Very shady billing, will never go back. They billed an established patient (and a level 4 visit to boot) because during my new patient well-woman with a physician's assistant I mentioned I had irregular periods. They gave me a pregnancy test even though I told them I had been sterilized, apparently to back up their plan of submitting an entire additional visit for a statement that took 2 seconds and I didn't get any good advice for. I have a high deductible so my annual well-woman visit cost me $90.24. I will never recommend or schedule with them again.