On our first visit we were very impressed. It was all DOWNHILL from there. I cannot comment on care, what I can comment on is the lying and extremely disrespectful staff. After waiting for a week to get "approval" for injections in my knee, I found that nobody had even started the process.I was told by the girl at the desk (Foothill office) I was at "the bottom" of the stack and they hadn't gotten to me. By request of the Doctor, the staff made a call and found that I did not need prior authorization for the injections, so an appointment was scheduled for the following Monday. On arrival, I signed in and within a few minutes was told to speak with the lady who does the Authorizations. She told me that regardless of what my insurance company said they would not get paid for the injections unless I went thru a six week rehab program. That was a bold face lie. We left the Foothill office and immediately called our insurance company, the department of Authorizations. They immediately put us through to a Supervisor, who told us that there was no prior authorization necessary and that they only needed to document medical necessity. Additionally, the Supervisor told us no one from Dr. Runyan's office had called in regards to any treatment, only that they had made in inquiry as to coverage. After going around and around with Dr. Runyan's staff, who insisted they had indeed spoken to our insurance, lie after lie after lie, the staffer made a grave mistake. She said that they, DR. RUNYAN'S office would not document medical necessity unless I went thru the rehab... ATTENTION! This is how Doctor's offices make the extra money by insisting on treatment that isn't necessary. I had all my medical records, which the office had copies of....Xrays, MRI, Cortisone history (3X in a year) a surgery in July and the recommendation of my orthopedist in Reno, NV., that I would need continued care. LIARS and FRAUDULENT billing. Not only am I reporting this to YELP, but also to my insurance company....they should not have Doctors that allow this kind of behavior . One more thing, when I asked to speak to Dr. Runyan by setting up a consultation, I was told that Dr. Runyan doesn't know anything about the billing procedures of his own office. Really? How stupid do you think we are? I was also told they would have me talk to the office manager, but suddenly at 10 in the morning, she was out to lunch. We aren't stupid, however, you really are. read more