East-West Rheumatology and Integrative Medicine

East-West Rheumatology operates as a direct-pay practice. Initial rheumatology consultations run $500 for 50 minutes or $700 for 80 minutes. Follow-up visits cost $500 per hour, prorated for time. The practice also offers a Rheumatology Intensive Program at $1,200 for a two-month commitment, which includes the initial consultation, four follow-up visits, and personalized herbal formulas.

The practice does not bill insurance directly, with the exception of Medicare. At the conclusion of visits, the practice provides patients with a claims form they can submit to their own private insurance for potential reimbursement. Patients should check their plan's out-of-network benefits.

The Rheumatology Intensive Program is a structured two-month engagement designed for patients who want a thorough and committed start to integrative rheumatologic care. For $1,200, the program includes the initial consultation, four follow-up visits, and personalized herbal formulas tailored to the patient's condition. Patients who complete the intensive program become eligible for the Platinum Annual Primary Care Membership.

The Platinum Annual Primary Care Membership is available to patients who have completed the two-month Rheumatology Intensive Program. It provides ongoing primary care access through an annual membership structure. Patients interested in this option should inquire directly with the practice about current terms and pricing.

Initial rheumatology consultations run either 50 or 80 minutes depending on the appointment type selected. The longer visit allows Dr. Zarbalian to conduct a Chinese medicine evaluation in addition to the standard rheumatologic workup and to prepare a personalized herbal prescription. Follow-up visits are flexible and prorated at $500 per hour.

East-West Rheumatology offers medical acupuncture, herbal medicine, cupping, moxibustion, gua sha, and Chinese massage Tuina. Dr. Zarbalian integrates these treatments with rheumatologic care based on each patient's individual needs. The practice also hosts community Qigong sessions for patients interested in mind-body wellness.

Yes. Dr. Zarbalian offers dextrose prolotherapy, platelet-rich plasma injections, and viscosupplementation with hyaluronic acid. He has focused on non-steroidal injection techniques for the past five years and brings over 14 years of total experience in joint and tendon injections.

The practice offers an annual Platinum Primary Care Membership to patients who have completed the Rheumatology Intensive Program. The practice also provides internal medicine care as part of its clinical scope, which Dr. Zarbalian integrates with his rheumatologic and integrative expertise.

The practice incorporates Qigong, Biofeedback using the Heartmath system, and meditation into care plans for appropriate patients. Dr. Zarbalian views mind-body techniques as a meaningful component of managing autoimmune disease, chronic pain, and dysautonomia. The practice also lists community Qigong sessions on Eventbrite for group participation.

New patients can book an initial consultation through the practice's online scheduling portal. East-West Rheumatology is located at 226 Maple Avenue West, Suite 202, in Vienna, Virginia. The practice sees patients Monday through Thursday from 9 AM to 5 PM and Friday from 9 AM to 2:30 PM.