The billing practices for this organization are just horrible. My wife used their services for some pain injections just prior to her going on Medicare. She was insured by Golden Rule and for two treatments the patient responsibility came to over $2,000. The same procedure done by a different pain anesthesiologist under Medicare came to under $500. They are a total rip off. Dealing with their business office is like dealing with a brick wall. Bills go to collection before I even received a bill. This is the worst organization. Stay clear of these people