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What is the cost of treating lymph node inflammations behind the ear?

Lymph node inflammation behind the ear can be a concerning and uncomfortable condition, but understanding the costs associated with its treatment is crucial for making informed healthcare decisions. This comprehensive guide aims to demystify the expenses related to diagnosing and treating lymph node inflammation behind the ear, from mild cases to more severe instances. We'll explore various treatment options, their associated costs, and time frames, helping you navigate the healthcare system more effectively. Whether you're dealing with a recent diagnosis or simply want to be prepared, this article will provide valuable insights into optimizing your care for both cost and efficiency. By the end, you'll have a clear understanding of what to expect financially when seeking treatment for lymph node inflammation behind the ear, empowering you to make the best choices for your health and wallet.
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Written by Andrew Le, MD.
Medically reviewed by
Last updated September 19, 2024

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Severity Levels of Lymph Node Inflammation Behind the Ear

Lymph node inflammation behind the ear can vary in severity, ranging from mild discomfort to severe pain and swelling. Understanding the different severity levels can help determine the appropriate course of action for diagnosis and treatment.

Mild

  • Symptoms: Patients with mild lymph node inflammation behind the ear typically experience slight swelling and minimal discomfort. The affected area may feel tender to the touch but doesn't significantly impact daily activities.
  • Risk factors: Recent upper respiratory infections are often associated with mild cases.
  • Diagnosis: Self-diagnosis or a virtual doctor consultation is usually sufficient for mild cases.
  • Imaging/Labs: Generally not required for mild inflammation.
  • Treatments: Over-the-counter pain relievers and warm compresses are usually effective in managing symptoms and promoting healing.

Moderate

  • Symptoms: Moderate cases present with noticeable swelling, tenderness, and mild pain behind the ear. The discomfort may be more persistent and affect some daily activities.
  • Risk factors: Ear infections or dental problems are common risk factors for moderate inflammation.
  • Diagnosis: An in-person doctor visit is recommended for proper evaluation.
  • Imaging/Labs: The doctor may order blood tests to check for infection markers.
  • Treatments: Antibiotics may be prescribed if a bacterial infection is suspected, along with stronger pain relievers to manage discomfort.

Severe

  • Symptoms: Severe lymph node inflammation is characterized by significant swelling, severe pain, fever, and redness in the affected area. The symptoms can be debilitating and may indicate a more serious underlying condition.
  • Risk factors: A compromised immune system or underlying medical conditions can contribute to severe inflammation.
  • Diagnosis: Patients with severe symptoms should seek immediate medical attention through an emergency room visit.
  • Imaging/Labs: Blood tests are typically performed to assess infection levels, and imaging studies such as CT scans or ultrasounds may be ordered to evaluate the extent of the inflammation.
  • Treatments: Severe cases often require intravenous (IV) antibiotics and may necessitate surgical drainage if an abscess has formed.

Summary Table: Severity Levels

SeverityCharacteristicsDiagnosisLabs/ImagingTreatment
MildSlight swelling, minimal discomfortSelf-diagnosis or virtual consultationGenerally not requiredOTC pain relievers, warm compresses
ModerateNoticeable swelling, tenderness, mild painIn-person doctor visitPossible blood testsAntibiotics, stronger pain relievers
SevereSignificant swelling, severe pain, fever, rednessEmergency room visitBlood tests, CT scan or ultrasoundIV antibiotics, possible surgical drainage

Understanding these severity levels can help patients and healthcare providers determine the most appropriate course of action for diagnosis and treatment of lymph node inflammation behind the ear.

Getting a Diagnosis

When it comes to diagnosing lymph node inflammation behind the ear, there are several options available, each with varying costs and time investments. Let's explore these options in detail:

Self-diagnosis

Self-diagnosis is the most cost-effective option, but it's only appropriate for mild cases and comes with risks of misdiagnosis.

  • Cost: $0
  • Time: Immediate
  • Appropriate for: Mild cases only

Virtual doctor consultation

Virtual consultations offer a convenient and often cost-effective way to get a professional opinion without leaving home.

  1. Teladoc
  • Cost:
    • With insurance: $0-$89 per visit (depending on your plan)
    • Without insurance: $89 per visit
    • Free with OptimalMD membership
  • Time: Usually available within 1 hour, consultations last 15-30 minutes
  1. MDLive
  • Cost:
    • With insurance: $0-$82 for urgent care (depending on your plan)
    • Without insurance: $82 for urgent care
    • Free with OptimalMD membership
  • Time: Usually available within 15 minutes, consultations last 15-30 minutes
  1. Doctor on Demand
  • Cost:
    • With insurance: As low as $0 (depending on your plan)
    • Without insurance: Starting at $79 for a 15-minute consultation
    • Free with OptimalMD membership
  • Time: Usually available within minutes, consultations last 15-50 minutes depending on the type of visit

Virtual consultations are appropriate for mild to moderate cases of lymph node inflammation behind the ear.

In-person doctor visit

For more severe cases or when a physical examination is necessary, an in-person visit to a primary care physician or urgent care center may be required.

  1. Primary Care Physician (PCP)
  • Cost:
    • With insurance: Copay typically ranges from $15 to $50
    • Without insurance: $150 to $300 on average
    • Heavily discounted with OptimalMD membership
  • Time: Appointments usually available within 1-3 days, visits last 15-30 minutes
  1. Urgent Care Center
  • Cost:
    • With insurance: Copay typically ranges from $25 to $75
    • Without insurance: $100 to $150 on average
    • Heavily discounted with OptimalMD membership
  • Time: Usually no appointment necessary, wait times vary but typically less than an hour

In-person doctor visits are appropriate for moderate to severe cases of lymph node inflammation behind the ear.

Emergency room visit

For severe cases with symptoms like high fever, extreme pain, or signs of infection, an emergency room visit may be necessary.

  • Cost:
    • With insurance: Average of $1,082 (may vary based on deductible and coverage)
    • Without insurance: Average of $1,220
    • Not covered by OptimalMD membership
  • Time: Immediate care available, wait times vary but can be several hours for non-life-threatening conditions

Emergency room visits are appropriate only for severe cases of lymph node inflammation behind the ear, especially when accompanied by high fever, extreme pain, or signs of spreading infection.

Summary Table: Assessment Options

ModalityAppropriate SeverityPrice Without InsurancePrice With InsuranceEfficiency
Self-diagnosisMild$0$0Immediate
Virtual Consultation (e.g., Teladoc)Mild to Moderate$82-$89$0-$8915-30 min, same day
Primary Care PhysicianModerate$150-$300$15-$50 copay15-30 min, 1-3 day wait
Urgent CareModerate to Severe$100-$150$25-$75 copay<1 hour wait, no appointment
Emergency RoomSevere$1,220 average$1,082 averageImmediate, long wait possible

Note: OptimalMD offers $0 virtual urgent care as part of its $47/month family membership, making it a cost-effective option for mild to moderate cases.

Imaging and Laboratory Tests

When it comes to diagnosing and monitoring lymph node inflammation behind the ear, various imaging and laboratory tests may be necessary. The choice of tests depends on the severity of the condition and the healthcare provider's assessment. Let's explore the common tests, their costs, and providers:

Blood tests

Blood tests, particularly a Complete Blood Count (CBC), are often the first step in diagnosing infections or inflammation.

  1. LabCorp:
    • Cash price: $199 for a general health blood test including CBC
    • With insurance: Varies based on plan, typically subject to copay or deductible
    • Discount program: $10 through LabAccess Partnership Program
    • Time: Results typically available in 1-2 business days
  2. Quest Diagnostics:
    • Cash price: $29.00
    • With insurance: Varies based on plan, typically subject to copay or deductible
    • Time: Results typically available in 1-2 business days
  3. OptimalMD:
    • CBC test is heavily discounted with OptimalMD membership.

CT scan

CT scans provide detailed images of the affected area, helping to identify any abnormalities or complications.

  1. Hospital-based imaging center:
    • Cash price: $3,000 to $5,000
    • With insurance: Varies based on plan, typically subject to copay or deductible
    • Time: 30 minutes for scan, results typically in 1-2 days
  2. Outpatient imaging center:
    • Cash price: $300 to $525
    • With insurance: Varies based on plan, typically subject to copay or deductible
    • Time: 30 minutes for scan, results typically in 1-2 days
  3. OptimalMD:
    • CT scan is heavily discounted with OptimalMD membership.

Ultrasound

Ultrasound imaging can be useful in assessing soft tissue swelling and identifying potential abscesses.

  1. Hospital-based imaging center:
    • Cash price: For neck ultrasound, $418 to $863
    • With insurance: Varies based on plan, typically subject to copay or deductible
    • Time: 30-60 minutes, results often immediate
  2. Outpatient imaging center:
    • Cash price: Starting from $134 (may vary based on specific area being imaged)
    • With insurance: Varies based on plan, typically subject to copay or deductible
    • Time: 30-60 minutes, results often immediate
  3. OptimalMD:
    • Ultrasound is heavily discounted with OptimalMD membership.

Summary Table: Diagnostics

Test TypeSeverity LevelProviderPrice Without InsurancePrice With InsuranceEfficiency
CBCMild to SevereLabCorp$199 (general health test)Varies1-2 days
CBCMild to SevereQuest Diagnostics$29Varies1-2 days
CBCMild to SevereOptimalMDHeavily discountedN/A1-2 days
CT ScanModerate to SevereHospital$3,000 - $5,000Varies1-2 days
CT ScanModerate to SevereOutpatient Center$300 - $525Varies1-2 days

Note: Prices may vary based on location and specific circumstances. Insurance costs typically involve copays or deductibles and can vary significantly based on individual plans.

Prescription Medications

Prescription medications play a crucial role in treating lymph node inflammation behind the ear, especially for moderate to severe cases. The choice of medication depends on the severity of the condition and the underlying cause. Let's explore the common prescription medications used, their costs, and various payment options.

Oral Antibiotics

Oral antibiotics are often prescribed for moderate cases of lymph node inflammation, particularly when a bacterial infection is suspected.

  1. Augmentin (Brand name for amoxicillin-clavulanate)
  • Cash price: $101 for a typical course
  • With insurance: $45-$75 copay (covered by 79% of insurance plans)
  • With discount card (e.g., SingleCare): As low as $11.02 for 20 tablets of the generic version
  • Free with OptimalMD membership
  1. Generic Amoxicillin-Clavulanate
  • Cash price: $20-$86 for a typical course, depending on dosage
  • With insurance: Often covered with a lower copay than the brand name version
  • With discount card (e.g., SingleCare): As low as $7 for 20 tablets
  • Free with OptimalMD membership

Time: 7-14 day course for both brand name and generic versions.

Stronger Pain Relievers

For cases with significant pain, stronger pain relievers may be prescribed.

  1. Vicodin (Brand name for hydrocodone-acetaminophen)
  • Cash price: Around $142 for a bottle of 100 pills
  • With insurance: Typically covered with a copay, amount varies by plan
  • With discount card: Prices may be lower, but vary by provider
  • Heavily discounted with OptimalMD membership
  1. Generic Hydrocodone-Acetaminophen
  • Cash price: $19.45-$26 for a typical course
  • With insurance: Often covered with a lower copay than the brand name version
  • With discount card (e.g., SingleCare): As low as $9 for 12 tablets
  • Heavily discounted with OptimalMD membership

Time: As needed, typically prescribed for 3-5 days for both brand name and generic versions.

IV Antibiotics

For severe cases that require hospitalization, IV antibiotics may be necessary.

  • Cash price: $50 to $150 per day, plus additional costs for dose preparation (average $9.09 per dose)
  • With insurance: Typically covered, but patient may be responsible for deductible and coinsurance
  • Heavily discounted with OptimalMD membership

Time: Administered in hospital, duration varies based on the severity of the condition and response to treatment.

It's important to note that the cost of IV antibiotics can vary significantly depending on the specific antibiotic used, the duration of treatment, and the hospital's pricing structure. Always consult with your healthcare provider and insurance company for more accurate cost estimates.

Summary Table: Prescription Medications

MedicationSeverity LevelPrice without InsurancePrice with InsuranceEfficiency
Augmentin (Brand)Moderate$101 for typical course$45-$75 copay7-14 days
Amoxicillin-Clavulanate (Generic)Moderate$20-$86 for typical courseLower copay than brand7-14 days
Vicodin (Brand)Moderate-Severe$142 for 100 pillsVaries by plan3-5 days as needed
Hydrocodone-Acetaminophen (Generic)Moderate-Severe$19.45-$26 for typical courseLower copay than brand3-5 days as needed
IV AntibioticsSevere$50-$150 per day + preparation costsCovered, patient pays deductible/coinsuranceVaries, hospital stay required

Note: All medications listed are free or heavily discounted with OptimalMD membership at $47 per month for the entire family.

Over-the-Counter Treatments

Over-the-counter (OTC) treatments are often the first line of defense for mild to moderate cases of lymph node inflammation behind the ear. These treatments are generally affordable and easily accessible, making them a cost-effective option for many patients. Let's explore the two main categories of OTC treatments: pain relievers and warm compresses.

Pain relievers

Pain relievers are essential for managing discomfort associated with lymph node inflammation. The two most common types are acetaminophen and ibuprofen, available in both brand-name and generic forms.

1. Acetaminophen (e.g., Tylenol)

Brand name (Tylenol):

  • Tylenol Extra Strength Caplets (500 mg): $10.84 - $10.97 for a 100-count bottle ($0.11 per caplet)
  • National average price: $7.56 for a 100-tablet bottle
  • With SingleCare coupon: As low as $2.52 for a 100-tablet bottle
  • Suppliers and prices:
    • CVS: $10.99 for 100-count bottle
    • Walgreens: $11.99 for 100-count bottle
    • Walmart: $9.98 for 100-count bottle

Generic acetaminophen:

  • National average price: $3.16 (as of 2021)
  • 500 mg extra strength caplets: $15.49 for 600 caplets ($0.026 per caplet)
  • Suppliers and prices:
    • CVS: $7.49 for 100-count bottle
    • Walgreens: $6.99 for 100-count bottle
    • Walmart: $4.00 for 100-count bottle

2. Ibuprofen (e.g., Advil)

Brand name (Advil):

  • Advil Tablets (200 mg):
    • 50 tablets: $9.49 ($0.19 per tablet)
    • 100 tablets: $10.99 ($0.11 per tablet)
    • 200 tablets: $21.99 ($0.11 per tablet)
  • Suppliers and prices:
    • CVS: $11.99 for 100-count bottle
    • Walgreens: $10.99 for 100-count bottle
    • Walmart: $9.98 for 100-count bottle

Generic ibuprofen:

  • National average price: $13.39 for 30 tablets (800 mg)
  • Discounted price with SingleCare: $2.37 for 30 tablets (800 mg)
  • Over-the-counter (200 mg) prices:
    • Rite Aid: $1.99 for 100 tablets
    • CVS: $8.49 for 100 tablets
    • Walgreens: $5.99 for 100 tablets
    • Walmart: $1.98 for 100 tablets

When using insurance, many plans cover OTC pain relievers with a prescription from a doctor. Check with your insurance provider for specific coverage details.

Warm compresses

Warm compresses are a simple and cost-effective treatment for lymph node inflammation. They can be made at home using household items, making them essentially free.

  • Cost: Minimal, using household items such as a clean washcloth and warm water
  • Time: Apply for 10-15 minutes, several times daily
  • Efficiency: Immediate application, results may be noticed within 1-2 days of consistent use

To make a warm compress:

  1. Soak a clean washcloth in warm (not hot) water
  2. Wring out excess water
  3. Apply gently to the affected area behind the ear
  4. Repeat several times a day as needed

Summary Table: OTCs

ModalitySeverity LevelPrice Without InsurancePrice With Insurance/DiscountEfficiency
Tylenol (acetaminophen)Mild to Moderate$7.56 - $10.97 (100 tablets)As low as $2.52 with couponFast-acting, 4-6 hours duration
Generic acetaminophenMild to Moderate$3.16 - $7.49 (100 tablets)May be covered with prescriptionFast-acting, 4-6 hours duration
Advil (ibuprofen)Mild to Moderate$9.98 - $11.99 (100 tablets)May be covered with prescriptionFast-acting, 4-6 hours duration
Generic ibuprofenMild to Moderate$1.98 - $8.49 (100 tablets)As low as $2.37 for 30 tablets (800mg) with couponFast-acting, 4-6 hours duration
Warm compressMild to ModerateMinimal (household items)N/AImmediate application, results in 1-2 days

In conclusion, over-the-counter treatments offer affordable and easily accessible options for managing mild to moderate lymph node inflammation behind the ear. Generic pain relievers tend to be the most cost-effective, while warm compresses provide a nearly free option for symptom relief. Patients should consult with a healthcare provider to determine the most appropriate treatment plan for their specific condition.

Procedures

Surgical drainage is typically reserved for severe cases of lymph node inflammation behind the ear, particularly when there's abscess formation or when conservative treatments have failed. Here's a detailed breakdown of the procedure, its costs, and providers:

Surgical Drainage Procedure

Surgical drainage involves making a small incision to drain pus or fluid from the inflamed lymph node. This procedure is usually performed under local anesthesia in an outpatient setting, though in some cases, general anesthesia may be required.

Costs and Providers

Let's look at the costs for surgical drainage from various providers across the United States:

  • MedExpress Urgent Care (Multiple locations across the US)
    • Cash price: $199 (for general urgent care visit, specific procedure cost may vary)
    • With insurance: Varies based on insurance plan
    • Efficiency: High (same-day service often available)
  • UCLA Health (Los Angeles, CA)
    • Cash price: Variable, contact for specific pricing
    • With insurance: Varies based on insurance plan
    • Efficiency: Moderate (may require scheduling)
  • Mayo Clinic (Rochester, MN)
    • Cash price: Variable, use Cost Estimator Tool for specific pricing
    • With insurance: Varies based on insurance plan
    • Efficiency: High (renowned for efficient, high-quality care)

National Average

The national average cost for surgical drainage of a lymph node can vary widely depending on the complexity of the procedure and the facility where it's performed. Based on the limited data available, we can estimate:

  • Cash price range: $500 - $3,000
  • With insurance: $100 - $1,000 (after deductible, varies greatly by plan)

Additional Considerations

  1. Anesthesia costs: These may be billed separately and can add $200 - $1,000 to the total cost.
  2. Facility fees: If the procedure is performed in a hospital setting rather than an outpatient clinic, additional facility fees may apply.
  3. Follow-up visits: Post-procedure check-ups may incur additional costs.

Discount Options

  1. Cash pay discounts: Many facilities offer discounts for paying in cash, sometimes up to 30% off the listed price.
  2. Payment plans: Some providers offer interest-free payment plans to help spread the cost over time.
  3. Discount cards: Services like GoodRx or SingleCare may offer discounts on related prescription medications.

Efficiency

The surgical drainage procedure itself typically takes 30-60 minutes. Recovery time varies but most patients can return home the same day. Full recovery usually takes 1-2 weeks.

Summary Table: Procedures

ModalitySeverity LevelPrice Without InsurancePrice With InsuranceEfficiency
Surgical DrainageSevere$500 - $3,000$100 - $1,000*High

*After deductible, varies by plan

This table provides a quick overview of the surgical option for severe cases of lymph node inflammation behind the ear, including the general price range and efficiency. Remember that actual costs can vary significantly based on location, provider, and individual circumstances.

Optimizing for Cost

When seeking to optimize the cost of treating lymph node inflammation behind the ear, consider the following strategies for each severity level:

Mild cases:

  • Self-diagnosis and home treatment are the most cost-effective options.
  • Use generic over-the-counter pain relievers like acetaminophen or ibuprofen.
  • Apply warm compresses using household items.
  • If symptoms persist, opt for a virtual doctor consultation rather than an in-person visit.

Moderate cases:

  • Start with a virtual doctor consultation to determine if an in-person visit is necessary.
  • If prescribed antibiotics, always ask for generic options when available.
  • Request blood tests only if deemed absolutely necessary by your healthcare provider.
  • Consider urgent care centers instead of emergency rooms for non-life-threatening situations, as they often have lower costs.

Severe cases:

  • While emergency care may be necessary, consider urgent care first if the condition allows.
  • Ask about outpatient IV antibiotic treatment options to avoid costly hospital stays.
  • Inquire about payment plans or financial assistance programs if procedures like surgical drainage are required.
  • For follow-up care, opt for virtual consultations when possible to reduce costs.

By focusing on these cost-saving measures, patients can manage their lymph node inflammation behind the ear more affordably while still receiving appropriate care. Remember to always prioritize health over cost when symptoms are severe or persistent.

Optimizing for Efficiency

When seeking the most efficient treatment for lymph node inflammation behind the ear, the goal is to achieve quick diagnosis and effective treatment while minimizing time spent on medical visits and recovery. Here are the most efficient approaches for each severity level:

Mild Cases

  1. Start with a virtual doctor consultation for quick assessment
  2. Use over-the-counter pain relievers and warm compresses immediately
  3. Follow up virtually if symptoms don't improve within 48-72 hours

Moderate Cases

  1. Schedule an in-person doctor visit as soon as possible
  2. Complete any necessary blood tests on the same day as the visit
  3. Begin prescribed antibiotics immediately, using a pharmacy with same-day pickup or delivery
  4. Use stronger pain relievers as needed to manage symptoms quickly

Severe Cases

  1. Go to the emergency room for immediate evaluation
  2. Undergo CT scan or ultrasound during the ER visit
  3. Receive IV antibiotics on-site if necessary
  4. If surgical drainage is required, aim for same-day or next-day procedure

General Efficiency Tips

  • Choose healthcare providers with on-site imaging and laboratory services
  • Opt for urgent care centers for moderate cases if they offer faster appointments than primary care physicians
  • Use telemedicine follow-ups when possible to save time on in-person visits
  • Select pharmacies that offer drive-through or delivery services to minimize wait times

By following these efficiency-focused strategies, patients can minimize the time from initial symptoms to resolution, reducing the overall impact on their daily lives and potentially preventing complications from delayed treatment.

Balancing Cost and Efficiency

When treating lymph node inflammation behind the ear, finding the right balance between cost-effectiveness and efficiency is crucial for optimal care. Here's a breakdown of recommended approaches for each severity level:

Mild Cases:

  • Diagnosis: Start with self-diagnosis or a virtual doctor consultation
  • Treatment: Over-the-counter pain relievers and warm compresses
  • Follow-up: Virtual check-in after a few days if symptoms persist

This approach minimizes costs while providing quick relief for most mild cases. If symptoms don't improve, progress to an in-person visit.

Moderate Cases:

  • Diagnosis: In-person doctor visit
  • Imaging/Labs: Basic blood tests if deemed necessary
  • Treatment: Generic oral antibiotics and over-the-counter pain relievers

This balanced approach ensures proper diagnosis and treatment without unnecessary expensive tests or medications. The in-person visit allows for a thorough examination while keeping costs reasonable.

Severe Cases:

  • Diagnosis: Emergency room visit
  • Imaging/Labs: Blood tests and an ultrasound (less expensive than CT scan)
  • Treatment: IV antibiotics, possibly followed by oral antibiotics
  • Procedure: Surgical drainage only if absolutely necessary

For severe cases, prioritizing quick and effective treatment is essential. While an ER visit is more expensive, it provides immediate care. Opting for ultrasound over CT scan when possible can help reduce costs without compromising diagnostic accuracy.

By tailoring the approach to each severity level, patients can receive appropriate care that balances cost considerations with the need for efficient and effective treatment. Always consult with healthcare providers to determine the best course of action for individual circumstances.

Conclusion

In conclusion, the cost of treating lymph node inflammation behind the ear can vary significantly depending on the severity of the condition and the chosen treatment approach. This article has provided a comprehensive overview of the different severity levels, diagnostic methods, imaging and laboratory tests, medications, and procedures involved in treating this condition.

We've explored various options for diagnosis, ranging from self-diagnosis to emergency room visits, and discussed the associated costs and time investments for each. Additionally, we've outlined the potential imaging and laboratory tests that may be required, along with prescription medications, over-the-counter treatments, and surgical procedures for more severe cases.

By presenting strategies for optimizing treatment plans based on cost, efficiency, or a balance of both, we aim to help patients make informed decisions about their care. It's important to remember that while cost is a significant factor, the most appropriate treatment should always be determined in consultation with a healthcare professional.

Ultimately, understanding the range of options available for treating lymph node inflammation behind the ear empowers patients to actively participate in their healthcare decisions. By balancing considerations of cost, efficiency, and medical necessity, individuals can work with their healthcare providers to develop a treatment plan that best suits their needs and circumstances.

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Jeff brings to Buoy over 20 years of clinical experience as a physician assistant in urgent care and internal medicine. He also has extensive experience in healthcare administration, most recently as developer and director of an urgent care center. While completing his doctorate in Health Sciences at A.T. Still University, Jeff studied population health, healthcare systems, and evidence-based medi...
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