Internal Medicine

At Prosper Comprehensive Care, we provide comprehensive, patient-centered internal medicine for adults, combining traditional primary care with the perspective gained from more than 20 years of hospital-based medicine. Dr. James Fojt has spent the past two decades caring for hospitalized patients with a wide range of acute, chronic, and complex medical conditions. This extensive hospital experience provides a unique understanding of how illnesses progress, how complications develop, and how thoughtful outpatient care can help prevent unnecessary hospitalizations and improve long-term health.

a picture of stacked medical books in an office

Our approach to internal medicine includes the diagnosis and management of both acute illnesses and common chronic conditions such as hypertension, diabetes, high cholesterol, thyroid disorders, heart and lung conditions, and many other adult health concerns. Care is guided by current medical standards and evidence-based recommendations while remaining individualized to each patient’s needs.

Just as importantly, we believe good medicine should focus not only on treating disease, but also on preventing it. Through routine health evaluations, appropriate screenings, laboratory monitoring, vaccinations, lifestyle counseling, and early identification of risk factors, our goal is to recognize potential problems before they become serious. We strive to build long-term relationships with our patients and provide the continuity, experience, and personalized attention needed to help them maintain their health throughout every stage of adulthood.

Picture of patient and doctor/nurse doing medical screening in a relaxing room.

Advanced Preventive Health Screening

Preventive Health Screenings – Early Detection for a Healthier Future

At Prosper Comprehensive Care, we believe that prevention is one of the most important aspects of maintaining long-term health and wellness. Our comprehensive preventive health screenings are designed to identify potential medical conditions before symptoms develop, allowing for earlier intervention and more effective treatment. Depending on each patient’s age, medical history, family history, and individual risk factors, screenings may include cardiovascular risk assessments, cholesterol and diabetes testing, cancer screenings, kidney and liver function evaluations, thyroid assessments, osteoporosis screening, and other age-appropriate preventive services. We also evaluate lifestyle factors such as nutrition, physical activity, sleep, and metabolic health. By identifying health risks early, we can develop personalized prevention strategies that help reduce the likelihood of serious illness, improve quality of life, and promote long-term health and longevity.

At Prosper Comprehensive Care, we believe in the importance of early detection and prevention of cardiovascular and other chronic diseases. We can coordinate comprehensive preventive screening services through PREVENNA, a specialized screening company that utilizes noninvasive diagnostic testing to identify potential health concerns before symptoms develop. These screenings may include an echocardiogram to evaluate heart structure and function, carotid artery ultrasound to assess plaque buildup and blood flow to the brain, abdominal ultrasound to screen for abdominal aortic aneurysms, and ankle-brachial index (ABI) testing to evaluate circulation and detect peripheral arterial disease. Additional evaluations may include pulmonary function testing to assess lung function and retinal imaging to identify certain changes in the blood vessels and structures of the eyes. When medically appropriate, these screenings provide valuable information that can help identify potential health risks, guide further evaluation, and support personalized preventive care and long-term wellness.

At Prosper Comprehensive Care, we utilize advanced cardiovascular screening tools, including coronary CT calcium scoring, to help identify coronary artery disease before symptoms develop. This quick, noninvasive CT scan measures the amount of calcified plaque within the coronary arteries, which supply blood to the heart muscle. The results provide a coronary artery calcium (CAC) score that helps estimate a patient’s risk of future cardiovascular events, including heart attacks. Higher calcium scores generally indicate a greater burden of coronary atherosclerosis and an increased risk of cardiovascular disease. This valuable information, combined with cholesterol levels, blood pressure, family history, and other risk factors, allows us to better personalize preventive treatment, including lifestyle modifications and cholesterol-lowering therapy when appropriate. The test does not require intravenous contrast and is particularly useful for selected patients whose cardiovascular risk is uncertain.

Our commitment to your health

By combining comprehensive preventative screening, advanced diagnostic tools, and personalize care, we strive to identify health risks early, provide timely intervention, and develop customized plan to keep you healthy for years to come. Our goal is to help you take a proactive approach to your health so you can live longer, healthier, and a more vibrant life.

Affordable Self-Pay Care

We also welcome patients who do not have health insurance or who prefer to pay directly for their care. Our self-pay rate is from $200 (low level visit) to $250 (high level visit) for an initial consultation and $100 for established patient visits. We believe that lack of insurance should not prevent patients from having access to quality medical care.

For patients paying out of pocket, we can also help reduce the cost of necessary laboratory testing by offering access to discounted self-pay laboratory rates, when available. Our goal is to provide straightforward, transparent pricing and help make high-quality medical care and appropriate testing as affordable and accessible as possible.