time is spent on the review, an extra fee may be charged following completion. • Records that have a time span exceeding 4 years will require an additional fee. We will need to review the records to determine the additional fee. • Client must arrive 15 minutes prior their scheduled appointment. If the patient does not arrive 15 minutes before their scheduled appointment, it will be considered a “No Show”. • If an appointment for treatment is requested following the SMO/IME, this would be a separate encounter and charge. • Cancellation/Reschedule/Late Arrival: This also applies if the reschedule is due to not receiving the required records/imaging within 2 weeks of the scheduled appointment. o 1-5 business days before the apt. or no show $3,400 o 6-10 business days before the apt. $1,700 o If the patient is more than 15 minutes late there will be a $250 charge if the physician is still available to examine the patient. This charge is to be paid before the report is released.