Concierge medicine began as a movement in the mid-1990s in California as a way to offer high net-worth individuals and their families enhanced access to high quality primary care. The fees range between $375 and $2,000 per patient per month, with some high-end practices charging up to $4,200 per patient per month ($50,000 per patient per year). Concierge practices also continue to bill insurance for individual visits.