This office charges an annual FEE of approximately $50 to all of their patients. Insurance companies do not pay the fee. It is paid by the patient. Some at this office have tried to compare it to and equating the $50 yearly fee to a "gym membership" when it is really nothing but pure Greed. I also know of one Doctor in this office who has bad mouthed other doctors within the same office. Wonder if they have any kind of "code of ethics?" I highly suggest you find a different medical/doctor's office.