DPC Directory

Six Years in Direct Primary Care: Hiring an RN, Fighting Misinformation, and DPC Finances

My DPC Story · with Lauren Hughes, MD · October 4, 2026

In short

Dr Mutch said in the episode that an RN could do a triage visit and report back, and could do hospital rounds for patients. She said the physicians usually stacked somewhere in a range of 150 to 200 patients each. Dr Mundkur said she started her pricing at $35 a month to get people in. Dr Hughes said she had not taken new patients since 2022 or 2023 besides siblings.

Key points

  • Dr Mutch said the RN could do a triage visit and report back, and could do hospital rounds for patients.
  • Dr Mutch said the physicians were usually stacking somewhere in a range of 150 to 200 patients each.
  • Dr Mundkur said she started at $35 a month to get people in.

    I started like $35 a month, ridiculously low just to at least get people in
    — Deepti Mundkur, MD, guest on My DPC Story, October 4, 2026. Listen at 51:52
  • Dr Hughes said she had not taken new patients since 2022 or 2023 besides siblings.

    I haven't taken new patients in since- 2022 or 2023 besides siblings.
    — Lauren Hughes, MD, guest on My DPC Story, October 4, 2026. Listen at 18:11

Chapters

  1. 1:25 Year six updates
  2. 3:35 Adding an RN
  3. 8:47 Panel size per physician
  4. 12:04 Hiring and staff handbook at Bloom
  5. 26:51 Countering misinformation
  6. 44:08 Finances and starting small
  7. 51:52 Pricing changes
  8. 55:38 Protecting personal time

The guest's practice

Bloom Pediatrics and Lactation, Kansas City, KS · Lauren Hughes