Joshi Pediatric Rheumatology

New patients start with a First Evaluation visit priced at $750. This is a one-time fee for an up-to-90-minute telemedicine consultation with Dr. Joshi. It includes medical records review, precision diagnostic planning, lab coordination, and four weeks of post-visit support. After the first follow-up visit, families may join the Membership Program at $550 per month or continue with as-needed follow-up visits at $500 each.

The Membership Program costs $550 per month with a six-month minimum commitment. Paying annually includes one month free. Members receive direct access to Dr. Joshi via phone, secure text, email, and telemedicine, with responses within 48 business hours. Membership also covers same- or next-day lab result review, cash-priced lab access, mobile phlebotomy coordination, evidence-based supplement guidance with up to a 30% discount, personalized nutrition recommendations, school nurse coordination, and home injection and infusion support.

Joshi Pediatric Rheumatology operates on a direct-care payment model and does not bill insurance for membership fees or visit costs. The practice offers access to cash-priced labs at rates significantly lower than insurance-based pricing. For families with insurance, Dr. Joshi can assist with pharmacy coordination and prior authorization support as part of the membership.

New patients do not need a referral to schedule with JPR. Families can contact the practice directly through the website. Dr. Joshi also offers a free introductory video visit for prospective families to ask questions and explore whether JPR is the right fit before committing to the First Evaluation.

Yes. Telemedicine is central to how JPR delivers care. Dr. Joshi offers same- or next-day virtual visits to families throughout Nevada and Arizona. New patient evaluations run up to 90 minutes, and follow-up visits run up to 60 minutes. Membership includes priority access to same- or next-day telemedicine visits up to 45 minutes when clinically appropriate.

Yes. Dr. Joshi makes house calls within a 25-mile radius of Las Vegas City Center for families in the Las Vegas metro area. Each house call includes a comprehensive physical exam and mobile joint ultrasound, with the scan, interpretation, and written report all included. House calls cost $500 per visit.

Musculoskeletal ultrasound lets Dr. Joshi examine joints for inflammation directly at your home during a house call. The procedure is completely painless, requires no IV or sedation, and produces immediate results. Dr. Joshi holds RhMSUS certification, which means he performs, interprets, and reports each scan himself. This technology often eliminates the need for MRI with sedation in young children.

Direct Specialty Care means families communicate directly with Dr. Joshi without insurance intermediaries or administrative gatekeepers. The model prioritizes relationship over transaction, with ongoing access between visits rather than care limited to scheduled appointments. Dr. Joshi describes it as value over volume and access over bureaucracy.

Members reach Dr. Joshi directly by phone, secure text, email, or telemedicine, with responses within 48 business hours. The practice coordinates with primary care providers, specialist teams, school nurses, and educational teams on behalf of the family. Dr. Joshi also provides lab result review as soon as results arrive, and supports home-based injections and infusions when needed.

Yes. Care coordination is a core part of how JPR operates. Dr. Joshi works directly with primary care providers, other specialists, school nurses, and educational teams. This comprehensive coordination helps ensure that everyone involved in your child's care stays aligned and informed.