$325 for an initial appointment is fairly standard in the U.S.

I agree with Crocus. He's being upfront about his availability. He might work well for some patients who just need to see someone occasionally for a med check and their symptoms are largely under control. I also agree not prescribing on the first appointment is a good sign for the most point unless you were transferring from another pdoc and already had established meds; that might not be ideal.