We Are Now a Membership Based Medical Practice.
We No Longer Accept Insurance
A nation wide medical data breach occurred at Change Healthcare on February 21, 2024 affecting claims reimbursement across the country for over a month. Then a second data breach occurred on April 10, 2024. This caused a dramatic and practice crushing halt in ALL medical provider and pharmacy reimbursement for over eight weeks.
Essentially, our office, among thousands of other medical offices across the country, didn’t get claims payments for over two months.
This occurred on top of continued Medicare reimbursement reduction over the last 24 years. When adjusted for inflation, Medicare physician reimbursements have dropped 26% since 2001.
I don’t know of any businesses in any industry that could withstand a 26% drop in revenue, a halt in all payments for two months and still survive—much less an industry like ours that is so essential to the health, vitality and economic well-being of our nation.
There is a sacred bond between physicians and patients. Over the years, it has become very clear that this bond is in direct conflict with the goals of Medicare, corporate organizations, health care plans and corporate hospital systems.
We have stopped accepting all insurance because of continued:
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- Data breaches outlined above
- Monopolies on claims reimbursement control
- Continued reduction in reimbursement nearly 30% below inflation
- Lack of clear communication from insurance companies about claims
- And, no clear plan to remedy these problems in the future
To circumvent this conflict and return that bond to the way it should be, we’ve created a Direct Primary Care Membership Program.
We are happy to continue seeing our beloved patients, and you can keep your insurance for coverage on lab work, diagnostic imaging and hospital services, however, you will need to join one of our membership programs or pay cash, debit, or credit card to see Dr. Nally and his staff.
For those established patients with us who currently have insurance, we will continue to submit for insurance reimbursement until April 30, 2024.
After April 30, 2024 you will have Three Options for Payment:
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Direct Primary Care (DPC) Program, a monthly re-occurring membership charge ($65-$85 based on age) covering office visits, osteopathic manipulation and basic medical care in the office. Click the DPC link HERE to learn more about about DPC. Care Credit is available to finance this yearly concierge if you are interested. Please talk to my office staff about this in the office.
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Concierge Service – $4500 per year. The concierge service covers:
- VIP Same Day Office Visits within 24 hours, telehealth, telephone and email services provided.
- In-Home Visits within Phoenix Metro Area.
- Quarterly labs through LabTech, our in house lab.
- Osteopathic Manipulation
- EKGs
- In office injections and therapeutics
- Ultrasounds performed by Dr. Nally
- Annual carotid ultrasound and abdominal aneurysm Screening
- Cognitive testing
- Autonomic Nerve and Ankle/Brachial Index Testing
(This concierge model DOES NOT include spa services, however, we also offer concierge models that include spa treatments).
3. Pay Cash or Credit Cards are accepted at the time of service at the rates below. (Yes, we will even accept Bitcoin, Ethereum and gold backs at the daily rates)
Our office can supply you with a 1500 HICFA form to submit to your insurance for reimbursement of cash based services after May 1, 2024 if your insurance accepts out of network doctors.
Service Level . . . . . . . . . . . . . . . . . . . . . .Established Patient . . . New Patients
(99212) address one simple problem . . . . . . . $90. . . . . .. . . . . .$140.00
(99213) address one mod. problem + Rx. . . . $130 . . . . . . . . . . $180.00
(99214) address two mod. problems . . . . . . . . $190 . . . . . . . . . . $240.00
(99215) address three or more problems. . . . $250 . . . . . . . . . .$290.00
(99215 + 99417) multiple complex problems . .$350. . . . . . . . .$450.00
(Visits with our nurse practitioner, Brittany Anderson, FNP, are billed at 75% of the rates above.)
B12 (J3420)………………………………………………………..$11
Kenalog 40mg (J3301)……………………………….$15
Testosterone – 50 mg (J1070) ………………..$10
Protime/INR testing (85610+85611)…………..$11
Administration Fee (96372) ………………………..$40
Osteopathic Manipulative Treatment by Dr. Nally:
OMT Treatments (98925) 1-2 areas ………….$50
OMT Treatments (98926) 3-4 areas ………..$70
OMT Treatments (98927) 5-6 areas . . . . . $90
OMT Treatments (98928) 7-8 areas . . . . . $120
OMT Treatments (98929) 9-10 areas . . . . $140
Other Office Treatments
EKG (93000)…………………………………………………………..$75
Urinalysis (81002)………………………………………………..$20
Ear Lavage (69210) ……………………………………………$100
ABI & Autonomic Testing……………………………….$290
Cognitrax Memory Test …………………………………$385
PRP Joint Injection……………………………………………$900
Stem Cell + PRP Joint Injection ………………$3900
In-Office Ultrasound by Dr. Nally
US Thyroid (76536) …………………………………………$200
US Carotid + CIMT (93880 +93895)………..$410
US AAA Screening (76775) …………………………$100
US Renal or Hepatic (76705) ………………….…$150
US Abd Complete (76705 + 76775)…………$250
Additional fee for service pricing available in the office.
We look forward to helping you with your medical needs and providing you the medical care you want.