My review is more for NEW PATIENTS - As of April 1, 2026 anyone who makes an appointment will be…read morecharged an annual fee of $150 that has nothing to do with the insurance coverage, deductibles or copays already paid by patients, and what they earn from the insurance. They are arguing that this fee is necessary to improve services and technology, etc., which, from my perspective, should not be at the expense of patients, but a responsibility of the business owners and stakeholders who want to be in the health care system and should have a sound investment and business strategy plan instead of having clients paying for the business they want to have. Unless, they are on purpose creating a membership-like model to access OBGYN health care, to appeal to a very specific clientele, in which case, they should be transparent about it, instead of imposing such a fee under the disguise of betterment of their services, and inadvertently, rendering the services possibly discriminatory and less accessible to some extent. Either management did not put a lot of thought on this, or they did, and simply did not care. In addition, there seem to be a lot of turnover, and their licensed providers (who for the most part and in fairness, are pretty easy going), have significantly decreased from when I started going years ago. Only at the beginning I had a consistent provider but that has changed in the past 2 to 3, when I can be seen by whoever is available. Depending on who you talk to whether in billing, front desk, checkout, you may also be faced with somewhat condescending approach, but I am not sure if that is due to unprofessionalism of some of the staff, or if it is a symptom of how they are treated by business management, and they are just simply burned out, with clients and patients ending up as unintended collateral damage. Given the decline of services, providers and quality of customer service over the years, I had been considering switching practice already, but this imposition just did it for me. I rather pay more in insurance, deductible and co-pay for better services altogether, than make my health care dependable on whether I am willing to pay for what seems to be an annual membership fee, which at the end, will not guarantee better care, because it is a matter of integrity and not profitability. In my opinion, it is problematic that for a health care and medical practice the quality of services is contingent upon increasing or imposing additional costs to the patients, instead of making it a stakeholders investment and accountability.