Yes! We do full service outpatient family practice including care of men, women and teens age 8 and over. Our provider staff includes two Board Certified Family Medicine physicians and a Certified Physician Assistant.
For urgent visits, we strive to see you that day or the next with the first available provider. Non-urgent visits are scheduled with your personal physician within 2-4 weeks, subject to your availability. New consultations may be a bit longer in order to provide you with sufficient time for an unhurried consultation.
The Clinton office is open 9:00 AM – 5:00 PM Monday and Tuesday, 8:30 AM – 7:00 PM Wednesday and Thursday and 9:00 AM – 3:00 PM on Fridays.
We are an out-of-network provider for all insurance plans as of June 1, 2015. We will give you a detailed receipt of medical services you receive when treated in the office and you can submit that for reimbursement under the out-of-network provisions of your plan. You can also save it as a record of medical expense. However, we will continue to be a participating office in traditional Medicare and we will submit your claims directly to Medicare and secondary Medigap carriers
Yes! We do PAP tests and routine physicals. Women’s health problems such as PMS, irregular cycles, ovarian cysts, infertility, perimenopause, recurrent miscarriage, pelvic pain and post-partum depression are addressed in a way that cooperates with a woman’s body and is never suppressive or destructive of her fertility. As family physicians, we do not do surgery, but we have relationships with excellent surgeons for referral if surgery is needed.
We recommend an annual preventive exam for men, women and teens to review their health status and see if there is anything that should be done or continued to maintain or improve your health status. Most insurance plans now also encourage and cover this service, including Medicare.
Yes, NaPro TECHNOLOGY is the name for this method of cooperative evaluation and treatment. When hormones are needed, we only use bio-identical hormones. There are many FDA approved forms of these, although some may need to be compounded for your individual situation.
NaPro TECHNOLOGY is a new women’s health science, developed at the Pope Paul VI Institute for the Study of Human Reproduction in Omaha, Nebraska. 30 years of research has culminated in the development of this system of evaluation and treatment that cooperates with a woman’s reproductive system. The Creighton Model FertilityCare System is the method of observing and charting biomarkers of the fertility cycle. This information is the basis of evaluation and treatment in NaPro TECHNOLOGY. We have teachers of the method (FertilityCare Practitioners) on staff as well as we can refer you to a teacher if you are out of our area.
Fundamentally, NaPro is different in that it seeks to diagnose and understand the underlying problem and apply a treatment to correct that disorder as much as possible, restoring the patient’s health as much as possible. Many popular approaches to Women’s Health and reproductive medicine are suppressive, manipulative or destructive. They may make the symptoms less troublesome, but do not cure, treat or even diagnose the underlying problem in many cases. NaPro TECHNOLOGY is also completely morally acceptable to many who find contraceptive methods of family planning, artificial reproductive technologies and in-vitro fertilization morally unacceptable.
NaPro is medical evaluation and treatment and is covered as any other medical treatment within the scope of your plan.
OMT or Osteopathic Manipulative Treatment is a method of hands-on treatment of the musculoskeletal system to reduce pain and improve function. It is often used along with medical therapy to maximize a patient’s return to health. It is an additional area of study that D.O.’s (Doctor of Osteopathic Medicine) obtain during their clinical training.
Q. 11. What treatments are available for PMS, post-partum depression, infertility, menopausal symptoms?
Each case is evaluated individually. We will have an initial consultation to understand the scope of your concern, previous evaluations and treatments and a thorough history. For infertility and PMS, you will be referred for instruction in the Creighton Model FertilityCare System to learn to chart your biomarkers. After two cycles (about two months), we will continue the diagnostic work-up. This may involve a targeted hormone series of blood tests timed with your cycle and possibly ultrasounds timed with your cycle also. A treatment plan is developed and we will modify it as we see your response.
For Post-partum depression, treatment is instituted as soon as possible utilizing natural progesterone which will not interfere with breastfeeding and other treatments as appropriate to each case.
For the menopausal woman, we utilize Bioidentical hormones in the lowest dose possible for symptom remission to achieve hormone balance and wellness.
Creighton Model is a standardized, mucus based system of observation of a woman’s biomarkers to identify times of potential fertility and natural infertility. It can be used as a method of fertility appreciation to both avoid and achieve pregnancy. It is also an excellent method to monitor and maintain gynecological health.
We do venipuncture in the office. Sometimes for patient convenience for early morning fasting or to time lab work with the cycle, labs will be drawn off-site at a draw site for LabCorp, Quest or BioReference Labs and the results sent to our doctors for review.
We do not do x-rays, but we do some specialized pelvic ultrasound for NaPro TECHNOLOGY here at our office.
- Very Brief New Office Visit (rare) $50 – Clinician’s discretion
- Brief New office visit $100 (usually same day sick new patient)
- Moderate New office visit $150 (most common for New Family Practice Patient)
- *Extended New Consult $250 (45-60 minutes moderate complexity)
- *Comprehensive Consult $300 (45-90 minutes high complexity)
- Nurse Visit $15
- Moderate OV (15min) $100
- Extended OV (30min) $150
- Comprehensive OV $200
- Physical $200 (labs billed separately)
- OMT $150 (osteopathic manipulative treatment)
- Phone Consults $75 per 15 minutes (most are about 30min)
- Home Visit $150 (at Clinicians discretion- non-urgent only) (not available to Pay-as-you –go)
- In office Labs $15 rapid strep, dip U/A, urine pregnancy test, wet prep
- Blood draw $15
- EKG/nebulizer tx $25
- Vaccine administration fee for non-members: $25
Minor Surgery/procedures (*send out pathology (lab) fee not included)
- Hyfrecation of cervix $200
- Incision and Drainage $200
- Joint injections $100 plus medication
- Laceration repair $200-300 depending on complexity
- Subungual hematoma $100
- Skin Tag removal $200 (up to 15)
- Ingrown toenail removal $300
- Lesion biopsy/removal/destruction $100-200 depending on complexity
- Steroid injections $15.00 40mg methylprednisolone
- B12 $10.00 1000mcgm
- Progesterone $60.00 200mg IM
- Rocephin $25 1gm IM
- *Creighton Model Sessions $60
- *Ultrasound $75
- *Cycle Review $35/month (included in infertility membership)
- Tdap $60
- Td $30
- Flu $35
- Pneumonia PPV23 $80
- Menactra $125
- Hepatitis B $75
- CrMS Intro Packet $35
- CrMS Charts and Stamps $15 ($10 chart, $5 stamps)
- SFA Kit $20
For new patients after January 1, 2017, after the initial consultation visit, you will need to be a member if you wish to continue with the practice.