Joshua Dumoch, PA-C Medicolegal Consulting
Effective July 2026

Fee schedule

Published, so you can decide whether to contact me without having to ask first.

ServiceFeeNotes
Conflict check & initial case screeningNo charge Conflict clearance and go / no-go screen, up to 30 minutes
EM/UC merit screen$750 flat, prepaid One patient, one ED or urgent care visit, up to 200 pages. Written memo within 72 hours. $375 credits toward a full review within 60 days. Additional visits for the same patient $375 each.
Opposing-expert rebuttal memo$1,250 flat One opposing report up to 30 pages, 72-hour turnaround. Assumes records already reviewed.
EMR audit-trail reconciliation$1,450 flat One encounter's audit-trail export reconciled against the narrative note
Record review, research & case preparation$350 / hour Quarter-hour increments. Signer-ready work-up of standard-of-care issues.
Written report preparation$350 / hour Professional-services rate
Conferences with counsel$350 / hour Phone or video, quarter-hour increments
Deposition testimony$500 / hour Two-hour minimum, portal to portal
Trial or hearing testimony$2,200 half day
$4,000 full day
Half day up to 4 hours, full day up to 8. Four-hour local minimum, portal to portal.
Travel time50% of hourly rate Portal to portal; expenses billed separately at cost
Expedited / rush work+25% Fixed-fee items: 48-hour turnaround. Hourly work: under 10 business days.

Getting started

Send party names and the facility for the free conflict check, which I run the same day. Once you are cleared, you get a one-page engagement letter and an invoice for fixed-fee work, then a secure records upload link. The turnaround clock starts when records and payment are both received.

Retainer & billing

Rates are benchmarked against published 2024–25 expert fee surveys and sit below physician emergency-medicine expert rates, reflecting the physician associate credential. Detail available on request. Fees are charged for professional time only and are never contingent on the opinions rendered or the outcome of any matter.

Start with the conflict check

Send the party names and the facility. I run the conflict check the same day at no charge, before any case facts change hands.