For primary care practices
Medicare wellness visits, without the extra work.
We book your patients who are due, do the prep before they arrive, and have a licensed clinician read each whole chart for anything that was missed. You see the patient for a few minutes and bill Medicare as usual.
Annual wellness visit
Margaret L., 72
- ✓Health questionnaire
- ✓Routine labs back
- ✓Whole chart read
Worth a look
Kidney function has dropped on her last three checks, 68 to 51. Nothing about it in the chart yet. Suggest a repeat test and a urine check at this visit.
Signed by our clinician
Your time at the visit
8 min
$138 to $174
what Medicare pays for each wellness visit in 2026
Fewer than 1 in 3
eligible patients get one in a given year
5 to 10 minutes
of your time per visit when we do the prep
How it works
We do the work around the visit. You do the visit.
- 1
We find who is due
You share a list of your Medicare patients. We see who is due for a wellness visit, call them, and book them into your schedule.
- 2
We do the prep
Before the visit we go through the health questionnaire with the patient by phone, order routine labs under your name, and read the whole chart.
- 3
You see the patient
Everything is ready when you walk in. The visit takes 5 to 10 minutes of your time, in the office or by video.
- 4
You bill as usual
The visit and the claim are yours. We send one invoice a month, a flat fee for each visit completed.
What makes it different
A careful read of the whole chart, for every patient.
Our software goes through years of notes and results, and a licensed clinician checks what it finds. You get a short signed note on anything that looks missed or never followed up. What to do about it is always your call.
Lab values drifting the wrong way with no diagnosis on file
A specialist's advice that never made it into the plan
Medicines that no longer fit the latest results
Abnormal results that were never repeated
Working with us
Simple to start, simple to stop.
Nothing to install
We work from what you send us. No new system for your staff to learn.
No long contract
Month to month. Stop whenever you want.
A flat fee per visit
Agreed up front. Never a share of what you bill.
Your patients stay yours
You make every decision. We never contact patients about anything else.
Questions
What practices ask us
- Who is the clinician reading the charts?
- A clinician licensed in your state. Their name and license are on every note they sign.
- How do you see our charts?
- Through whatever is easiest for you: read-only access to your records system, or exports your staff send. We sign a business associate agreement before we see anything.
- Is this allowed?
- Yes. You stay the provider of record and bill the visit yourself. We charge a fixed fee per completed visit, never a percentage, which keeps the arrangement simple and compliant.
- What does it cost?
- The first 20 visits are free, so you can judge the work before paying anything. After that, a flat fee per completed visit that we agree on together, well below what Medicare pays you for it.
- We are paid a fixed amount per patient. Does this still help?
- Yes. Problems found early are cheaper than problems found in the emergency room, and the visits count toward your quality measures.
Get started
Start with 20 patients, free.
Tell us a little about your practice. We reply within one business day to set up a 15-minute call.
Prefer email? tomo@thousandhealth.com
Medicare 2026 national rates: G0438 $174.35 (first visit), G0439 $137.61 (later visits); actual payment varies by location. Share of eligible patients with a wellness visit: 18 to 32 percent across published studies. Example patient shown is illustrative.