Yes. The default is that each patient settles the visit directly, at published rates. If you would rather hold it on your organization's account, we invoice you at those same rates. For guests, residents, and principals that can be a standing account. A standing arrangement covering your own employees is a separate conversation, and one your benefits counsel should review before it is put in place.
Guests, residents, executives, employees, and their families, for a single visit or as their regular physician. Patients ages 5 and up. Federal Medicare rules do not allow DOMUS to treat Medicare beneficiaries, which includes most people 65 and over. Where DOMUS is not the right fit, we say so and can point toward other options.
Usually nothing. Your desk keeps our number and we come when called. When you want it written down, it is a short service agreement in plain language: what we do, what it costs, who to call, and how billing runs. It is a flat, documented arrangement, priced for the work involved.
Visits are private and confidential, and clinical details stay between physician and patient, as the law requires. Your organization hears what it needs to coordinate, timing and logistics, and nothing more. Nothing is reported back. Discretion holds at the door and afterward.
The visit fee covers the physician's time and the examination. Where a visit calls for testing, a procedure, or supplies beyond that, it is quoted before the physician arrives rather than added afterward. Outside laboratory work and imaging are ordered by the physician and charged by that laboratory or facility. We never bill insurance. A superbill for possible out-of-network reimbursement is provided on request.
The pilot is one visit. No minimums, nothing to sign. Call when someone needs a doctor and judge us on how it goes. Your point of contact, from the first call onward, is Dmitriy Gagarkin, MD, board-certified in Family Medicine and the founder of DOMUS.
DOMUS is not an emergency service. Call 911 for a medical emergency.