If the doctors purely an AME he doesn't need much to ply his trade. I think the current fees are extortion.
Whats needed, a room, bed, chair, wall chart, height, weight scale, and ecg machine and few bits and bobs.
Money for old rope.
Can't now see the point of annual medicals.
I had one in April and in August had a heart attack.
No indication that was going to happen.