Frequently Asked Questions

1) Do you take insurance?

W4T does not take insurance and is considered an out-of-network provider with all insurance companies. If you have out-of-network benefits with your health insurance, we will provide you with a copy of the bill and all of the documentation necessary to turn into your health insurance company for reimbursement. Payment is due at time service.

2) Why doesn’t W4T bill through insurance?

We have found that our patients are more complex than typical patients who seek physical therapy. Our evaluations and visits tend to include multiple body systems and take a little longer to complete. We believe that the best care is provided when the patient and practitioner can spend time one-one-one and when the practitioner can be easily accessible for follow up consultation. We also see better outcomes for our patients when they have some “skin in the game” – they tend to be more committed to their home program and thus have better results.  But don’t worry, you can still submit your claims through your out of network benefits.

3) How much can I expect to pay

New patient appointments $600

hEDS diagnostic worksheet w/results $150

Standing POTS test w/results $150

Clinical assessment of CCI w/results $150

Facilitation of genetic testing $150

Paperwork to get handicap license $150

Paperwork for disability (RFC) $150/hour

4) How do I know if I have out-of-network benefits?

  • Call your insurance company and ask: 

    • Do I have PT benefits with an out of network provider?

    • Do I have an out-of-network deductible? 

    • Have I met my deductible this year? If not, how much is left? 

    • Is there paperwork that must be filled out when submitting the out of network claims? If so, where do I find the paperwork? 

    • Do I need to be pre-certified for PT sessions in order to receive coverage for PT services?

5) How do I submit bills for out-of-network benefit reimbursement?

New Patient Evaluations are $600 and each one hour appointment after that is $150. There may be additional costs if Wendy4Therapy is asked to create additional documentation related to your care.

You will be provided with a copy of your paid receipt which includes the necessary information needed to complete and submit an insurance claim. The sooner you submit your insurance claim the sooner they can process it.

We strongly encourage you to contact your insurance company to verify your out of network physical therapy benefits. Many health insurance companies have contracted with Utilization Management companies to determine physical therapy coverage benefits. Be sure to inquire if your insurance company is in one of these and how it effects your reimbursement. Below is a list of information you may be asked to provide when verifying your coverage.

Clinic Information

Clinic name: Wendy4Therapy

Clinician: Wendy Wagner, PT, MPT (provider)

Setting: private practice out patient physical therapy office

NPI: 1093025371

Federal Tax ID: 83-3396869

Wendy’s IL PT License number: 070-011118

CPT Codes

Here is a list of our frequently used CPT codes. The treatment codes are billed per unit (1 unit = 15 minutes). A 1 hour appointment will be billed as 4 units of treatment codes. Your therapist will choose the codes based on the treatment she provided to you during that day's treatment session.

  • 97163: PT Evaluation, $600

  • 97110: Therapeutic exercise, $75/unit

  • 97112: Neuromuscular reeducation, $75/unit

Diagnosis

As physical therapists we are unable to provide you with a diagnosis. The diagnosis will be written on your referral for physical therapy.

6) Can I pay with my HSA or FSA?

Yes, absolutely! W4T accepts payment through your HSA/FSA debit or credit cards (with a 4% service charge) and we can give you a super bill to file as proof of a legitimate medical expense if you choose to pay with a personal check or cash and you pay yourself from your HSA/FSA.

7) What forms of payment does W4T accept?

  • Debit card – plus 4% service charge

  • Credit card – plus 4% service charge

  • Personal check – made out to Wendy Wagner

  • Venmo - @Wendy-Wagner-17

  • Zelle - using my cell phone number (630-664-8513)

8) What should I wear to my first appointment?

Shirt that can easily be removed, jog bra or tank top, shorts, the shoes that you most regularly wear, any orthotics that you have used

9) Do I have to come to Naperville, Illinois for evaluation and/or treatment?

W4T wants to know you and your issues deeply. We believe that is best achieved with an in person visit. If distance and travel would limit your ability to access our services AND you live in the state of Illinois (where Wendy holds her license) we are able to offer you SECURE video conferencing for your care.  

10) Will you collaborate with my other doctors?

Yes! We all need to work together to get you feeling better! All evaluation reports are available to you and your other health care providers upon request.