My greatest complaint with Dr. Rickter is that each year you go you must go thru an Assembly Line of tests before seeing the doctor. For ten years my tests were unchanged; however, she refused to see me for the one annual screening I do need unless I go thru the expensive battery of tests. It is obviously a money making gimmick to put each patient thru $ 500.00 worth of tests when their history is uneventful and routine. Beware.