Most concierge practices charge an annual fee in the $1800 to $2400 range and are structured so the fee covers a comprehensive annual physcial exam or unlimited visits. I think that this amount is too much, and in addition many patients don’t need a comprehensive annual exam or more than a few visits per year. My low-overhead structure allows me to charge a much lower annual fee.

My Congress-style fee structure works as follows. The annual membership fee is like the Senate in that each patient pays the same amount regardless of how much or little in the way of medical services is needed (just like each state has 2 senators regardless of population size). The office visit fees are like the House of Representatives in that the total amount paid per year depends on the amount of medical services used (just like larger states have more representatives than smaller states).

Practice Membership Fee

One person pays $600 per year in $150 automated quarterly installments.

Each additional family member pays $400 per year in $100 automated quarterly installments.

The fee for the first quarter is waived for new patients.

Office Visit Fees

$50 for 99212, a return visit for evaluation and management of a simple and straight-forward problem, typically less than 15 minutes.

$100 for 99213, a return visit for evaluation and management of a more complicated problem, typically 15-30 minutes.

$150 for 99214, a return visit for evaluation and management of multiple problems or a highly complicated single problem that lasts 30-45 minutes.

$200 for 99215, a return visit for evaluation and management of multiple problems or a highly complicated single problem that lasts more than 45 minutes.

Fees for new patient visits are equivalent to those noted above and in addition there is a charge of $250 for visits that last longer than one hour (code 99205).

Well child visits typically last 30-45 minutes and the fee is $150.

Adult preventive care visits typically last 45-60 minutes and the fee is $200.

There are separate fees for procedures such as elctrocardiograms, skin biopsies, and cryotherapy

Because the wholesale cost of immunization supplies varies widely so do the fees that I charge for various shots.

Fees for various evaluation and management services and procedures can be added together for a single visit.

I am happy to discuss my fees prior to the performance of any service.