I always thought that primary care docs should be paid a fee to be considered someone's PCP since you do a lot of things in the background that are not reimbursed. I feel that we went into it to be altruistic but then society thinks you owe them something and demand things that are unfair (like knowing everything them, keep them healthy, prevent them from getting cancer, act like their friend, cure their acute issues, referrals, prior authorization, DMEs...) when they show up once a year in your office, not follow your advice, do bad things to their body...ugh...being a PCP is exhausting but deserves to be paid.
I'd like to at least charge $25-50/month per patient to be worth it even if the clinic only has a 500 pt panel. Pt doesn't have to pay, maybe the system that employs you or their insurance company.