If you want to meet your physician for more then 7 to 11 minutes and want to have quality, care with a physician who knows you I recommend this practice. For an annual fee, you can have longer appointments with your own physician within the same 24 to 48 hour time frame. You can have better one on one contact, have a relationship with your physician who will truly know you and cares about you. Quality care vs. non quality care to me means that you will maybe have to cut your grocery bill or find a way to come up with the annual fee. Still they have monthly payment plans, or you can pay other ways too. In the end if its quality care from a compassionate, educated physician vs. getting lost in the system of short appointments, being treated according to your insurance, not for who you are and what you need. Its is more scary to have medical care from someone who can’t take the time to know what their patient really needs. This office makes sure to have the time and created a space where that will happen as well as top quality care. As a patient this is the care I prefer to have even at extra cost.