Golden capitalized letters - DOMUS; with smaller golden letters below it -PRIMARY CARE
Golden capitalized letters - DOMUS; with smaller golden letters below it -PRIMARY CARE
DOMUS PRIMARY CARE · FOR ORGANIZATIONS

A physician your organization can call

DOMUS gives hotels, residential buildings, offices, productions, and family offices a working way to reach a board-certified physician for the people they look after. House calls across all five boroughs, virtual visits anywhere in New York State, seven days a week. It is meant to be in place before anyone needs it.

Two ways to arrange it.

The difference is only whether a visit is settled directly with the patient or held on your organization's account. Nothing about the medicine changes.
Option one
Direct with the patient
The default, and the simplest. Your guest, resident, or team member books with DOMUS and settles the visit directly, at the same published rates as any other patient. Your organization holds a number and a name. There is nothing to administer and no billing to carry. Most partnerships never need to be more than this.
Option two
On your organization's account
Your organization is invoiced instead, at those same rates. For guests, residents, and principals this can run as a standing account. A standing arrangement covering your own employees is a separate conversation: employer-sponsored care is closely regulated, and the structure should be reviewed by your benefits counsel before it is put in place.
Who DOMUS can see
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.

What we set up for ongoing partners.

Organizations that use DOMUS more than once usually want the arrangement written down. It takes about twenty minutes and there is no charge for it.
1
One physician as your point of contact. The number and the email reach him, not a call center.
2
A booking link built for your organization, kept off the public booking page, with its own intake questions and billing arrangement.
3
A short briefing for your staff on when to call 911, when to call a doctor, and how to reach us.
4
A desk card that keeps the whole protocol on one page.
5
Printed materials for your guests, residents, or team.
6
Billing arranged in advance, including how anything beyond the visit fee is quoted and approved.
7
A documented way for an assistant to book on someone's behalf, with that person's authorization.
8
Continuity after the visit: results, follow-up, and referrals when they are needed.
9
A review every few months of contacts, protocols, and anything that has changed.
It exists so that the first call, when it comes, is a short one.

How this looks in practice.

The same two options, applied to whoever you are responsible for.
Hotels & hospitality
A guest feels unwell at 9 PM. The desk calls, a board-certified physician comes to the room, and the guest settles the visit directly with DOMUS. Nothing for your team to administer, and a guest who remembers how well the hotel handled it.
Residential buildings
Property managers and residential staff keep our number for residents who want a doctor at home. A resident books directly, or your desk calls on their behalf. The visit happens in their apartment, at a time that suits them.
Offices & teams
A sick visit at the office instead of a lost day. Physicals and the forms that come with them. We can also schedule an on-site day for physicals, forms, or flu shots, handled where your people already are. Sponsored visits start one at a time.
Film & television production
Cast and crew fall ill on location like anyone else, usually at an inconvenient hour. A physician can come to the hotel, the apartment, or the production office, and scheduled days can be arranged for a long shoot. Work-related injuries stay with the production's workers' compensation.
Assistants & family offices
You book on a principal's behalf and expect it to be handled. We set that up in advance: who may schedule for whom, which medications and conditions matter, which hospital is preferred, how invoices route. Then a call in September is a call, not an intake.

How it works with your organization.

No onboarding and no portal. A phone number, used well.
1
Keep our number.
(332) 373-1411 reaches us seven days a week, morning through late evening. Save it at the front desk, in the office, with whoever makes the calls.
2
Call when someone needs a doctor.
We confirm timing directly with the patient, or with you if you are coordinating on their behalf.
3
We take it from there.
The physician arrives and takes the time the visit needs. If anything beyond the visit itself is called for, it is quoted before he arrives. The visit is settled with the patient, unless your organization has agreed to hold it on its account.

The questions organizations ask.

Direct answers, so your decision is an easy one.

Can our organization be invoiced directly?

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.

Who can DOMUS see?

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.

What do we actually sign?

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.

How is privacy handled?

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.

What is included, and what is quoted separately?

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.

Is there a pilot process, and who is our point person?

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.

Service Area
All five boroughs. Virtual visits anywhere in New York State.
Availability
Seven days a week, morning through late evening.
Timing
Same-day and next-day visits often available.
Languages
Care in English and Russian.

Start with one visit.

The first visit is the pilot. We think it will be the first of many.

DOMUS is not an emergency service. Call 911 for a medical emergency.