Due to their small numbers, it is unlikely that concierge care practices will contribute to widespread access problems for Medicare beneficiaries, the Government Accountability Office reported. In a recent survey, GAO identified 146 concierge physicians and analyzed responses from 112. According to the survey, most concierge practices are located on the East and West coasts, and nearly all respondents reported practicing primary care medicine. Annual patient membership fees ranged from $60 to $15,000 a year, with about half of respondents reporting fees of $1,500–$1,999.The Department of Health and Human Services has determined that concierge care arrangements are allowed as long as they do not violate any Medicare requirements. Some concierge physicians reported to GAO that they would like more HHS guidance.