Insurance and self-pay. Not yet for the visit. Yes for everything ordered from it.
Credentialing with insurance plans is in progress. Until it is complete, the visit itself is self-pay: $125 for a 30-minute appointment with Dorothy, or $175 when a controlled substance is involved, paid at the visit with no bill from this office for the visit afterward. Labs, prescriptions, imaging and referrals still run through your insurance.
How it works today
The visit is self-pay. Everything ordered from it can use insurance.
You pay us
$125 per visit
$175 when a controlled substance is involved. Paid at the visit by cash, card, HSA or FSA, and it covers the full 30-minute appointment, exam, prescriptions, orders and referrals. You get an itemized receipt, and this office sends no bill for the visit afterward.
Billed to your insurance
Labs, prescriptions, imaging, specialists
Bloodwork at LabCorp, medications at your pharmacy, imaging at an imaging center and referrals to specialists are all billed by those providers to your insurance, exactly as they would be from any office.
Practical examples
What a typical visit costs you.
Sick visit with a prescription
$125 for the visit. The antibiotic or other medication is filled at your pharmacy at your plan's copay.
Annual physical with bloodwork
$125 for the visit. Labs are drawn at LabCorp and billed to your insurance under your plan's lab benefit.
Chronic care follow-up by video
$125 for the visit. Refills go to your pharmacy through your plan. Any labs ordered are billed by LabCorp.
When credentialing completes
You keep the same provider and the same chart.
Start now as a self-pay patient. Once your plan is active with us, we bill your plan for the visit. Nothing about how you are cared for changes.
Want to know when we are in network with your plan? Send the plan name through the contact form and we will let you know. Please do not include medical information in the form.
If you have a high deductible
With a high-deductible plan, a known price beats an unknown one.
Many plans now carry a deductible you pay before coverage begins. Until you reach it, an office visit comes out of your pocket whether the office is in network or not.
Before your deductible is met
At an in-network office you pay the plan’s negotiated rate for the visit. You usually find out what that number is weeks later, when the claim finishes processing. Here the visit is $125, and you know it before you book.
After your deductible is met
Your plan starts paying its share and you owe a copay or coinsurance. This is where an in-network office usually costs you less for the visit itself, and it is why credentialing matters to us.
Either way
Labs, prescriptions, imaging and specialist referrals run through your insurance today. Those are often the larger bills in a year of care.
What credentialing is
What insurance credentialing means, and how to check it yourself.
Credentialing is the review an insurance plan runs before it adds a provider to its network. The plan verifies state licensure, board certification, National Provider Identifier, education, work history and malpractice coverage, then signs a contract and loads the provider into its systems.
Every plan runs that review separately and on its own timeline. We are working through them and update this page as each one completes.
You can look up Dorothy Colón, APRN, FNP-C independently before you book. Her NPI is 1508307182 in the national registry, and her Texas license can be verified through the Texas Board of Nursing. What those credentials mean is on the nurse practitioner in Texas page, and more about her background is on the about page.
Insurance questions
Straight answers.
Do you accept my insurance?
Not yet for the visit. Credentialing with insurance plans is in progress. Until it is complete, the visit is self-pay: $125 for most visits, $175 when a controlled substance is involved, paid at the visit.
What does my insurance still cover?
Anything ordered from your visit that is provided by someone else: lab work at LabCorp, prescriptions at your pharmacy, imaging at an imaging center, and specialist visits. Those providers bill your insurance directly.
Can I file an out-of-network claim for the visit myself?
You receive an itemized receipt after every visit that you can send to your plan. Some plans reimburse out-of-network visits and some do not, so check with yours. Reimbursement is your plan’s decision, and we cannot promise it.
Can I use my HSA or FSA while credentialing is in progress?
Yes. Primary care visits are generally a qualified medical expense. Pay with your HSA or FSA card at the visit and keep the receipt.
Will you tell me when you are in network?
Yes. This page will be updated, and you can send us your plan name through the contact form to be notified. Do not include any medical information in the form.
What does it mean that a provider is credentialing with insurance?
Credentialing is the review a plan runs before adding a provider to its network. The plan verifies license, board certification, NPI, education, work history and malpractice coverage, then issues a contract. Until that is finished for your plan, the visit is out of network and self-pay here.
How long does insurance credentialing take?
Each plan runs its own review of a provider’s license, board certification, education, work history and malpractice coverage. Plans commonly take 90 to 180 days, and every plan moves at its own pace. We are working through them and update this page as each one completes.
I have a high-deductible plan. Does being out of network change much?
Until your deductible is met, you pay for office visits out of pocket at any office, in network or not. What changes here is that you know the price before you book, and it stays the same after the visit.
What should I ask my insurance company?
Three questions tell you what a visit here costs you today. Does my plan have out-of-network benefits? What is my remaining deductible? What does the plan allow for an out-of-network office visit? The member services number is on the back of your card.
If I start as a self-pay patient now, what happens once you are in network?
You keep the same provider and the same chart. Once your plan is active, we bill your plan for the visit. Nothing about how you are cared for changes.
Which insurance plans will you accept?
We will list each plan on this page the day it becomes active, including which office it applies to. Send your plan name through the contact form and we will notify you when yours is live.
Know the cost. Book the visit.
Book online in a few minutes, or call the office closest to you. In person or by video, visits start at $125.
Questions first? Contact us or read the FAQ.