They probably don't know yet.
I have been to low cost facilities before and what they typically do is run anything that is the most time and cost effective (usually lab and blood work because they get paid for all the tests from just one quick blood draw), rush the appointment, then require many additional appointments for each future thing (to get paid for each office visit probably).
In other words, the patient becomes a product, is always having to make trips in for every little bit of info or repeated tests that could have been done on the same day. It's very frustrating. Add to that the uncanny ability of the physician you are seeing to retire suddenly which always seems to happen.