NEW PATIENT VISIT: is $200.00. This includes initial detailed history and the physical possible via video examination for a new patient.

The new patient should know their height, weight, blood pressure, possess a thermometer and a blood pressure cuff they trust.

This visit will cover current complaints, past medical history, surgeries, adverse reactions, allergies, review current laboratory data, and current medications with attention to what you think they are for and including supplements you may be using

While an hour is typical, 90 minutes to two hours are not inconceivable for the subtle hypopituitary patient for example or now the Long Covid sufferers

To make this visit more valuable to the patient ideally the patient will obtain lab work from Direct Lab Services (www.directlabs.com) the following blood chemistries:

1.General Wellness Panel (includes a CBC and general chemistries to assess liver, kidney function, TSH, uric acid, and lipid panel – so ideally fasting )

2.Free T4

3.Mg

4.Zinc

5.Total Vitamin D level (this is the 25-Hydroxy, Total) – the least expensive vitamin D test usually

6.HbA1c
The cost for labs is approximately $282 USD.

The advantage to not doing labs first is that if upon hearing the patient’s history, the doctor needs something not on this list, then we can add it and reduce laboratory visits but in general it is better to have the lab work first

Follow-up Visit

Price $140.00 – a review of the patient’s problems, new complaints, response to therapy (review of blood glucose records for the diabetic, review of BP records for the hypertensive.) This is not a timed visit per set but normally if we’ve done an adequate history it should be possible to review and update in less then 1 hour. The patient will not be told the discussion is limited to three problems and fifteen minutes. For the average person reasonably healthy one or two consultations a year should suffice.