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What is the cost of treating chlamydia in males?

Chlamydia is one of the most common sexually transmitted infections in men, and understanding the costs associated with its treatment is crucial for those seeking care. This comprehensive guide aims to demystify the financial aspects of treating chlamydia in males, from diagnosis to recovery. We'll explore various severity levels of the infection, break down the costs of different diagnostic methods, tests, medications, and treatment options, and provide time estimates for each step of the process. Whether you're concerned about potential exposure, experiencing symptoms, or simply want to be informed, this article will equip you with the knowledge to make cost-effective decisions about your healthcare. We'll also discuss strategies for optimizing treatment plans based on both cost and efficiency, helping you navigate the healthcare system with confidence. By the end of this guide, you'll have a clear understanding of what to expect when seeking treatment for chlamydia, both medically and financially.
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Written by Andrew Le, MD.
Medically reviewed by
Last updated August 27, 2024

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Severity Levels of Chlamydia (Male)

Chlamydia in males can present with varying degrees of severity, ranging from asymptomatic infections to severe cases with complications. Understanding these severity levels is crucial for proper diagnosis and treatment. Let's explore the three main severity levels:

Asymptomatic Infection

  • Symptoms: None
  • Risk factors: Unprotected sexual activity, multiple partners
  • Diagnosis: Routine screening or partner notification
  • Tests: Urine test or swab
  • Treatment: Oral antibiotics

Asymptomatic infections are common in males with chlamydia, making regular screening essential for sexually active individuals. Despite the lack of symptoms, these cases still require treatment to prevent transmission and potential complications.

Mild to Moderate Infection

  • Symptoms: Burning sensation during urination, discharge from penis
  • Risk factors: Same as asymptomatic
  • Diagnosis: In-person or virtual doctor visit
  • Tests: Urine test or swab, possibly additional STD screening
  • Treatment: Oral antibiotics, possibly symptom relief medications

Mild to moderate infections present with noticeable symptoms, prompting individuals to seek medical attention. Early diagnosis and treatment at this stage can prevent the progression to more severe infections.

Severe Infection or Complications

  • Symptoms: Testicular pain, fever, pelvic pain
  • Risk factors: Delayed treatment, compromised immune system
  • Diagnosis: Emergency room visit or urgent care
  • Tests: Urine test, swab, blood tests, possibly imaging
  • Treatment: Oral or intravenous antibiotics, additional medications for complications

Severe infections or complications require immediate medical attention. These cases may result from delayed treatment or occur in individuals with weakened immune systems. Prompt and aggressive treatment is necessary to prevent long-term complications.

Summary Table: Severity Levels

Severity LevelCharacteristicsDiagnosisLabs/ImagingTreatment
AsymptomaticNo symptoms; Risk factors include unprotected sex, multiple partnersRoutine screening or partner notificationUrine test or swabOral antibiotics
Mild to ModerateBurning urination, penile discharge; Same risk factors as asymptomaticIn-person or virtual doctor visitUrine test or swab; Possible additional STD screeningOral antibiotics; Possible symptom relief medications
Severe or ComplicatedTesticular pain, fever, pelvic pain; Risk factors include delayed treatment, compromised immune systemEmergency room or urgent care visitUrine test, swab, blood tests; Possible imagingOral or IV antibiotics; Additional medications for complications

Understanding these severity levels helps healthcare providers determine the most appropriate course of action for diagnosis and treatment, ensuring the best possible outcomes for patients with chlamydia.

Getting a Diagnosis

Getting an accurate diagnosis is the first step in treating chlamydia in males. There are several options available, ranging from at-home testing to emergency room visits. Let's explore each option in detail, including costs and time estimates.

At-home testing kit

At-home testing kits offer a convenient and private way to test for chlamydia. Here are some popular options:

  1. EverlyWell
    • Cash price: $169.00
    • Insurance: Not typically covered by insurance
    • FSA/HSA eligible: Yes
    • Time: 3-5 days for results
  2. myLAB Box
    • Cash price: $79.00
    • Insurance: Not typically covered by insurance
    • FSA/HSA eligible: Yes
    • Time: 2-5 days for results
  3. OptimalMD
    • Cost: Free with OptimalMD membership ($47/month for the entire family)
    • Time: 3-5 days for results

Virtual doctor consultation

Virtual consultations offer a convenient way to speak with a healthcare provider without leaving your home.

  1. Teladoc
    • Cash price: $89 per visit
    • With insurance: $0-$89 per visit (depending on your plan)
    • Time: 15-30 minutes for consultation, 1-2 days for test results
  2. MDLive
    • Cash price: $82 for urgent care
    • With insurance: $0-$82 (depending on your plan)
    • Time: 15-30 minutes for consultation, 1-2 days for test results
  3. OptimalMD
    • Cost: Free with OptimalMD membership
    • Time: 15-30 minutes for consultation, 1-2 days for test results

In-person doctor visit

For those who prefer face-to-face interactions, an in-person doctor visit is a good option.

  1. Primary Care Physician
    • Cash price: $75-$300 (average $171)
    • With insurance: $25-$44 copay (average)
    • Time: 30-60 minutes for visit, 1-3 days for test results
  2. Urgent Care Center
    • Cash price: $100-$150
    • With insurance: Varies by plan, typically a copay of $35-$100
    • Time: 30-60 minutes for visit, 1-3 days for test results
  3. OptimalMD
    • Cost: Free with OptimalMD membership
    • Time: 30-60 minutes for visit, 1-3 days for test results

Urgent care or emergency room visit

For severe symptoms or complications, an urgent care or emergency room visit may be necessary.

  1. Urgent Care Center
    • Cash price: $100-$200 (average)
    • With insurance: $20-$50 copay (typical)
    • Time: 1-2 hours for visit, same-day results possible
  2. Emergency Room
    • Cash price: $623-$3,087 (average $1,220)
    • With insurance: Average $1,082 (subject to deductibles and copays)
    • Time: 2-4 hours for visit, same-day results possible
  3. OptimalMD
    • Cost: Free with OptimalMD membership for virtual urgent care
    • Note: For severe cases requiring in-person emergency care, OptimalMD cannot replace an ER visit
    • Time: 15-30 minutes for virtual consultation

Summary Table: Assessment Options

ModalityAppropriate Severity Level(s)Price without InsurancePrice with InsuranceEfficiency
At-home testing kitAsymptomatic, Mild$79-$169Not typically covered3-5 days
Virtual consultationAsymptomatic, Mild$82-$89$0-$8915-30 min + 1-2 days
In-person doctor visitMild, Moderate$75-$300$25-$44 copay30-60 min + 1-3 days
Urgent care visitModerate$100-$200$20-$50 copay1-2 hours + same day
Emergency room visitSevere$623-$3,087$1,082 average2-4 hours + same day

This table provides a quick overview of the different diagnostic options, their appropriate use cases, costs, and efficiency. It's important to note that the OptimalMD option offers a unique pricing model that can be particularly cost-effective for families or individuals requiring frequent medical attention.

Imaging and Laboratory Tests

When it comes to diagnosing and managing chlamydia in males, several imaging and laboratory tests may be necessary. The type and extent of testing often depend on the severity of the infection and any potential complications. Let's explore the common tests, their costs, and efficiency.

Urine Test

A urine test is the most common and non-invasive method for diagnosing chlamydia in males.

  • LabCorp: $89 (cash price)
  • Quest Diagnostics: $99 (cash price), with an additional $79 for at-home testing if available
  • OptimalMD: Free with OptimalMD membership

With insurance, these tests are often covered, especially if ordered by a physician. Some patients may only need to pay a copay, typically ranging from $10 to $50, depending on their insurance plan.

Efficiency: Results are usually available within 1-3 days.

Swab Test

For more accurate results or in cases where a urine test isn't suitable, a swab test may be performed.

  • LabCorp: $169 (cash price)
  • Quest Diagnostics: Starting at $49 for individual tests, or $199 for comprehensive STD packages (cash price)
  • OptimalMD: Heavily discounted with OptimalMD membership

Insurance coverage for swab tests is similar to urine tests, with patients typically responsible for a copay.

Efficiency: Results are usually available within 1-3 days.

Blood Tests

Blood tests may be necessary for detecting complications or screening for additional STDs.

  • LabCorp: $199 (cash price)
  • Quest Diagnostics: $269 (cash price)
  • OptimalMD: Heavily discounted with OptimalMD membership

Insurance often covers these tests when deemed medically necessary. Patients may be responsible for a copay or a percentage of the cost, depending on their plan.

Efficiency: Results typically available within 1-3 days.

Ultrasound

In severe cases or when complications are suspected, an ultrasound may be necessary.

As we couldn't get specific pricing for ultrasounds from these providers, it's worth noting that testicular ultrasound costs can vary widely depending on the facility and location. Generally, they can range from $200 to $1000 or more.

  • RadNet: Contact directly for pricing
  • SimonMed Imaging: Contact directly for insurance-specific pricing
  • OptimalMD: Heavily discounted with OptimalMD membership

Insurance coverage for ultrasounds can vary. Many plans will cover a portion of the cost if the test is deemed medically necessary, but patients may be responsible for a copay or coinsurance.

Efficiency: The procedure typically takes 30-60 minutes, with results often available the same day or within 1-2 days.

Summary Table: Diagnostics

ModalitySeverity LevelPrice without InsurancePrice with InsuranceEfficiency
Urine TestAll levels$89-$99Copay ($10-$50)1-3 days
Swab TestAll levels$49-$199Copay ($10-$50)1-3 days
Blood TestsModerate to Severe$199-$269Copay or % of cost1-3 days
UltrasoundSevere$200-$1000+Copay or % of costSame day to 2 days
OptimalMDAll levels$47/month for familyN/AVaries by test

Note: All tests are either free or heavily discounted with OptimalMD membership, which costs $47 per month for the entire family.

Prescription Medications

When treating chlamydia in males, several prescription antibiotics are commonly used. The choice of medication may depend on factors such as the severity of the infection, patient allergies, and antibiotic resistance patterns. Here, we'll explore the most common options, their costs, and how to obtain them efficiently.

Azithromycin (Zithromax)

Azithromycin is often the first-line treatment for chlamydia due to its convenience and effectiveness.

  • Brand name: Zithromax
  • Generic name: Azithromycin

Cost for a typical single-dose treatment (1 gram):

  • Cash price: Around $47 for a full treatment course
  • With discount card: As low as $9-$10 for a full treatment course
  • With insurance: Copay typically ranges from $0-$45, depending on your plan
  • OptimalMD: Free with OptimalMD membership

Time: Single dose treatment

Doxycycline

Doxycycline is another common treatment for chlamydia, typically prescribed as a 7-day course.

  • Brand names: Vibramycin, Oracea, Monodox
  • Generic name: Doxycycline

Cost for a typical 7-day treatment course (100 mg twice daily):

  • Cash price: Around $84 for a 7-day course (14 tablets)
  • With discount card: Can be as low as $20-$30 for a 7-day course
  • With insurance: Copay typically ranges from $0-$50, depending on your plan
  • OptimalMD: Free with OptimalMD membership

Time: 7-day course

Alternative Antibiotics

For patients with allergies or in cases of antibiotic resistance, alternative antibiotics may be prescribed.

  1. Erythromycin

Cost for a typical 7-day course of erythromycin for chlamydia treatment:

  • Cash price: Around $160-$340 for 30 tablets
  • With discount card: Can be as low as $50-$80 for a 7-day course
  • With insurance: Copay typically ranges from $0-$60, depending on your plan
  • OptimalMD: Free with OptimalMD membership

Time: 7-day course

  1. Levofloxacin

Cost for a typical 7-day course of levofloxacin for chlamydia treatment:

  • Cash price: Around $40-$60 for a 7-day course (7 tablets of 500 mg)
  • With discount card: Can be as low as $10-$20 for a 7-day course
  • With insurance: Copay typically ranges from $0-$50, depending on your plan
  • OptimalMD: Free with OptimalMD membership

Time: 7-day course

It's important to note that while these medications are generally effective in treating chlamydia, the exact cost and availability may vary depending on your location, pharmacy, and insurance coverage. Always consult with your healthcare provider to determine the most appropriate and cost-effective treatment option for your specific situation.

Summary Table: Prescription Medications

MedicationSeverity LevelPrice Without InsurancePrice With InsuranceEfficiency
AzithromycinMild to Moderate$47 (cash) / $9-$10 (discount card)$0-$45 copayHigh (single dose)
DoxycyclineMild to Severe$84 (cash) / $20-$30 (discount card)$0-$50 copayMedium (7-day course)
ErythromycinMild to Severe (alternative)$160-$340 (cash) / $50-$80 (discount card)$0-$60 copayMedium (7-day course)
LevofloxacinMild to Severe (alternative)$40-$60 (cash) / $10-$20 (discount card)$0-$50 copayMedium (7-day course)
Any of the above with OptimalMDAllFree with membershipN/AVaries by medication

Note: All medications listed are free with OptimalMD membership ($47/month for the entire family).

Over-the-Counter Treatments

Over-the-counter (OTC) treatments can help manage symptoms associated with chlamydia in males, particularly discomfort during urination. While these medications do not treat the infection itself, they can provide relief while waiting for antibiotics to take effect. Here are some common OTC options:

Pain relievers (e.g., ibuprofen, acetaminophen)

  1. Ibuprofen
    • National average price: $0.05 - $0.25 per tablet
    • Suppliers and prices:
      • Walmart: $4.28 for 200 tablets (2.1¢ per tablet) to $7.52 for 48 tablets (15.7¢ per tablet)
      • CVS Pharmacy: $5.59 for 24 tablets (23.3¢ per tablet) to $26.79 for 300 tablets (8.9¢ per tablet)
    • Insurance: Typically not covered by insurance as it's an OTC medication
    • Discount cards: May offer slight savings, but prices are generally already low
    • Time: Take as needed for pain relief; effects usually last 4-6 hours
  2. Acetaminophen
    • National average price: $0.10 - $0.30 per tablet
    • Suppliers and prices:
      • Various pharmacies: $10 for 6 tablets of 500 mg ($1.67 per tablet)
      • Amazon: $14.65 for 600 caplets ($0.02 per tablet)
    • Insurance: Typically not covered by insurance as it's an OTC medication
    • Discount cards: GoodRx coupon can bring the price down to $3.15 for extra strength tablets
    • Time: Take as needed for pain relief; effects usually last 4-6 hours

Urinary pain relief medications (e.g., Pyridium)

Pyridium (phenazopyridine)

  • National average price without insurance: $50.11
  • Suppliers and prices:
    • Various pharmacies: $476.44 for 100 tablets of 100 mg ($4.76 per tablet)
    • Various pharmacies: $17 for 6 tablets of 200 mg ($2.83 per tablet)
  • Insurance: May be covered by some insurance plans; check with your provider
  • Discount cards: Can significantly reduce the price; always compare with cash prices
  • Time: Take as directed, typically 3 times a day; relief usually occurs within 24 hours

It's important to note that while these OTC treatments can provide symptom relief, they do not cure chlamydia. Always use these medications in conjunction with prescribed antibiotics and follow your healthcare provider's instructions.

When purchasing OTC medications, consider the following tips to optimize costs:

  • Compare prices between different pharmacies and online retailers
  • Look for generic versions, which are often significantly cheaper
  • Buy in bulk for frequently used items like ibuprofen or acetaminophen
  • Use discount cards or coupons, but always compare with cash prices
  • Check if your flexible spending account (FSA) or health savings account (HSA) can be used for these purchases

Remember, while managing symptoms is important, the primary focus should be on treating the underlying chlamydia infection with prescribed antibiotics.

Summary Table: OTCs

ModalityAppropriate Severity Level(s)Price Without InsurancePrice With InsuranceEfficiency
IbuprofenAll levels$0.05 - $0.25 per tabletNot typically covered4-6 hours of relief
AcetaminophenAll levels$0.10 - $0.30 per tabletNot typically covered4-6 hours of relief
PyridiumMild to Moderate$2.83 - $4.76 per tabletMay be covered, varies by planRelief within 24 hours

Procedures

While chlamydia in males typically doesn't require surgical procedures, in rare cases of severe complications, a drainage of epididymal abscess might be necessary. This procedure is generally only performed when there's a significant complication from untreated or severe chlamydia infection.

Drainage of Epididymal Abscess

This procedure is typically performed in a hospital or outpatient surgical center setting. The national average cost for draining an epididymal abscess is approximately $906. However, the actual cost can vary significantly depending on your location, the facility, and your insurance coverage.

Here's a breakdown of what you might expect:

  • Procedure Duration: Typically 30-60 minutes
  • Recovery Time: 1-2 weeks, with follow-up appointments as needed

Costs and Providers:

  • National Average: $906
  • With Insurance: Costs can vary widely depending on your plan. Expect to pay your deductible and possibly a co-insurance amount. This could range from a few hundred dollars to the full price if you haven't met your deductible.
  • Without Insurance: You may be able to negotiate a cash price with the provider, which could be lower than the full charge.

To give you a better idea of the price variations, let's look at some specific providers:

  • Mayo Clinic, Rochester, MN: The cost varies depending on whether you're paying cash or using insurance. For an accurate estimate, you'll need to use their Cost Estimator Tool or contact their Patient Estimating Service directly.
  • UCLA Health, Los Angeles, CA: While the exact cost for this specific procedure isn't provided, similar abscess drainage procedures in California typically range from $439 to $734.

It's important to note that these prices are for the procedure itself and may not include additional costs such as:

  • Anesthesia fees
  • Facility fees
  • Pre-operative tests
  • Post-operative medications
  • Follow-up visits

To get the most accurate cost estimate, it's best to contact the healthcare provider directly and provide details about your specific situation and insurance coverage.

Summary Table: Procedures

ModalitySeverity LevelPrice Without InsurancePrice With InsuranceEfficiency
Drainage of Epididymal AbscessSevere (rare complication)$906 (National Average)Varies (deductible + co-insurance)30-60 min procedure, 1-2 weeks recovery

Remember, this procedure is rarely needed for chlamydia treatment in males. Most cases can be effectively treated with antibiotics, which are much less invasive and costly. Always consult with a healthcare provider for the most appropriate treatment plan for your specific situation.

Optimizing for Cost

When considering the most cost-effective approach to treating chlamydia in males, it's important to balance affordability with proper care. Here are some strategies for optimizing costs at each severity level:

Asymptomatic Infection

  • Use at-home testing kits for routine screening
  • Opt for virtual consultations if follow-up is needed
  • Choose generic antibiotics when prescribed

Mild to Moderate Infection

  • Consider telehealth options for initial consultation
  • Utilize local health department clinics for low-cost testing and treatment
  • Ask for generic medications to reduce prescription costs
  • Use over-the-counter pain relievers for symptom management

Severe Infection or Complications

  • Start with urgent care centers instead of emergency rooms when possible
  • Inquire about outpatient treatment options to avoid hospitalization costs
  • Discuss generic alternatives for all prescribed medications
  • Ask about payment plans or financial assistance programs

General cost-saving tips:

  • Check if your insurance covers STD testing and treatment
  • Compare prices of different healthcare providers and pharmacies
  • Look for coupons or discount programs for prescribed medications
  • Consider preventive measures, such as condom use, to avoid future treatment costs

By focusing on early detection, utilizing telemedicine when appropriate, and opting for generic medications, patients can significantly reduce the overall cost of chlamydia treatment while still receiving effective care. Remember, delaying treatment to save money can lead to more severe infections and higher long-term costs, so it's crucial to address the infection promptly while using these cost-optimization strategies.

Optimizing for Efficiency

When it comes to treating chlamydia in males, efficiency can be crucial for preventing complications and reducing transmission risk. Here are strategies for optimizing treatment efficiency at each severity level:

Asymptomatic Infection

  1. Use at-home testing kits for routine screening
    • Fastest option for those without symptoms
    • Results typically available in 3-5 days
    • Can initiate treatment quickly upon positive result
  2. Opt for virtual doctor consultations for prescription
    • Eliminates need for in-person visit
    • Can often get same-day appointments
    • Prescription sent directly to pharmacy

Mild to Moderate Infection

  1. Choose urgent care centers for rapid testing and treatment
    • Often offer walk-in appointments
    • Can typically provide same-day testing and results
    • Immediate prescription if positive
  2. Request expedited partner therapy (EPT) where legal
    • Allows treatment of partners without separate doctor visits
    • Reduces time to treat all affected individuals

Severe Infection or Complications

  1. Seek emergency room care for immediate attention
    • 24/7 availability
    • Rapid diagnostic testing and imaging
    • Immediate initiation of treatment, including IV antibiotics if necessary
  2. Coordinate follow-up care before leaving the hospital
    • Arrange necessary appointments in advance
    • Ensures continuity of care without delays

General Efficiency Tips

  1. Choose healthcare providers offering integrated services
    • Combines testing, diagnosis, and treatment in one location
    • Reduces time spent coordinating between different providers
  2. Utilize patient portals and telemedicine for follow-up
    • Allows quick communication with healthcare providers
    • Can often get test results and ask questions without additional appointments
  3. Consider local sexual health clinics specializing in STI treatment
    • Often have streamlined processes for STI testing and treatment
    • May offer extended or weekend hours for greater accessibility

By focusing on these efficiency-optimizing strategies, patients can receive prompt diagnosis and treatment for chlamydia, minimizing the risk of complications and further transmission. Remember, while efficiency is important, it should not come at the expense of thorough and appropriate medical care.

Balancing Cost and Efficiency

When it comes to treating chlamydia in males, finding the right balance between cost and efficiency is crucial. Here's a breakdown of the best strategies for each severity level:

Asymptomatic Infection

  1. Diagnosis: At-home testing kit
    • Offers a good balance of privacy, cost-effectiveness, and convenience
    • Allows for early detection without the need for a doctor's visit
  2. Treatment: Generic azithromycin
    • Single-dose treatment is both cost-effective and time-efficient
    • Can be obtained through telemedicine consultation to save time and money

Mild to Moderate Infection

  1. Diagnosis: Virtual doctor consultation with follow-up testing
    • Provides quick access to medical advice without the cost of an in-person visit
    • Allows for appropriate testing to be ordered efficiently
  2. Treatment: Generic doxycycline
    • Cost-effective option that's equally effective as brand-name medications
    • Seven-day course balances treatment efficacy with affordability
  3. Symptom management: Over-the-counter pain relievers
    • Inexpensive way to manage discomfort while antibiotics take effect

Severe Infection or Complications

  1. Diagnosis: Urgent care visit
    • More cost-effective than an ER visit while still providing prompt care
    • Allows for immediate testing and treatment initiation
  2. Testing: Comprehensive panel including urine test, swab, and basic blood work
    • Balances the need for thorough diagnosis with cost considerations
  3. Treatment: Combination of oral and intravenous antibiotics as prescribed
    • May be more expensive initially but can prevent costly complications
    • Efficient in addressing severe symptoms quickly
  4. Follow-up: Virtual doctor consultation
    • Cost-effective way to ensure treatment success without additional in-person visits

By following these balanced approaches, patients can receive timely and effective treatment for chlamydia while managing costs. It's important to remember that early detection and treatment are key to preventing complications and reducing overall healthcare expenses in the long run. Always consult with a healthcare provider to determine the most appropriate treatment plan for your individual situation.

Conclusion

Treating chlamydia in males is a manageable process, but costs can vary significantly depending on the severity of the infection and the chosen treatment approach. Key takeaways from this guide include:

  1. Early detection and treatment are crucial for both health outcomes and cost management. Regular screening can prevent complications and higher treatment costs.
  2. At-home testing kits and telemedicine consultations offer cost-effective and efficient options for diagnosis, especially for asymptomatic or mild cases.
  3. Generic antibiotics are typically just as effective as brand-name medications and can significantly reduce treatment costs.
  4. Most cases of chlamydia in males can be treated with a simple course of oral antibiotics, keeping costs relatively low compared to many other medical conditions.
  5. Insurance coverage can greatly impact out-of-pocket expenses. It's important to understand your policy and explore all available options.
  6. While cost is an important factor, it shouldn't compromise the quality or timeliness of care. Balancing cost-effectiveness with prompt and thorough treatment is essential.
  7. Prevention, through safe sex practices and regular check-ups, remains the most cost-effective strategy in the long run.

Remember, while this guide provides general information about the costs associated with treating chlamydia in males, individual circumstances may vary. Always consult with a healthcare provider for personalized medical advice and treatment recommendations. Prioritizing your health and seeking timely care can prevent more serious and costly complications in the future.

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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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