Yes. The default is simpler still: each patient pays DOMUS directly. Organizations that prefer to sponsor visits for guests, residents, or employees can be invoiced instead.
All of the above, and their families, for a single visit or as their regular physician. We see patients ages 5 and up. Federal Medicare rules do not allow DOMUS to treat Medicare beneficiaries, which includes most people 65 and over.
Informal, unless you want otherwise. There is no contract to start: your desk keeps our number, and we come when called. When your organization is ready, we set the account up properly: a short briefing for your staff on when to call 911, when to call a doctor, and how to reach us; a desk card that makes the protocol simple; printed materials for your guests, residents, or team; and one named physician as your point of contact. If your organization wants something formal, such as a guaranteed-response arrangement or care for staff, that is a conversation with the physician and a flat, documented service agreement.
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, the examination, point-of-care testing carried in the bag, and common treatments performed on the spot. When outside laboratory work or imaging is needed, the physician orders it through the appropriate laboratory or facility, and that service is provided and charged separately by them. 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.