WHAT IS A DEVELOPMENTAL-BEHAVIORAL PEDIATRICIAN?

Developmental-Behavioral Pediatricians are physicians who have completed residency training in Pediatrics as well as advanced fellowship training in Developmental-Behavioral Pediatrics.


They have experience in evaluating, counseling, and providing treatment for children and adolescents using a theoretical and research-based framework. 


Conditions they evaluate and treat include developmental disabilities, learning disorders, attention and behavioral disorders, and regulatory disorders, among others.


WHY WOULD PARENTS NEED A DEVELOPMENTAL-BEHAVIORAL PEDIATRICIAN?

1. If they have a time-sensitive referral question. For example, concerns related to a possible diagnosis of autism require early identification and intervention to optimize the child's outcomes.


Dr. Miodovnik’s assessments can take as little as 2 weeks from beginning to end, resulting in a faster turnaround and giving parents the ability to initiate appropriate interventions quickly.


2. If they disagree with the results of a prior evaluation, or if their child is found not eligible for special education services. 


Dr. Miodovnik is very knowledgeable about special education assessments and eligibility procedures in New York City and can help parents determine whether school-based evaluations are adequate or whether it is in the child's best interest to contest the results and request an Independent Educational Evaluation.


Some parents simply desire a more thorough and holistic understanding of the medical, educational, and psychological evaluations performed by school and various specialists, as well as practical strategies on how to help their child in the classroom and at home.


3. If their child's academic, social-emotional, or behavioral difficulties have persisted despite classroom supports and IEP-related services. 


Dr. Miodovnik understands the special education system and can advocate for parents as they navigate this complex roadmap.  He also provides consultation prior to a 504 or IEP meeting to guide parents on the questions to ask in order to obtain specific services.


4. If there is a family history of learning or behavioral issues during early childhood, or if parents want to rule out a particular medical issue as the source of school difficulties. 


Because Dr. Miodovnik is a physician, he also evaluates for any medical and genetic conditions that can underlie or exacerbate learning and behavioral issues.


5. If their child requires a medical diagnosis, since school district assessments and psychologists cannot provide a medical diagnosis of a disability. 


Dr. Miodovnik’s evaluation can provide the evidence of a disability that is recognized by the medical and mental health communities. The school district must consider this information when determining the most appropriate supports for each child.


WHAT DIFFERENTIATES DR. MIODOVNIK FROM OTHER SPECIALISTS?

With over 15 years of experience as a Pediatrician, Dr. Miodovnik is uniquely qualified to examine how medical (e.g., allergies, infections, sleep issues, and bowel and bladder problems) and psychological (e.g., temperament, anxiety, parent-child relationship) issues are interacting with a child's environment to impact their overall functioning.


WHAT DOES DR. MIODOVNIK'S EVALUATION CONSIST OF?

Pediatric Developmental-Behavioral Consultation 


      The consultation includes:


  • Parent interview (since the focus is on collecting medical and educational history, the child is usually not present at the initial visit)
  • Review of records including background questionnaires and EI or school reports
  • Review of previous cognitive, academic, and neuropsychological testing**


Pediatric Developmental-Behavioral Assessment


      The assessment includes:


  • Observations in the school and/or home setting
  • Developmental evaluation
  • Medical exam
  • Discussion of how your child learns and processes information as it relates to their classroom functioning
  • Determination of whether or not there is a learning disability (e.g., dyslexia, dysgraphia, dyscalculia, etc.)
  • Consultation and advocacy services regarding special education, IEPs, 504 plans, and supports for students' academic, behavioral, and social-emotional needs
  • Tailored recommendations to maximize academic success and address behavioral needs
  • Written report


Extended Pediatric Developmental-Behavioral Services


      The extended services include:


  • Attendance and advocacy services for IEP meetings
  • Attendance at meetings with attorneys and district mediations or hearings (as needed)


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Cognitive testing covers areas such as verbal reasoning, nonverbal reasoning, short-term and working memory, long-term memory, visual processing, and processing speed.


Academic testing covers reading, writing, and math skills.


Neuropsychological testing covers memory, attention, and executive function (i.e., cognitive flexibility, sustained attention, inhibition/impulsivity, hyperactivity, monitoring, and planning/organization).

**Dr. Miodovnik does not offer the standardized psychological, neuropsychological testing, or behavioral therapy services, such as ABA. He can assist parents in obtaining these services.


DOES DR. MIODOVNIK PRESCRIBE AND MANAGE MEDICATIONS?

Dr. Miodovnik prescribes medications when necessary and when the benefits clearly outweigh the risks. He is also open to discussing complementary therapies with families, as long as they pose no harm. For example, a therapy he does not consider safe is chelation.


DOES DR. MIODOVNIK ACCEPT MY INSURANCE?

Dr. Miodovnik does not take insurance but is considered an out-of-network provider by most insurance plans. This allows him to provide more in-depth care and increased face-to-face time, including home visits. 


Consultation services are generally charged hourly at $250/hour. Full evaluations can range from $1500 - $2100, but vary depending on the specific referral concerns. Please contact Dr. Miodovnik directly regarding specifics rates for evaluations and services.


Dr. Miodovnik provides an itemized bill with appropriate billing codes for families that want to seek reimbursement through their insurance provider.