I was satisfied with my medical care. The problem stems from unethical billing practices. Specifically, my last visit with Dr Agnich was two years ago and after two years, I received a cryptic hand-written bill in the mail. The untimely nature of the bill called into question (at least in my mind) its validity and accuracy. The bill was difficult to understand and my calls to the billing clerk ended up in rude responses and "hang ups" on the part of the billing clerk. When my wife then called up about the bill about three weeks after we had originally received it, the response from the billing clerk was that it had been "sent to collection." An outdated billing system, rude billing clerk, untimely payment processing, and policies which send three week old bills to "collection" eroded my trust in this doctor and the office in general. Save yourself unnecessary aggravation and go elsewhere for medical services.