Precision Medicine & Genomics
Advanced genetic testing and precision diagnostics that reveal what conventional medicine misses. Attracting patients nationwide.
Our Most Sought-After Program
Uncover What Conventional Medicine Misses
Our Precision Medicine & Platinum Executive Health Programs attract people to Ann Arbor from all over the country and all walks of life. People enrolling in these programs usually have complex and puzzling symptoms, or they seek the most advanced, genomics-based preventative strategies available.
Using cutting-edge genetic testing, functional labs, and biotoxin panels, we build a complete picture of your health at the molecular level — then create a personalized protocol designed specifically for your unique genetic makeup.
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See Precision Medicine in Action
Watch Dr. Boggess and our team explain how precision medicine works, what to expect as a new patient, and how genetic insights transform your care.
Precision Medicine — New Patients
A comprehensive overview of the new patient process at our precision medicine clinic, from initial paperwork to customized treatment plans.
Dr. Boggess Reviews Labs with a Patient
Watch Dr. Boggess explain complex medical, nutritional, and genetic test results including neurotransmitter levels, methylation, and detoxification pathways.
Using Genetic Polymorphisms to Solve Medical Puzzles
Learn how analyzing your unique genetic variations can help identify root causes of health problems and guide personalized treatments.
Is Precision Medicine Right for You?
You have complex, puzzling symptoms that haven't been resolved
You want the most advanced preventative health strategies
You're seeking genomics-based treatment protocols
You've been told 'everything looks normal' but still feel unwell
You want to understand your genetic predispositions
You're a motivated patient seeking executive-level care
Program Options
Choose the program level that matches your health goals and complexity of your condition.
New Patient Bundle
$2,195
All of the following visits & items are included:
- New Patient Planning Visit with physician (40 min)
- Medical Intake & Comprehensive Health History Review (60 min)
- Phlebotomy — blood draw for lab orders
- In-Office Diagnostics (Vitals, VCS, Phase Angle, Brain Assessment)
- Full Physical Exam with physician (90 min)
- Genetic assessment & genomic analysis
- Personalized treatment protocol & clinical course plan
- Patient education sessions with Health Educator
Not Included in the Bundle:
- ✕Individual lab tests & lab processing fees
- ✕Lab review appointments ($450/hr, billed separately)
- ✕Future follow-up visits ($160–$230 per visit)
- ✕Supplements, nutraceuticals & products
Not all services in the New Patient Process qualify for insurance reimbursement or have super bill codes associated.
Get StartedPlatinum Executive Program
$675/hr
- Everything in New Patient Bundle
- Executive-level one-on-one care
- Priority scheduling & access
- Advanced genomic deep-dive
- Ongoing physician collaboration
- Concierge-level support
Lab Reviews
$450 per hour
Once you have completed all New Patient visits and your In-Office Physical Exam, our doctors and clinical team will teach you how to interpret your labs and genetics and will develop a treatment plan specific to your needs.
All test results will be fully explained, summarized, and dictated, and you will be given a copy of all reports and dictations. At the completion of your Lab Review sessions you should have a full understanding of your current state of health, genetic predispositions, and the clinical course planned.
Please Note: The Lab Review appointments are NOT included in the New Patient Bundle and vary from patient to patient. For budgeting purposes, most patients complete the process within 2 (sometimes 3), 1-hour visits.
Follow-Up Visits
$160 – $230 per visit
Follow-Up Schedule
After completing all lab and genomics reviews, the time frame and hourly rates switch to our standard follow-up fee schedule. These visits are generally 20–30 minutes every 3–12 weeks, depending on the protocol. The standard fee schedule for these visits ranges from $75 to $230 per visit, based on the type of visit: doctor, physician assistant (PA-C), or health educator (MHE).
Why We Follow Up Frequently
Our team follows up frequently because your improvements are dynamic and changing — our nutraceuticals have to be equally dynamic and changing. The supplements that are ideal for you initially may be harmful later. Likewise, nutritional supplementation for too long can be more harmful than the original deficiencies being treated. Therefore, we work intensively, follow up closely, and adjust protocol instructions frequently in partnership with our patients.
Determining Length of Treatment
We work closely with most Precision Health participants for 1.5 to 3 years, depending on the complexity of the situation. You will receive a written summary of your overall clinical course planned and estimated time frame after your Genomics Review (typically the last lab review visit).
Our goal is to rehabilitate your health. The nutraceuticals/supplements we prescribe are not meant to be taken long term. They are given in an aggressive yet careful and systematic way for a predetermined timeframe before moving to other protocols. The order in which things are rehabilitated, and the degree to which a reliable foundation is laid, is the key to our success!
Out-of-State & Overseas Clients
Consultation required prior to enrollment
Many people come to us from outside of Michigan. In such cases, we customize the New Patient Bundle based on the complexity of the situation, and whether or not you are traveling from out-of-state or overseas. A required 30-minute phone meeting ($240) with the doctor is the first step to solidifying your decision to work with our clinic.
Many of the initial medical and education visits associated with the New Patient Bundle are done via phone and videoconference. However, please keep in mind that all enrolled patients must be seen at least once in person at our clinic.
Thereafter, all future follow-up visits can be done via phone or videoconference. We are set up for video screen sharing and work with our out-of-state and overseas patients efficiently and effectively, and we ship all testing materials and products from our office to your home reliably.
Insurance & Billing Process
Billing codes, super-bills, and insurance information for the Precision Medicine program.
Natural Balance Wellness Medical Center is out-of-network for ALL insurances. We are happy to provide you with an itemized superbill for every qualified encounter with the appropriate codes to submit to your insurance for reimbursement to you directly. However, please understand that we cannot guarantee you will be reimbursed.
For your reference, we have included the codes and pricing we use for the New Patient Bundle and follow-up visits, phone consults, etc. to assist you with checking with your insurance company ahead of time if you wish.
At Natural Balance, we bill based on decisions, complexity and relative value rather than time. The times noted below for follow-up visits include preparation and post-counseling with the nurse or clinical assistant, as well as direct collaboration with our clinicians.
New Patient Precision Program Billable Codes
NOTE: Not all services associated with the New Patient Process qualify for reimbursement or have super bill codes associated. These services have not been included below.
| Code | Description | Amount |
|---|---|---|
| 98011 | New Patient Visit (Planning - 40 min). Not billable when used as a consult | $295 |
| 98011 | Medical Intake/Chart Review (60 min) | $450 |
| 36415/G0001 | Phlebotomy | $65 |
| 36415 | Diagnostics (Vitals, VCS, Phase Angle, Brain Assessment) | $165 |
| 99215-99417 | Physical Exam (90 min) | $675 |
NOTE: The New Patient Visits DO NOT include any testing, visits to review labs, or future follow up appointments.
Visits to Review Labs (example of a 90-minute Lab Review appointment)
| Code | Description | Amount |
|---|---|---|
| 99215 | Medical Office Visit | $450 |
| 99417 | Medical Office Visit - extra time (if needed) | $225 |
Dr. Follow-Up Visits (In-Office/Video)
| Code | Description | Amount |
|---|---|---|
| 99215, 99417 | Comprehensive Planning or Lab Visit, Level 5 | $450 |
| 99215, 99417 | Extended Planning or Lab Visit, Level 5 | $345 |
| 99214 | Basic Planning or Lab Visit, Level 4 | $230 |
| 99213 | Follow Up, Level 3 | $160 |
| 99212 | Simple, Level 2 | $105 |
Dr. Follow-Up Visits (Phone)
| Code | Description | Amount |
|---|---|---|
| 99443, 99417 | Comprehensive Planning or Lab Visit, Level 5 | $450 |
| 99443, 99417 | Extended Planning or Lab Visit, Level 5 | $345 |
| 99443 | Basic Planning or Lab Visit, Level 4 | $230 |
| 99442 | Follow Up, Level 3 | $160 |
| 99441 | Simple, Level 2 | $105 |
How We Determine Visit Type
| Visit Type | Description |
|---|---|
| Simple | Check-up on a particular protocol without further instructions or decisions. Patient or staff requested a simple visit to solve a problem that cannot be solved by a clinical assistant without a doctor. This also includes DBS follow-up visits. |
| Follow Up | Review response to existing protocol, troubleshoot if needed, update Review of Systems (ROS), provide and explain next steps, answer questions. |
| Basic Planning or Lab Visit | Multilevel decision making required. Creating a new ROS. If re-testing, 1 or 2 simple labs are reviewed, explained and documented. Wrapping up a previous protocol, establishing and explaining a new protocol, etc. |
| Extended Planning or Lab Visit | Same as Level 4, but more extended / higher complexity. If re-testing, 1 complex, multi-page lab OR multiple simple labs reviewed, explained and documented. |
| Extensive Planning or Lab Visit | Same as Level 5 Extended, but more extensive / higher complexity / more time spent. Typically used when reviewing and documenting multiple labs OR re-establishing care. This level is rare for established patients. |
Billing Process
As a medical center, it is our sincere intention that your visit be recognized by insurance AND qualify for reimbursement based on your out-of-network benefits. Our clinic's ability to provide superbills for your visit and utilize insurance for testing is why we are able to save patients thousands of dollars compared to other practices run by limited-license clinicians such as chiropractors, naturopathic doctors, acupuncturists, etc.
That said, we are unable to guarantee that your insurance will reimburse your visits, nor can we project how much reimbursement you might receive.
View Full Insurance & Practice Policies →Take the First Step
Call us to determine if Precision Medicine is right for you, or request an appointment to get started.