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Concierge Medicine · Functional Medicine · San Antonio

Healthcare Without Limits.

24/7 access to a triple board-certified physician who knows your name, your history, and your goals. In-person or virtual — your choice.

Triple Board-Certified 500+ Five-Star Reviews Same-Day Access
The Problem We Solve

This Isn't Healthcare — It's a Waiting Room.

The average doctor sees 40 patients a day. You deserve more than 7 minutes and a prescription pad.

Traditional Medicine
40 Patients Per DayYou're a number, not a person.
7-Minute VisitsBarely enough time to describe your symptoms.
3-Week Wait TimesNeed help now? Sorry, we're booked.
Symptom-Only TreatmentMask the problem, never find the cause.
No Follow-UpYou leave with questions and no answers.
VS
Prime Vitality Concierge
Limited Members OnlyYour doctor actually knows your name.
60-Minute Deep-Dive VisitsTime to listen, diagnose, and plan.
Same-Day AccessCall today, be seen today.
Root-Cause Functional MedicineFind it. Fix it. For good.
Continuous Personalized Care24/7 access. Always a text away.
Your Membership Includes

What's Included in Every Plan

Every concierge membership at Prime Vitality is a functional medicine concierge practice — not just primary care with a price tag.

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Direct physician phone access

24/7 Physician Access

Direct line to Dr. Goel — call, text, or email anytime.

No answering service, no call center. You get Dr. Goel's direct number. Health concerns don't follow business hours — neither do we. Reach your physician day or night for urgent questions, medication concerns, or peace of mind.

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Same-day doctor appointment

Same-Day Appointments

Need to be seen today? Done. No 3-week waits.

Because we limit our member panel, availability is never an issue. Most members are seen within hours of calling. Sick visits, urgent concerns, or routine follow-ups — your schedule, not ours.

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Deep dive medical consultation

60-Min Deep-Dive Visits

Real conversations. Real diagnosis. Not a 7-minute rush.

Every visit is a true consultation — 60 minutes minimum. We review your full history, examine root causes, discuss lifestyle factors, and build a personalized action plan. No rushed appointments, no feeling unheard.

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Executive health assessment

Executive Health Assessment

Comprehensive annual evaluation beyond standard physicals.

A thorough head-to-toe evaluation including advanced lab work, cardiovascular screening, metabolic assessment, and personalized health optimization roadmap. This is the physical your executive peers get — now available to you.

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Advanced laboratory panels

Advanced Lab Panels

50+ biomarkers tested — not the standard 12.

Standard bloodwork checks 10–15 markers. We test 50+ across hormones, metabolic health, inflammation, nutrient status, thyroid deep-dive, and cardiac risk. Because your health story is written in your biology.

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Functional medicine integration

Functional Medicine Integration

Root-cause medicine built into every membership.

This isn't a concierge add-on — functional medicine IS our concierge model. We combine cutting-edge diagnostics with nutrition, lifestyle, and targeted supplementation to find and fix the root cause, not just manage symptoms.

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Aesthetic treatment perks

Aesthetic Member Perks

Exclusive discounts on Botox, fillers, and skin treatments.

As a concierge member, you receive exclusive discounts on our full aesthetic menu — Botox, dermal fillers, laser treatments, skin rejuvenation, and more. Look as good as you feel, at preferred member pricing.

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Telehealth virtual visit

Telehealth Included

Virtual visits from anywhere — no extra charge.

Every membership includes unlimited telehealth visits. Whether you're traveling, at home, or just prefer the convenience — connect with Dr. Goel face-to-face via secure video. Same quality care, from anywhere.

Transparent Membership Pricing

Choose Your Membership

Three tiers designed for different needs — all powered by functional medicine. Pay annually and save.

Monthly
Annual Save Up to $599
Tier 1
Essentials
$199 /mo
$499 one-time initiation fee
  • Same-day & next-day visits
  • 24/7 direct physician access
  • 60-minute consultations
  • Basic wellness labs (annual)
  • Annual comprehensive physical
  • Telehealth visits included
  • Secure messaging portal
Get Started
Tier 2
Optimization
$349 /mo
$749 one-time initiation fee
  • Everything in Essentials
  • Comprehensive functional medicine labs
  • Personalized nutrition & supplement plan
  • 10% discount on all aesthetic services
  • Quarterly health optimization reviews
  • Advanced biomarker tracking (50+)
  • Lifestyle & longevity coaching
Choose Optimization
Tier 3
Prime Elite
$599 /mo
$1,499 one-time initiation fee
  • Everything in Optimization
  • Executive physical with advanced imaging
  • 2 IV therapy sessions per month
  • 20% discount on all aesthetic services
  • Priority scheduling — always first
  • Up to 2 family members included
  • Concierge specialist coordination
Join Prime Elite
FeatureEssentialsOptimizationPrime Elite
24/7 Direct Physician Access
Same-Day Appointments
60-Minute Visits
Telehealth Visits
Annual Physical
Basic Wellness Labs
Comprehensive Functional Medicine Labs
Personalized Nutrition Plan
Advanced Biomarker Tracking (50+)
Quarterly Optimization Reviews
Aesthetic Service Discount10%20%
Executive Physical + Imaging
IV Therapy Sessions (2/mo)
Priority Scheduling
Family Members (up to 2)
Specialist Coordination
Monthly Price$199/mo$349/mo$599/mo
Initiation Fee$499$749$1,499
How We Compare

Not All Concierge Medicine Is Equal

See how Prime Vitality's functional medicine concierge practice stacks up against traditional medicine and direct primary care (DPC).

CategoryTraditional MedicineDirect Primary CarePrime Vitality Concierge
Visit Length7–12 minutes30 minutes60+ minutes
After-Hours AccessNone (ER only)Limited24/7 Direct Line
Lab TestingBasic (12 markers)Basic–Moderate50+ Biomarkers
Functional MedicineNot offeredNot offeredCore of the practice
Aesthetic ServicesNot offeredNot offeredBotox, fillers, laser + discounts
TelehealthSometimes (extra fee)Usually includedAlways included
Specialist CoordinationReferral onlyLimitedFull concierge coordination
Preventive & Root-Cause CareReactive onlySome focusProactive optimization
IV TherapyNot offeredNot offeredIncluded (Elite)
Physician Board Certs1 (typically)1 (typically)Triple Board-Certified

The Concierge Experience

From enrollment to ongoing care — here's what your journey looks like as a Prime Vitality concierge member.

1

Enroll & Assess

Choose your membership tier. We schedule your comprehensive intake — a full health history review, detailed questionnaire, and advanced lab draw. This becomes the foundation of your personalized care plan.

2

Deep-Dive Consultation

A 60+ minute session with Dr. Goel — not a PA, not a nurse. We review every lab result, identify root causes, set health goals, and build your functional medicine protocol. You leave with clarity and a plan.

3

Your Ongoing Care Team

24/7 direct access. Same-day visits when needed. Quarterly optimization reviews. Aesthetic perks. Your health evolves, and so does your care — continuously, proactively, and personally.

The Integrated Advantage

We Don't Just Do Primary Care.

Unlike typical concierge doctors, your membership connects you to an entire ecosystem of services — all under one physician, one roof.

🏥 Concierge
Medicine
🌿 Functional
Medicine
Aesthetics
⚖️ Weight
Loss
🧬 Hormone
Optimization
💻 Telehealth
💧 IV
Therapy

Unlike typical concierge doctors, we don't just do primary care. Your membership gives you access to functional medicine, physician-led aesthetics, hormone optimization, weight management, IV therapy, and telehealth — all coordinated by Dr. Goel, all under one roof. No referrals. No fragmented care. One physician who sees the complete picture.

Dr. Shiv Goel, MD
Dr. Shiv Goel, MD
Triple Board-Certified Physician
Internal Medicine Functional Medicine Aesthetic Medicine

Your Doctor. Not a Stranger.

In most practices, you see whoever is available. At Prime Vitality, you see Dr. Shiv Goel — every visit, every call, every time. Triple board-certified in Internal Medicine, Functional Medicine, and Aesthetic Medicine, Dr. Goel brings 25+ years of clinical experience to every patient interaction.

He's not just a concierge physician — he's a functional medicine specialist, an aesthetic medicine expert, and an NPC Men's Physique champion who practices the same health optimization he prescribes.

  • America's Best Doctor 2025
  • Texas Top Physician 2023–2024
  • WebMD Top Doc 2025
  • NPC Men's Physique Champion
  • Mount Sinai Trained
  • 500+ Five-Star Google Reviews
As Seen On
KENS5 Great Day SA KevinMD Voyage SA

What Patients Are Saying

A featured video plus review highlights gathered from publicly visible online profiles for Prime Vitality Wellness and Dr. Shiv Kumar Goel.

Featured patient video testimonial.

Google Reviews
★★★★★

“This place is beautiful. The staff is great. Mady, Ana, and Dr. G are very friendly, informative...”

Prime Vitality Wellness patient

Surfaced on Prime Vitality website

WebMD
★★★★★

“What sets Dr. Goel apart is his empathy. He listens deeply and treats you as a whole person, not just a set of symptoms. His care is thoughtful, thorough...”

Dr. Shiv Goel patient

WebMD physician profile review highlight

Vitals
★★★★★

“Shiv Goel is one of the most compassionate and knowledgeable physicians I've ever met. He took the time to explain my health concerns in detail...”

Dr. Shiv Goel patient

Vitals physician profile review highlight

Review highlights above are short excerpts from publicly surfaced online sources and may update over time.

Frequently Asked Questions

What is concierge medicine? +

Concierge medicine is a membership-based healthcare model where you pay a monthly or annual fee for enhanced access to your physician. At Prime Vitality, this means 24/7 direct access to Dr. Goel, same-day appointments, 60-minute visits, and a functional medicine approach that goes far beyond traditional primary care. We limit our member panel to ensure every patient gets the time and attention they deserve.

How is this different from Direct Primary Care (DPC)? +

DPC typically offers basic primary care at a lower price point — but that's usually all you get. Prime Vitality's concierge practice is a functional medicine concierge model that includes advanced lab panels (50+ biomarkers), root-cause diagnostics, aesthetic service discounts, hormone optimization coordination, IV therapy, telehealth, and specialist coordination. We don't just do primary care — we integrate functional medicine, aesthetics, and wellness under one physician.

Do I still need health insurance? +

Yes. Your concierge membership covers your primary care, functional medicine, and wellness optimization with Dr. Goel. However, health insurance is still recommended for hospitalizations, specialist referrals, imaging, surgeries, and emergencies. Many of our members pair a high-deductible insurance plan with their concierge membership — which often saves them money overall while getting dramatically better care.

Can I do virtual visits? +

Absolutely. Every membership tier includes unlimited telehealth visits at no additional cost. Whether you're at home, traveling, or just prefer the convenience, you can connect with Dr. Goel via secure video for consultations, follow-ups, medication adjustments, and health coaching. It's the same quality of care, delivered wherever you are.

What labs are included in my membership? +

The Essentials plan includes basic wellness labs (metabolic panel, CBC, lipids, thyroid). The Optimization and Prime Elite plans include comprehensive functional medicine labs testing 50+ biomarkers — including hormones, inflammation markers, nutrient status, advanced thyroid panels, cardiac risk markers, metabolic health, and more. This is the level of testing that catches problems years before they become diseases.

Can my family join? +

Yes. The Prime Elite plan includes coverage for up to 2 additional family members. For the Essentials and Optimization plans, family members can enroll at their own membership tier. We offer family-friendly pricing — ask us about multi-member household discounts when you call.

What about aesthetic service discounts? +

Optimization members receive 10% off all aesthetic services (Botox, fillers, laser treatments, skin rejuvenation, and more). Prime Elite members receive 20% off. These discounts apply to our entire aesthetic menu and are automatically applied at checkout. It's one of the unique benefits of having your primary care physician and aesthetic provider be the same person.

How do I cancel my membership? +

We require a minimum 3-month commitment, after which you may cancel with 30 days written notice. There are no cancellation fees or penalties. Annual memberships are paid upfront and are non-refundable after the first 30 days, but we're confident you'll see the value within your first visit. Our retention rate is over 95% — most members say they could never go back to traditional medicine.

Still Exploring Your Options?

No pressure. Here are some ways to find out if concierge medicine is right for you.

Two ways in. Apply Book Studio (210) 876-1635