Rheumatoid arthritis management
Diagnosis, disease activity scoring at every visit, and long term medication planning.
Three board certified rheumatologists, ultrasound guided joint injections in the office, and our own infusion suite so biologic therapy does not mean a hospital day.
Most care is billed to insurance. We publish self pay rates and honor them without haggling.
Diagnosis, disease activity scoring at every visit, and long term medication planning.
Coordinated care with nephrology and dermatology when organ systems are involved.
Joint fluid analysis in the office, acute flare treatment and a plan to prevent the next one.
Evaluation of joint, spine and skin involvement with treatment matched to what is active.
Corticosteroid or viscosupplement placed under live imaging rather than by landmark.
Biologic infusions in reclining chairs with a nurse on site, most appointments under three hours.
Sagebrook opened in 2013 because New Mexico has too few rheumatologists and waits were running six months. All three physicians are board certified in rheumatology. We keep same week slots for acute flares, and our nurse line returns calls the same business day rather than routing through a hospital call center.
“I spent two years being told my labs were fine. Dr. Ibarra ordered the right imaging and I had a diagnosis in three weeks.”
Lourdes V., Psoriatic arthritis
“The infusion suite has actual windows and a nurse who remembers my name. Compared to my old hospital appointments this is night and day.”
Frank R., Infusion patient, two years
“Called on a Monday with a gout flare and was seen Wednesday. They drained the joint and I could walk that afternoon.”
Miguel S., Acute flare, Rio Rancho
Bring all medication bottles including supplements, lab results from the past two years, and any X-ray, ultrasound or MRI images on a disc or through a records release. Images matter more than the written report, so ask the imaging center to send the actual study.
Some conditions like gout are confirmed the same day with joint fluid. Autoimmune diseases often take several visits, because diagnosis depends on a pattern of symptoms, labs and imaging over time rather than one test. We will tell you at each step what we know and what we are still ruling out.
Most PPO plans allow direct booking. HMO and many Medicare Advantage plans require a primary care referral, and our staff verifies this before your appointment. Bringing recent labs from your primary care provider often shortens the workup considerably.
Nearly all biologic medications require prior authorization, and many plans require trying certain drugs first. Our authorization team submits the request, tracks it, and files appeals when needed. Approvals typically take one to four weeks, and we tell you where it stands rather than leaving you to call the insurer.
Send your symptoms, insurance and any recent labs, and our scheduler will call back within one business day.