how this works

how this works

I am an independent doctor and directly serve you.  Which means that as of April 1, 2016,  I no longer participate in any health insurance networks.  This includes Medicare, Medicaid, and private insurances.

 

Why is it this way?

 

My goal has been to serve my patients with the utmost personal, professional care.  For me, the foundation of that care will always be the patient-doctor relationship.  I hold that relationship to be sacred. That relationship is what builds trust between me and you. That trust allows both you and me to be accountable to each other. You bear the responsibility to help yourself to health. And I bear the responsibility to guide you.

 

But something has been inserting itself deeper and deeper into the patient-doctor relationship.

 

It’s undermining the sanctity of that relationship.  And it’s become the 800-pound gorilla in the room.

 

That something is health insurance companies.  Health insurance companies that dictate what doctor you get to see – and what doctor you don’t.  That decide what treatments are usual, customary, and reasonable – and what treatments aren’t.  That influence with those decisions what you and I, discussing with each other, feel is best for you.  And that determine what the price of medical care should be – and when you should be informed about it.

 

Take your auto insurance, in contrast.  Does your auto insurance tell you what mechanic you have to visit?  Does it restrict what your selected mechanic chooses to fix your car?  Does it make you choose not to get an oil change to maintain your vehicle – just because it doesn't pay for it?  And does it fix the price of your mechanic’s services?

 

You wouldn’t accept this for your car, would you?  Why would you choose to accept this for something much more important – you?

 

It’s not that health insurance companies don’t at all have the interests of you and me in mind.  It’s just that they answer first to their shareholders.  And, in the age of Obamacare, to the government.  You and I fall behind.

 

I no longer wish to answer to both you and your insurance company.  I want to answer to you, and you alone.

 

What can you expect with this shift?

 

The time you deserve:  I have always spent more time during patient visits than most other physicians.  This will not change.  In fact, my time with you will likely increase.  Because my staff and I will spend less time calling insurance companies on the phone and asking you irrelevant questions just to fulfill questionable government mandates.

 

Helping you get to the root: In healthcare, America is a wonderful place for plugging holes in the dam.  It’s not so wonderful a place for fixing what’s going on behind the dam.

 

Having done all my medical training at Baylor College of Medicine in the world-renowned Texas Medical Center, I’m well-versed in acute care medicine.

 

But I want to help you go from acute care medicine to root care medicine.

 

I’d like to guide you to address the root causes of your health conditions – not just stumble from one health crisis to another.  And this shift will much better allow you and me, together, to achieve just that.

 

The treatment plan unique for you:  I will offer you services based on your unique needs, not what some insurance company decides to pay for – whether it’s periodic office visits, procedures, a subscription plan for chronic care, or our comprehensive well-being program.  Because there is no such thing as “cookbook” medicine.

 

Transparency in your costs:  You will know up front what my services will cost.  Because virtually every other industry works this way.  No other industry is as complicated and confusing on prices as is healthcare.  It’s ridiculous.

 

To learn more about my fees, scroll down or CLICK HERE:

 

If you are on Medicare: For those of you NOT on Medicare, any out-of-network benefits you have may allow your insurance carrier to reimburse you for my services.  We can provide you a completed claim form with all the codes necessary to file the claim with your insurance.

 

If you’re on Medicare, I can still see you and certainly hope to care for you.  But it will be outside of the Medicare payment system.  Because of Medicare regulations, you will not be able to file a claim for my services to Medicare or Medi-Gap for reimbursement.  I will also need to keep on file a private contract between us that allows me to see you.  It’s not a complicated contract, and you can find it in the Patient Forms section of the website.

 

I apologize for this.  This is as absurd to me as it may be to you.  You don’t need a contract with your grocery store to purchase food, and you shouldn’t need a contract to see me or any other physician.  But these are the rules of the federal government I must abide by.

 

Please note that there will be NO change in your Medicare benefits.  You can continue to use your Medicare and any secondary insurance benefits for labs, X-rays, hospital expenses, and services you receive from doctors contracted with Medicare.  The change only applies to my care.

 

True value for your investment:  Some of you may be familiar with the term “concierge medicine.”  This usually involves a retainer fee that the patient pays the doctor, in return for more personalized service.  Some think of it as healthcare for the rich.

 

I don’t consider what I’m doing concierge medicine, if that's the way some would define it.  I’m not shifting to some white-glove service that caters only to high-end clientele.

 

My fees for follow-up visits will be 20% less than what Medicare allows for providers.  For procedures?  25% less than what Medicare allows.

 

Besides, you should see someone whom you believe provides you the most value for your hard-earned dollars.  The way I see it, if I don’t provide you that value, you’ll choose not to see me anymore.  And I’ll have to try harder.  If I don’t succeed, I’ll be out of business.

 

That’s my “skin in the game,” to help you succeed in your health.

 

So I wouldn’t call this a shift to concierge medicine.  I’d call this a shift to free-market, conscious medicine.  Medicine for your unique self.

 

I will offer my service for an up-front fee.  A service that you simply will not find in other medical practices – of time commitment, root care, unique treatments, cost transparency, and true value.  And you will be free to decide if my fee is worth the service I deliver.

 

In the end, that choice should always be in the hands of you, the patient.  Free of third party influence.

 

Einstein hinted we can't solve problems by using the same kind of thinking we used when we created them.

 

I believe the patient-doctor relationship is a unique expression of love and healing – for both me as well as you.  You see, my greatest joy is to help you get to the position of not needing my services anymore.  And I believe this shift, to a new way of practicing medicine, will renew the joy that called me in the first place to this hallowed profession.

 

Anything that honors the unique expression of love and healing that is the patient-doctor relationship, I am choosing to promote and preserve.  Anything that doesn’t, I am choosing to disturb and discard.

 

That is my sacred commitment to you.  Thank you for your consideration, and please let me know if you have any questions we can help you with.

what we offer

what we offer

Consultation

We see patients with digestive issues of all kinds, and I have a particular interest in reflux, irritable bowel symptoms, and autoimmunity as it relates to the gut.

 

Fees

New Patient:                                  $197

Established Patient - Complex:   $97

Established Patient - Simple:       $67

Screening Colonoscopy Visit:     Free

 

Procedures

I am well trained in all major GI procedures.  And I'll tell you honestly what a procedure will do for you, and what it won't.

 

Fees*

Colonoscopy:                   $225

EGD:                                  $125

EGD+Colonoscopy:          $295

Flexible Sigmoidoscopy:   $85

ERCP                                  $345

Capsule Endoscopy         $155

 

*Professional fees only; applicable facility /pathology /anesthesia fees not included

Conscious Medicine® Well-Being Program

This is our flagship program, where we help you learn and apply a new map to reroute your path to health – for good.  The fee for this comprehensive program varies based on what fits you best.  To learn more, head over to Events and sign up for our free seminar.

Subscription Plan

For those who have chronic care needs that might require more frequent visits, we offer a monthly membership plan.

 

Fees^

$40/month

 

^Re-enrollment fee of $200 for renewal after cancellation

Prices effective as of April 1, 2016