Palmetto Internal Medicine & Primary Care

About Palmetto Internal Medicine & Primary Care

What is Palmetto Internal Medicine & Primary Care?

Palmetto Internal Medicine & Primary Care is an independent internal medicine and primary care practice at 300 W Butler Rd in Mauldin, SC. Its main work is primary care for adults: physicals, sick visits and urgent care, and ongoing care for conditions such as diabetes, high blood pressure and COPD. Weight management and testosterone replacement therapy are two of the services it lists, alongside Men's Health, Women's Health, Telehealth and lab services on site.

Five providers are listed as prescribers: Dr. Balasubramanyam Krishniah, MD, who is board certified in internal medicine and says he has practiced in the upstate for 30+ years; Alicia Ruhland, DNP; Nicole Kizer, FNP; Erica Noone, FNP; and Zachary Fuchs, PA-C. The clinic does not say which of them handles weight loss or hormone care. Its weight loss page stays general. In its own words: "Other options for weight loss could be through prescription weight loss drugs." Google lists the practice at 3.5 from 86 reviews. The office is open Monday through Thursday from 8:00 am to 5:00 pm, Friday from 8:00 am to 1:00 pm, and closed on weekends.

What does it cost?

It does not publish prices for weight management, hormone therapy or visits, and it does not list a consultation fee. It asks people to call for pricing options. It does not say whether weight loss medication is included in any fee, and it does not say whether it accepts insurance for these services.

Ask for the full cost in writing before you book. That means the first visit, any monthly program price, the medication, lab work and follow-up visits. A price quoted over the phone may leave those out.

What should you ask before you book?

Start with who prescribes. Ask which of the five providers will manage your weight loss medication or testosterone therapy, and whether you will see that same person at follow-up visits. Then ask what the medication is. The clinic does not name its weight loss drugs, so ask for the exact name and whether it is a brand name drug or a compounded one. Ask whether the monthly fee includes the medication or whether the drug is billed on top.

Next, ask about the rest of the bill. Ask whether hormone therapy requires lab work, what that costs, and how often follow-up visits are charged. Ask whether the practice bills insurance for any of these services or takes cash only. Its website has a Billing and Insurance link, but it does not say whether weight loss care or hormone therapy is covered. The services list includes Telehealth, but it does not say which states it covers, so ask where you would need to be located for a remote visit. Finally, ask how to cancel or pause care and whether that carries a fee.

Who is it a good fit for?

This is a good fit if you want weight management or testosterone therapy from a practice that also handles your blood pressure, diabetes or other ongoing conditions, and you are willing to get prices and medication details in writing before you commit. It is a weaker fit if you want a cash only clinic that publishes its fees and names its medications up front.

Sources: palmettoim.com, palmettoim.com/weight-loss, palmettoim.com/services

Services Offered

Location