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1. You accept only (or mostly) cash pay.
2. You have lines of patients snaking out your door. (I don't care if you're Marcus Welby himself, or the #1 doctor at the Mayo Clinic: none of us are good enough to justify a line out the door.)
3. You have multiple clinics and have unsupervised extenders in each who could care less, each cranking large numbers patients per day through, daily, all getting opiates.
4. You routinely write opiates on the first visit before a send-out drug screen is resulted, don't check PMP reports ever, or public online criminal records (if available), old records, and don't review imaging or work your patient up in any way other than "treating the pain."
5. You ignore aberrant UDSs and routinely give people 2nd, 3rd or fourth chances including routinely accepting opiate patients who were discharged from other practices.
6. You have to have "security" to control the people waiting in the line snaking out your door.
7. Your office is in a strip mall, with the word "laser" in the title.
8. You have to have guns, nunchucks, pit bills or some other ridiculous weapons/means of self defense in your office that other specialties don't need, or loads of cash stashed anywhere.
9. You have cars swirling around your parking lot, people loitering in your parking lot, and have people trading pills in your parking lot.
10- Pharm reps and stim reps leave your office, and go to other doctors offices and routinely say, "Holy crap, that guy's waiting room was full of people nodding off, left and right. I felt like I was in the land of the walking dead. I never want to go back there. I just felt dirty even being in there. Ick."