The 5-year holding period for Roth IRAs starts on the earlier of the date you: 1  First contributed directly to the Roth IRA.  Rolled over a Roth 401(k) or Roth 403(b) to the Roth IRA.
The Neurologist is a specialist who will probably charge around $100 to $200 for an office visit. Any tests they order like a CAT scan would be extra - a few hundred more. If you live near a medical school or state funded hospital it can be cheaper to go to one of their outpatient clinics.
1 Certain specialties like neuropsychiatry coding pay up to $62,000 a year.  The hourly pay for coders and billers is between $16-29 per hour based on location, experience and certification. In case of overtime, pay rates vary between $14 and $35 per hour.