A practice fee is an annual fee charged to patients who wish to join the practice. Its purpose is to cover physician's expenses not covered by insurance. It gives you and me the flexibility to orient your care around you rather than your insurance company.
In short, the practice fee allows me to keep my practice small. Keeping my practice small does two things. One, a small practice is much easier to access and practice fee patients can expect same or next (business) day service when appropriate. Second, I can provide a more flexible delivery system than that dictated by the insurance companies allowing me to save you visits by using email and the telephone when it is medically appropriate.
There are two ways to pay the bills in medicine today. See as much volume as you can in a day while paying other people to do most of the work. Or, give patients a high quality relationship-based experience. The practice fee supports the quality-based model as opposed to the volume/quantity-based model.
The practice fee is determined by income and the patient's ability to pay. But the highest annual cost for an individual is approximately the cost of subscribing to basic cable TV service for a year. There is a discounted rate for families, and families are defined fairly broadly. The national average for practice fees is $2000 per person per year. My rates are…
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effective January 1, 2009 based on
2008 Income for Residents of New Mexico |
||
| Household | income of less than $35,000 | income of $35,000 or more |
| Individual | $270.00* | $535.00* |
| * includes New Mexico Gross Receipts Tax of 6.75% | ||
| effective January 1, 2009 based on 2008 Income for Residents of New Mexico |
||
| Household | income of less than $50,000 | income of $50,000 or more |
| Couple | $400.00* | $800.00* |
| Family | $430.00* | $855.00* |
| * includes New Mexico Gross Receipts Tax of 6.75% | ||
If you are paying the full practice fee (individuals making $35,000 or more or couples and families making $50,000 or more) you have the option of donating 10% of the practice fees to my foundation, The Undaunted Carnival Foundation. These contributions are tax deductible.
| effective January 1, 2009 based on 2008 All Incomes for Residents of New Mexico |
||
| Household | Payment | Donation |
| Individual | $480.00* | $50‡ |
| Couple | $720.00* | $75‡ |
| Family | $770.00* | $80‡ |
| * includes New Mexico Gross Receipts Tax of 6.75%; ‡ tax deductable | ||
A separate payment of 10% of the total fee before the deduction needs to be paid in addition to the above payment. Check or credit card are accepted and you will receive a receipt for your tax records once the donation is paid.
Payment must be made at the time of service.
If you wish to become a new patient, the answer is yes. I am only accepting new patients who are willing to pay the practice fee.
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