You walk into a sleek medical office, and something feels different. No crowded waiting room. No rushing.
If you’re considering concierge doctor los angeles services or anywhere else, you’re probably wondering what actually happens during that first appointment.
Here’s the real story behind those 90 minutes that could change how you think about healthcare.
The Welcome Experience That Sets the Tone
Your first concierge medicine appointment doesn’t start like a typical doctor visit. You’ll likely arrive to find a calm, spa-like environment where the receptionist knows your name.
Most concierge practices limit their patient load to 300-600 patients compared to the 2,000-3,000 patients traditional doctors manage.
The intake process begins the moment you walk in. You’re not filling out endless paperwork on a clipboard.
Instead, a health coordinator sits with you to review your medical history, current concerns, and health goals. This person becomes your point of contact throughout your journey.
Your Medical History Gets the Detective Treatment
During the first 30 minutes, your concierge doctor reviews every detail of your health story. They’re not skimming through your file while you talk.
Instead, they’re actively listening and asking follow-up questions that regular doctors simply don’t have time for.
| Traditional Doctor Visit | Concierge Doctor Visit |
| 15-20 minutes total | 60-90 minutes minimum |
| Limited medical history review | Complete health story analysis |
| Basic vital signs | Comprehensive health assessment |
You’ll discuss family medical history, lifestyle factors, stress levels, sleep patterns, and nutrition habits. Your doctor wants to understand not just your symptoms, but why you might be experiencing them.
Advanced Diagnostics Beyond Basic Tests
Here’s where concierge medicine really shines. Your doctor might order tests that traditional practices rarely provide during routine visits. These can include:
Comprehensive blood panels that check for vitamin deficiencies, hormone levels, inflammatory markers, and metabolic indicators. Some practices offer same-day results through on-site laboratories.
Body composition analysis using advanced equipment that measures muscle mass, body fat percentage, and metabolic rate. This isn’t your typical scale reading.
Cardiovascular screening might include an EKG, stress testing, or advanced imaging depending on your risk factors and age.
The goal isn’t to run unnecessary tests. Your doctor explains exactly why each test matters for your specific situation.
Creating Your Personal Health Blueprint
The final 30 minutes focus on building your personalized health optimization plan. This isn’t a generic handout about eating vegetables and exercising more.
Your concierge doctor considers your work schedule, family responsibilities, food preferences, and realistic lifestyle changes.
If you travel frequently for business, they’ll create strategies that work in hotels and airports. If you hate gyms, they’ll find movement options you actually enjoy.
Your plan includes specific, measurable goals with timeline expectations. You might receive recommendations for sleep optimization, stress management techniques, or nutritional adjustments based on your test results.
The Technology Integration
Most concierge practices use patient portals where you can access test results, message your doctor directly, and track health metrics. Some provide wearable devices or apps that sync with your medical records.
You’ll typically receive a detailed summary of your appointment within 24 hours, including your personalized plan, test results interpretation, and next steps.
Follow-Up Strategy That Actually Works
Your concierge doctor schedules regular check-ins based on your needs, not insurance requirements. Some patients need monthly support during health transitions, while others thrive with quarterly visits.
The practice often includes same-day or next-day appointments for urgent concerns. Many doctors provide direct phone access or secure messaging for questions between visits.
Cost Reality and Value Assessment
Annual concierge medicine fees typically range from $1,500 to $5,000, depending on services included. Some practices charge additional fees for tests and procedures, while others include everything in the annual fee.
| Service Level | Annual Cost Range | Typical Inclusions |
| Basic Concierge | $1,500 – $2,500 | Extended appointments, direct access |
| Comprehensive | $3,000 – $5,000 | All basic services plus advanced testing |
| Executive | $5,000+ | Complete wellness programs, specialist coordination |
The value comes from prevention rather than reaction. Early detection and lifestyle optimization often prevent expensive health crises down the road.

Making the Most of Your Investment
Your concierge doctor relationship works best when you actively participate. Come prepared with questions, track your symptoms or energy levels, and follow through on recommendations. This isn’t passive healthcare where you show up and expect magic.
Set realistic expectations for your health goals. Sustainable changes take time, and your concierge doctor is there for the long journey, not quick fixes.
The 90-minute first appointment sets the foundation for a healthcare relationship that prioritizes your individual needs over insurance requirements or time constraints. You’re paying for personalized attention, advanced diagnostics, and a doctor who actually has time to listen.
Frequently Asked Questions
What makes a concierge doctor different from a regular doctor?
Answer: A concierge doctor limits their patient load to a few hundred people, offering longer visits, direct communication, and personalized care instead of rushing through short, insurance-driven appointments.
What happens during the first concierge doctor appointment?
Answer: Your first appointment lasts 60–90 minutes and includes a full health history review, advanced diagnostics, and a customized health optimization plan tailored to your lifestyle and goals.
How much does a concierge doctor cost?
Answer: Concierge doctor fees range from $1,500 to $5,000 per year, depending on the level of service and diagnostic testing. Some plans include advanced labs, fitness tracking, and 24/7 access to your physician.
What kind of tests do concierge doctors offer?
Answer: They may offer comprehensive blood panels, body composition analysis, and cardiovascular screenings that go far beyond standard primary care visits to detect potential issues early.
Is a concierge doctor worth the investment?
Answer: Yes, if you value preventive, personalized healthcare and want a doctor who spends time understanding your full health picture. The focus is on long-term wellness rather than quick fixes.

