Paying for your child’s care has just gotten easier with DPC.

Direct Patient-Care (DPC)

What is DPC and how does payment work?

For commercially insured and self-pay families, our Direct Patient-Care model does not bill commercial or private insurance. Families may choose consultation or membership options, and after the visit we can provide a superbill for possible out-of-network reimbursement. Participating Texas and New Mexico Medicaid plans continue to be accepted. Medicaid-covered services do not require an additional membership or Rapid Access consultation charge; eligibility, referral, and authorization requirements may apply.

PRICING

Consultation Fee - $350 (new patients and non-members)

Bone Age X-Rays (available on location) - $30 for non-members; 2 free X-Rays annually for members

Monthly Membership Fees:

Basic Plan - $50/mo (includes thyroid, puberty, growth management, obesity and weight management), Includes Dietitian visit

Comprehensive Plan - $150/mo (includes type 1 and 2 diabetes on insulin therapy)

Provider will decide which plan is appropriate based on the needs of the child

DPC Membership vs Non Membership

Direct Patient Care

Ongoing Specialty Care Membership Program

Our membership-based specialty care program was designed to provide children and families with more continuous, coordinated, and responsive pediatric endocrine care — particularly for chronic conditions that require ongoing monitoring and management, such as diabetes and complex endocrine disorders.

Membership Includes:

Personalized Ongoing Specialty Care
Continuous management of your child’s endocrine condition
Ongoing prescription management and medication coordination
Prior authorization support related to your child’s endocrine care
Review of laboratory data, glucose trends, and treatment adjustments as medically appropriate

Enhanced Access to the Care Team

Membership provides ongoing access to our multidisciplinary pediatric endocrine team, including:

Physicians
Diabetes educators
Nutrition support
Health coaching
Clinical staff support

Communication and care coordination may occur through:

Office visits
Phone communication
Secure patient portal messaging

Predictable Monthly Cost Structure

Membership allows families to better anticipate the cost associated with ongoing specialty endocrine care and chronic disease management.

Included In-Office Services

Depending on your child’s condition and medical needs, membership may include:

Up to 2 in-office growth assessment X-rays per year

Hemoglobin A1c testing every 3 months for diabetic patients
In-office retinal screening (RetinaVue) for diabetic patients

Flexible and Individualized Follow-Up

Because care is structured around ongoing management rather than isolated office visits, the practice is able to provide:

More individualized follow-up planning
Greater flexibility with appointment duration when clinically appropriate
Improved continuity and coordination of care

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Non-Membership / Consultation-Based Care

Some endocrine conditions may be appropriate for consultation-based or intermittent specialty care without ongoing membership enrollment.

These visits are generally focused on:

Initial evaluation
Second opinions
Limited follow-up needs
Conditions not requiring continuous management

Prescription management and ongoing between-visit care may be limited outside of an ongoing specialty care program, particularly for complex chronic conditions such as diabetes.

Our team will help guide families regarding the most appropriate care pathway based on each child’s individual medical needs.