26 February 2019
Patients often wonder what determines a physician's office visit charges and why we are not able to quote them an exact price. Office visits are characterized by the complexity of the issues that need to be addressed and can range from brief/simple to long/complex. It's difficult to quote a price without knowing what will be involved, but we'll do our best to provide a realistic range for you. [NOTE: you'll find a link below, in the Jan 11, 2019 update, that will allow you to see our usual charges.]
We've been receiving many calls of late inquiring about charges for HRT (hormone replacement therapy) consultation visits. Two prospective patients told us that their clinics are now charging them an astronomical $3000 per visit! (not including labs or medication!) In our office, a new patient 30 minute/detailed visit is only $150. [Be aware, that per Fair Health Org, the typical office charge in our region is $285 for the same service. We're able to charge less because our overhead is low by not dealing with insurance companies.]
For most women starting HRT, no special labs need to be ordered as the diagnosis is fairly obvious. If Dr. Pearson is your primary care physician, he might find that you're due for routine labs or other studies (e.g. mammography, DEXA) and might have to order those. If, on the other hand, you're a member of Kaiser Permanente (or some other medical group) and are seeing Dr. Pearson in consultation for HRT only, those studies can be ordered by your primary care physician within that system.
Men will need baseline studies (testosterone, CBC, PSA, lipids, CHEM panel) before the start of their therapy, however. We refer them to local laboratories. [For patients without insurance, we've found that West Pacific Medical Labs are the most affordable.]
Also, unlike many of those clinics, we do not sell any hormone products to patients. We prefer to support local compounding pharmacies for our bio-identical hormone (BHRT) prescriptions.
Further questions? Please give us a call at 760-688-0411 and we'll do our best to help you!
11 February 2019
I will be attending the Annual Meeting (for Continuing Medical Education) of the Osteopathic Physicians & Surgeons of California (OPSC) from Thursday 2/14 thru Sunday 2/17. Because of this, the office will be closed on Friday, February 15. It is being held locally, in San Diego, so I'll still be available for patient calls if needed.
11 January 2019
Welcome to the new year! We're back up and running after taking a few unexpected days off on account of my mom's passing. Thank you to those of you who have expressed your condolences.
We're very pleased that our patients appreciate our "no nonsense/old school" approach to practice e.g. no hassling patients at the front desk over insurance cards. After an initial glitch due to a practice code, patients with PPO's or HSA accounts are now finding it easy to get reimbursed for their visits. And our cash paying patients appreciate how we're able to keep our pricing reasonable and affordable compared to other practices and urgent care centers. [As a reminder, we proudly post our charges online here for purposes of comparison shopping. And, if you're not aware of it, there is a website (and phone app) called Fair Health that allows one to look up typical medical charges for a particular zip code.]
On a magical note, we are pleased to also offer appointments for personal 1/2 hour close-up magic shows for $100. Take advantage of a private entertaining show by a member of the Academy of Magical Arts (aka the Magic Castle). Also, we start another year of performing bar magic at the Grand Avenue Bar & Grill (aka the "G-Spot") in Carlsbad on most Tuesday nights starting at 8 PM. Please come join us for fun and good food/drink at locals prices!
Now, go out and do something fun!
18 December 2018
Happy Holidays to all! Our office will be closing early (5 PM) on Wednesday, December 19, because I'll be performing magic at Senior Grubby's Charity event for Got Your Back San Diego.
We'll also be closed for the week starting Monday, December 24 (Christmas Eve) through Tuesday, January 1, 2019 (New Years Day). We'll be back treating patients again on Wednesday, January 2, 2019. I WILL BE AVAILABLE BY PHONE SHOULD A PATIENT NEED TO SPEAK WITH ME. Please all the office (760-688-0411) and follow the instructions in the message. This should be for urgencies only. Please do not call for routine prescription refills or to schedule appointments.
Finally, check out our new 1/2 page ad for Carlsbad Magazine starting in January!
21 November 2018
Aside from Thanksgiving, the office will also be closed on "Black Friday" (11/23/18). I will be available by phone if needed for urgencies. Call 760-575-4011. [NOTE: for emergencies, call 9-1-1. For routine things such as prescription refills, scheduling an appointment, please wait until Monday.]
27 October 2018
We survived our first 4 weeks! We've been slowly ramping up as we learn our software and things have been going very well. What a difference in the new practice, compared to working with the large group - much less stressful without having to deal with the hassles of the insurance companies. Our patients have noticed and their experiences have been overwhelmingly positive. We'll keep doing everything that we can to keep our patients' experiences as good as they've been in the past years.
Also, in the interest of returning transparency to medical offices, we've now posted our most common office charges so that potential patients can make informed medical decisions. They can be found here. Please note that effective November 1, 2018, a $5 processing charge will be applied to all credit card payments.
Finally, Dr. Desi Gamboa and his wonderful staff (at Carlsbad Chiropractic) couldn't be nicer to us. We love sharing their office with them and look forward to doing fun things together in the future!
16 October 2018
Another short week: must leave early today (Tuesday) for a doctors appointment and no office hours on Friday as Laurie and I will be attending Youtopia, the regional San Diego "Burn." [sdyoutopia.com]
Youtopia is being held at the La Jolla Indian Reservation off of Highway 76, near Palomar Mountain. I should be able to receive calls for emergencies while I'm away (Thursday thru Sunday), but if for some reason I'm not able to be reached, Dr. Curtis Buck (my former student!) will be available to handle questions that arise. His contact information will be on the office recording. Obviously, if a true emergency exists, the answer is always "9-1-1."
1 October 2018
"Soft opening" today! Giving our new software a testdrive and we're still waiting on some supplies and prescription forms to be delivered. We won't be entirely up to speed, but patients may now call office to schedule appointments.
Once we have your name and basic information, we'll send you a link to our patient portal, called "OnPatient' where you can complete the registration, history, etc from the comfort of your home. Don't have a computer at home? Arrive early for your appointment and compete this information on our iPad Pro tablet.
Reminder: we will be fee for service only. No insurances will be billed. We will, however, provide you with a "superbill" that you can can submit to your insurance company (or Medicare) for reimbursement, if applicable. We will be following the Medicare fee schedule for non-participating physicians, which is generally lower than those of private insurances (and, visits for the most common maladies will, for the most part, be cheaper than the average urgent care visit of $150 AND you'll get seen by an experienced/seasoned physician rather than a nurse practitioner or physician assistant). Our fee schedule will be posted under office information soon - there are lots of codes to go through!
Also, we will only be open Monday thru Wednesday this week as the office will be closed from Friday thru next Tuesday because I will be attending OMED, the American Osteopathic Association's annual convention, here in San Diego. It's my opportunity to earn Continuing Medical Education credits and keep my skills sharp.
Laurie and I thank you all for being so patient with us.
19 September 2018
Ramping up to opening. Much closer, but still waiting on some important items such as business license, malpractice insurance confirmation, learning how to use new software for scheduling, etc. Shooting for Monday, October 1, to begin treating patients again. I've posted our office hours under the "Office Information" page and hope to post a fee schedule shortly, as well, so that there are no surprises (unlike the current state of health care management). I plan on following the Medicare limiting charge rates for services, which is fair and affordable for most patients.
Created new business cards:
Unrelated: Now that I'm back in the "default" world (following the annual venture out to Burning Man), I've resumed my Tuesday evening gig providing close-up bar magic entertainment at the G-Spot (aka the Grand Avenue Bar & Grill) in Carlsbad. The fun starts at 8 PM so please come by and share some laughs with us locals!
17 August 2018
Medicine in Motion has found a new home! I will be sharing space with Dr. Desi Gamboa, of Carlsbad Chiropractic, in the heart of the village. It is located in the Roosevelt Center, adjacent to the U.S. Post Office. Our suite will be next to Pronto's Deli. It is just a few blocks away from Interstate 5, Carlsbad Blvd exit.
The address: 2808 Roosevelt St, Ste 100, Carlsbad, CA 92008 [phone # pending]
Not sure of exact start date as of this time. Shooting for the 2nd week of September, but depends upon getting scheduling and other systems up and running. Still finalizing office hours. I'm going to try to offer at least one day of evening hours and a day of early hours. Will post details when available.
PLEASE NOTE: Next week, I will be leaving the "default world" (i.e. falling off of the grid, so to speak) to attend Burning Man once again. I will not be able to communicate either by phone or internet/e-mail after Tuesday 8/21until a few days following Labor Day.
|Want an insider's view of our amazing Burning Man experience? Check out Tom Franks' video diary of our camp here. [Caution: some parts might not be safe viewing for work.]