| OFFICE VISITS | |
| Physicals general physical (including physical for school, employment, driver’s certificates) | $100 |
| MEDICAL PROBLEM RELATED VISITS | |
| Simple level simple or minor medical problems (such as cold, UTI, local wound, etc) | $80 |
| Moderate level evaluation of more complex health issue or several health issues (such as eval or managment of htn, diabetes….) | $100-120 |
| Complex level evaluation of a significant life organ issue ( such as significant heart, lung or other disease) | $120-180 |
| OFFICES PROCEDURES | |
| EKG screening test for heart disease | $30 |
| Pulmonary function tests screening test for lung disease | $50 |
| Urinalysis screening test of urine / kidneys | $20 |
| VACCINES | |
| MMR Measles, Mumps Rubella | $120 |
| Hepatitis B vaccine (1, 2, 6 months) | $110 each |
| Hepatitis B vaccine (1, 2, 6 months) | $110 each |
| Diphteria / Tetanus/pertussis (Adacel) | $100 |
| Hepatitis A Vaccine (0, 6 months) | $130 each |
| Typhoid vaccine | $100 |
| Yellow Fever vaccine | $150 |
| Meningococcal Vaccine | $150 |
| HPV Vaccine ( Gardasil) (3 doses) | $170 each |
| PPD Tuberculosis screening | $30 |
| Additional Office services | |
| pediatrics- Universal form completion during office visit (including a follow up) | $10 |
| pediatrics & adults – any other work, school or camp form during office visit (including a follow up) | $10 |
| pediatrics- Universal form completion outside of office visit (including a follow up) -48 hours turnaround | $20 |
| pediatrics & adults – any other work, school or camp form outside office visit (including a follow up) -48hours | $20 |
| pediatrics & adults – any other work, school or camp form outside office visit (including a follow up) same day | $25 |
| pediatrics and adults – routine medication-(prescription) refills, not associated with medical visit | $10 | medical records release to self | $10 |
| email consultation regarding a new clinical matter *(if not reimbursable by health plan) | $10 |

