After the apparently standard hour and twenty minute wait, my two-minute interaction with the actual medical staff was normal and uneventful. The administration of this practice, on the other hand, is beyond shocking. Imagine if Donald Trump ran a medical office.This practice's disregard for its patients' time and the front desk staff's ineptitude are issues, but the offense prompting this Yelp review is what I consider their billing department's baffling and exceedingly unprofessional handling of a minor dispute about their inability to process a very simple insurance claim (over and over and over and over and over again - for months). They had a dozen chances to fix this and make things right with their patient in respect of a very simple matter, but exhibited little interest in doing so, despite clearly being in the wrong (in my opinion). Furthermore, in my opinion, they have a very complicated relationship with what most of us would consider facts and objective truth. Given the large number of Yelp reviews documenting the same types of issues I experienced, I can't understand how this practice hasn't been disciplined by state regulatory authorities tasked with rooting out violations of medical ethics/professional standards and failure to abide by applicable laws (or just stunning incompetence and failure to supervise, if that accounts for what's going on here). To elaborate on this complaint, in my personal experience and opinion, this practice's billing department and administrative representatives were variously imperious, indifferent, dishonest, obstinate, spiteful, and last but not least, very bad at filing accurate and error-free insurance claims. The straw that broke the camel's back in favor of making a public fuss about this is their threat to refer a coinsurance payment of less than $20 to collections less than a week after mailing a bill for the first time in what I believe was an act of retaliation for demanding that they competently and efficiently process an insurance claim in respect of which I was owed a refund.Yelp's a great forum for warning the public about businesses like this, but what would be even better is if everyone who believes they have been victimized by this practice in some way or another reported their experience to one of two state regulatory agencies that exist precisely to field complaints of this nature. These agencies need information about what happened to you to be in a position to hold this practice accountable for what it's doing.If you have a routine BILLING dispute with this practice and the practice refuses to work with you to solve the issue quickly and constructively, the New York State Attorney General's Medical Bureau stands ready to intervene on your behalf. Their contact details are as follows:1-800-428-9071ag.ny.gov/bureau/health-…If you have a MEDICAL ETHICS OR PROFESSIONAL CONDUCT complaint, this is handled by the NY Office of Professional Medical Conduct. Hypothetical examples of things that might warrant reporting to the Office of Professional Medical Conduct if they happened to you include:* Being forced to undergo an unwanted and/or unnecessary medical test or procedure, against your will (for example, if a practice's receptionists forced you to submit to a random pregnancy test every time you visited your doctor, just because, and then this was billed to your insurance) *A practice billing your insurance for services that were not provided*A practice billing your insurance for services that were deliberately upcoded to increase claim compensation*Having your privacy violated when practice staff research you on social media or complain about you to external parties who then research you on social media*A practice's administrative staff targeting patients with vindictive and highly unprofessional behavior if patients complain about the practice's lack of professionalism or otherwise annoy or challenge them (for example, sending a text and robocall threatening to refer a de minimis coinsurance payment a patient owed the practice to a collection agency if payment was not received within hours, even though the related bill had only been mailed to the patient for the first time less than a week earlier and full payment was in the mail) *Deliberately lying to state regulators and fabricating falsehoods to deflect blame Contact details for the New York State Office of Professional Medical Conduct (OPMC) are as follows:1-800-663-6114health.ny.gov/profession…Even if your doctor or other medical professional did not personally engage in behavior along the lines of what's listed above, they're ultimately responsible for administration of the business and patient interactions and can be held responsible for continued failure to rectify severe and pervasive issues of this nature. This type of complaint could be filed under "failure to supervise".