This isn't for Dr Giese my son went to him years ago but this review is for a physicians assistant and all of a sudden him charging my grandson's visit who does not have any insurance billing it as difficult visit even though we've been going there for a year so if it's difficult or extended then they can charge you more but it's never been difficult and it's never been extended ever and we've been going there a year all of a sudden someone ups the bill originally they told me it was $125 for self pay but when you get in there they surprise you with a list and then make sure you have it when you leave and they charge you upfront $125 and if anything else is done then they charge you for that later well guess what my grandson never been sick to have it be billed as a difficult or extended visit is exactly the same as it was one year ago and every time after that that we go for his medication refills for ADHD, but anyway they bill you after the fact a bill comes in the mail apparently I was supposed to pay it while I was still in there but I stuck my head into the tiny little office and asked if that was it and the girl said yes I said no other payments right and she said no but loan behold I got a bill in the mail!! Billed me For an extended visit which there was not no extended visit he was only in there for five minutes with the doctor and they did a weird thing there were two nurses we had to see one was outside the room she did his blood pressure n weight most places they do your weight but they don't normally do your blood pressure while standing up or sitting outside the room it was just plain weird maybe trying to use the time trying to use that as an extended visit I have no idea!! The billing department is trying to justify this extra charge which by the way they're not very nice at the billing department either I asked them to speak to the doctor because he would know for sure it was not an extended visit plus I know that my Apple phone knows for sure that we weren't in there for an extended visit! Nor was it a difficult visit we've been going there a year he's been on the same two medicines ever since for his ADHD Focalin it used to be Vyvanse now we just stick with Focalin because you can't get Vyvanse very often anymore they're always out of it everywhere it's a popular medication for ADHD so they're telling me and I looked this up there was a new code that went into effect last January they're saying it was five years ago but according to what I read it was a year ago for Medicare well he's definitely not on Medicare he's 13 so they're using that code for the difficulty he wasn't sick it was exact same visit to refill his medication which we've been doing for a whole year which nothing new is added everything was exactly the same from a year ago but yet now we have to pay more it's not a lot more but it's the whole trying to scam me that I can't take!!!!! Beware run n find a diff medical clinic !! the other reviews that I've read are not good especially the front office!! I had dealings with the front office upfront I wanted to go in the front door like normal doctors offices but they told me that if you were seeing the PA you had to go in the back door they weren't too bad up front that's why I actually want to switch I didn't wanna deal with the lady in the back, so I go in the back door we see the PA you have to park in the back and you have to go in the back door and then you have to visit someone that's very she's not friendly put it that way the other girl is she's very friendly. But it's just not a nice welcoming situation. The doctors office said I used to take my grandson to over in Michigan it was so much different and so much better I wish we could still use that office there's just something so off about this office I wouldn't recommend it at all I only do it because of his medication and we've established with them a year ago The doctor is nice but I don't know why he didn't listen to my calls when I called the billing department I asked them to tell him that my Apple iPhone says it was not an extended visit. Either they didn't tell him or he's just ignoring it!! read more