Practice News

July 31, 2026
MPA would like to announce that we are introducing walk in availability for our established Patients. You may now be seen by walk in appointment for acute concerns! We are tying to make our clinic more accessible to you and your family and this is another way we are doing that. 
July 31, 2026
Dear Parents, Midland Pediatric Associates’ clinicians are committed to your child’s health and wellness. We work together closely to create the best possible experience for your family. Our goal as an independent pediatric practice is to provide the BEST medical care in a personalized way. We are the starting point for any of your health concerns, focusing on prevention, the whole-child approach to treatment, and coordination of care with specialists if needed. However, the many changes in the healthcare landscape have created a challenge for private practices – where physicians and their staff are required to spend increasing time on tasks that are not paid for by health insurance – such as phone calls, insurance authorizations, electronic prescriptions, controlled substance regulations, form completion, letters to school and coordination of care with specialists. To focus on patient care and allow our clinicians to stay independent, we now charge an annual fee to cover these non-reimbursable administrative tasks and services. This is above and beyond your customary insurance payment for services rendered. Unfortunately, your insurance will NOT pay these fees. When you come to our office, you will only be seen by a board-certified Pediatrician or Nurse Practitioner. We have many urgent care appointments available each day and strive to see each patient who calls for a sick visit within 24 hours, given our walk-in hours. Keeping our patients healthy is our top priority, and we strive to make your experience with us as compassionate, kind, and stress-free as possible.  You have undoubtedly noticed that medical insurance premiums have been increasing annually, which, in turn, has caused the reimbursement to our practice from insurers to decrease each year and the costs of running the practice to increase each year substantially. The administrative fee schedule will be: Family with one child: $100/year Family with two children: $125/year Family with three (or more) children: $150/year The yearly fee is due by December 31. This must be paid to have your children continue as patients of MPA. Please be advised that payment of the administrative fee does NOT relieve you of responsibility for payment of co-payments, deductibles, co-insurance, or other charges determined to be non-covered by your insurance plan and is NON -Refundable. Please understand that we are not making this decision without careful thought. We value each of our families and their children and appreciate being entrusted with their care. We believe this charge will allow us to continue delivering the same high level of care as we have for the last 35 years. Sincerely, Wayne L. Sager, MD