In-Office Procedures in Fargo, ND: Minor Procedures at Wholesale Cost, Without a Specialist Referral
At Resurgent Health, Dr. Kristine Martens, DO brings more than a decade of full-scope Family Medicine to these in-office procedures. Board-certified and practicing in Fargo since 2013, she trained in the kind of hands-on primary care that historically handled minor surgery, injections, and diagnostic work under one roof. Aly Dahl, PA-C works alongside her for many of these visits.
Table of Contents
When Small Problems Need In-Office Procedures, Not a Specialist
Care that used to be routine
A stubborn skin tag, a wart that keeps coming back, an ingrown toenail, ear wax that has finally clogged your hearing, a knee that flares up every winter. Under insurance-based care, each of these can turn into a referral to a specialist, a separate copay, weeks of waiting, and a bill for supplies marked up several times over. Many patients tell us they simply put the problem off, or drove to urgent care, because it felt like too much effort for something so minor.
In-office procedures at Resurgent Health handle these concerns during your regular DPC visit. Dr. Martens or Aly Dahl assess the issue, walk you through options, and, when appropriate, treat it the same day. Supplies like sutures, cryotherapy canisters, injectable medications, or IUD devices are billed at true wholesale cost, not marked up. There is no separate procedure fee on top of your membership. You leave with the problem addressed and a plan for follow-up.
What Are In-Office Procedures And How They Work
In-office procedures are minor medical treatments performed by your primary care provider inside the clinic, with no hospital, surgical center, or specialist referral required. In our Direct Primary Care model they are covered under your membership visit time, with supplies passed through at wholesale cost. Full-scope family medicine has always included office-based procedures as part of continuity care, as the American Academy of Family Physicians describes.
Because DPC removes insurance billing, your visit is not capped at 15 minutes. Dr. Martens can dedicate 30 to 60 minutes to evaluate, explain your options, and often perform the procedure in the same appointment. Common examples include skin tag and wart removal, cryotherapy, joint and trigger-point injections, IUD placement, abscess drainage, ear-wax and ingrown-toenail care, and minor laceration repair. Most take 5 to 30 minutes of treatment time, and you return to normal activity the same day.
Treatment Timeline:
First Signs:
Immediate (for removals; days for injections to act)
Full Effect:
1 - 2 weeks (healing completes for most procedures)
Treatment Time:
30 - 60 minutes (unhurried visit, procedure included)
Recovery:
Same day (return to normal activity for most)
In-Office Procedures Treatment Areas
Benefits of In-Office Procedures at a DPC Clinic
Wide range of minor procedures in the comfort of our clinic, with personalized care, longer appointments, and no unnecessary specialist referrals
No Copay
Just your monthly DPC membership
Supply Cost
Wholesale price for injections or IUD devices
No Referral
Handled by your primary care provider
Scheduling
Members get in within 1-2 business days
Continuity
Your doctor performs the procedure and follows up
In-Office Procedures vs. Alternatives
Compare Your Options
| Treatment | Setting | Time to Appointment | Provider | Supply Cost | Downtime | Best For |
|---|---|---|---|---|---|---|
| In-Office Procedures at Resurgent Health | DPC primary care clinic | 1-2 business days | Your DPC physician | Wholesale, no markup | Minimal | Minor procedures with continuity |
| Specialist Referral | Specialist office | 2-8 weeks | New specialist | Marked up, per insurance | Varies | Complex or high-risk cases |
| Urgent Care | Walk-in urgent care | Same day, long wait | Rotating clinicians | Facility fee plus supplies | Minimal | Acute one-time issues |
| Hospital Outpatient Department | Hospital campus | Days to weeks | Hospital-employed team | Highest markup | Varies | Higher-acuity procedures |
Who Is a Good Candidate for In-Office Procedures?
In-office procedures at Resurgent Health are designed for Direct Primary Care members who need minor medical treatments handled efficiently, without a specialist referral or hospital visit. According to the National Institutes of Health, most minor procedures traditionally performed in primary care are low-risk and well suited to an office setting.
Ideal Candidates for In-Office Procedures
- DPC members with a minor skin, joint, ear, or surgical concern
- Patients who want continuity with their own primary care doctor
- Generally stable health with no active infection at the site
Who Should Wait or Consider Another Setting
- Anyone with an active, untreated infection in the treatment area
- Patients on high-dose blood thinners without prescriber input
- Cases needing sedation, general anesthesia, or imaging guidance
Honest Expectations About Results
- Most minor procedures are done in one visit with local anesthetic
- Healing time varies by procedure and site; we review it beforehand
- Complex or deeper cases are referred to the right specialist
If a procedure is beyond what is safe to perform in-office, Dr. Martens will say so directly and coordinate a referral. Learn more about our therapeutic injections and point-of-care testing as related in-clinic services.
What Happens During an In-Office Procedures Visit
Step-by-Step Process
Evaluation
Preparation
Procedure
Aftercare Review
Wholesale Billing
Risks and Side Effects
What to Know
Common Side Effects
Most in-office procedures are well tolerated. Expected effects include mild soreness, redness, minor bruising, or slight swelling at the treated area, typically resolving within 2 to 5 days. Joint and trigger-point injections may cause a temporary flare of discomfort for 24 to 48 hours before improvement.
Rare Complications
Uncommon complications, generally occurring in fewer than 1 to 2 percent of procedures, include local infection, delayed healing, hypopigmentation or scarring after skin procedures, and rare allergic response to local anesthetic. Joint injections carry a small risk of post-injection flare and, very rarely, joint infection.
Safety and Regulatory Oversight
Products used, including corticosteroid injectables, cryotherapy agents, and IUD devices, are FDA-cleared or approved for their labeled uses. According to the U.S. Food and Drug Administration, medical devices used in office-based procedures are regulated for safety and effectiveness. Dr. Martens completes ongoing training in office-based procedural care and follows written informed-consent protocols for each procedure.
In-Office Procedures Cost in Fargo
Pricing and Payment Options
For active Direct Primary Care members at Resurgent Health, the provider time for in-office procedures is included in your monthly membership. There is no separate procedure fee, no facility fee, and no insurance copay. You pay only for the supplies used, at true wholesale cost.
Wholesale Supply Cost Examples
Depending on the procedure, wholesale supply cost typically ranges from a few dollars to under one hundred dollars. Simple skin tag or wart removal usually falls at the low end, while IUD devices and injectable medications sit at the higher end. Exact pricing will be shared during your consultation based on the specific procedure and product.
How This Compares
Under traditional insurance-based care, the same minor procedure can carry a facility fee, a provider fee, and a marked-up supply charge, often totaling several hundred dollars after insurance adjustments. DPC members typically pay a fraction of that through Resurgent Health.
Membership and Payment
To access in-office procedures at DPC pricing, you must be an active Resurgent Health member. You can review current DPC pricing and enroll by asking Dr. Kristine Martens, DO during your next visit. Non-members are welcome to become established patients first.
Why Choose Resurgent Health for In-Office Procedures in Fargo
Dr. Kristine Martens, DO has practiced full-scope Family Medicine in Fargo since 2013 and helped develop the Fargo Family Medicine Residency in 2017, training the next generation of physicians in exactly this kind of hands-on procedural care.
Full-Scope Family Medicine
Dr. Martens is trained in the office-based procedures many primary care clinics no longer offer.
True Wholesale Pricing
Supplies passed through at cost, with the receipt available on request.
North Dakota's First DPC
Membership model built for continuity, transparency, and real time with your doctor.
Same-Visit Convenience
Many issues identified during a physical can be treated the same day.
No Rushed Referrals
Dr. Martens tells you directly if a procedure needs a specialist.
Continuity With Your Doctor
The same physician who knows your history performs the procedure.
Related Services in Fargo, ND
Other DPC services that pair well with in-office procedures.
Point-of-Care Testing
Rapid in-office tests with same-visit results so treatment can start the day you are seen.
- Members with sore throat, fever, or respiratory symptoms wanting a same-day answer
- Suspected UTI needing rapid urinalysis, or diabetes glucose and A1c checks
- Patients on warfarin needing periodic INR checks close to home
Therapeutic Injections
Vitamin and anti-inflammatory injections at wholesale cost
- Active DPC members with a confirmed B12 or vitamin D deficiency
- Patients with a localized joint flare, trigger point, or trigger finger
- Members needing short-term relief while pursuing longer-term care
Lab Work & Blood Tests
Comprehensive lab panels at direct-to-patient wholesale pricing for DPC members.
- Adults establishing baseline preventive screening (CBC, CMP, lipid, A1C)
- Members monitoring diabetes, thyroid disease, or high cholesterol
- Patients frustrated by unpredictable lab bills or high deductibles
Frequently Asked Questions About In-Office Procedures
Do I need a specialist referral for these procedures?
No. As a Resurgent Health DPC member, Dr. Martens or Aly Dahl, PA-C handles these minor procedures directly. If something is beyond office-based care, we will refer you and coordinate the handoff.
Does an in-office procedure cost extra on top of my DPC membership?
There is no separate procedure fee. Your membership covers the provider time. You pay only the true wholesale cost of the supplies used, itemized on your visit summary.
Do these procedures hurt?
Most are well tolerated. We use topical or injectable local anesthetic for anything more than a quick skin removal. You are in control of the pace, and we can pause anytime.
Can I combine a procedure with my regular visit?
Often, yes. If a skin tag or joint concern comes up during a physical or point-of-care testing visit, we can frequently treat it the same day. Certain procedures such as IUD placement are scheduled separately.
Do you take my insurance for these procedures?
Resurgent Health does not bill insurance. Membership fees and wholesale supply costs are paid directly. Many patients still keep insurance for hospital and specialist care, and use DPC for everything else.
How quickly can I be seen?
Members typically get in within 1 to 2 business days. Because our panel is smaller than an insurance-based practice, we can offer same-week or same-day appointments for most concerns.
Are there procedures you will not do in office?
Anything needing general anesthesia, deep sedation, imaging guidance, or a specialized surgical suite is referred out. Dr. Martens is clear about the line between safe in-office care and higher-acuity procedures.
Contact Us Today
Send us a message for more information - DPC membership, a discovery call, or any other service you'd like to ask about.
References
- PubMed (PMID: 26546656) - Analysis of Direct Primary Care practice distribution and cost across the United States shows lower per-patient costs and expanded access under the DPC model.
- PubMed (PMID: 38806267) - Family physicians functioning as proceduralists deliver a wide range of office-based procedures and reduce downstream specialist utilization for Medicare recipients.
- PubMed (PMID: 35125158) - Assorted office-based skin procedures including foreign body removal, cryotherapy, and electrosurgery are safe and effective in primary care settings.
- PubMed (PMID: 26490760) - Cochrane systematic review finds intra-articular corticosteroid injections provide meaningful short-term pain relief for knee osteoarthritis.
- American Academy of Family Physicians - Guidance on scope of procedural care within family medicine, including office-based minor procedures.
- U.S. Food and Drug Administration - Regulatory oversight of medical devices used in office-based procedures.