Need a new ADHD FL prescriber: What has worked for you?

I’m hoping others who’ve been through this can share what worked for them.

I have ADHD and have been on the exact same controlled medication, at the same dose, for multiple years. I’m stable, have formal ADHD testing supporting my diagnosis, have never been hospitalized, and I’m a working professional. My medication hasn’t changed and is effective.

Before COVID, I saw my psychiatrist every 3 months and received my refills. During COVID, those visits became telehealth, which worked well. Then my office changed their policy and required monthly telehealth visits, even though nothing about my treatment had changed. It honestly felt more like a cash grab/billing change than a clinical necessity, but I went along with it. Although I’m still very unsure as to how this is medically necessary when I am stable but literally at the mercy of the providers.

My problem is that it’s a 3-hour round-trip drive for what is usually a 1-2 minute appointment. I now work from home, so every in-person visit means taking PTO and spending half a day driving just to hear, “Everything okay? Here’s your refill.” I’m in the office less than 5 minutes, maybe 10 if they do a urine screen.

I completely understand the need for responsible prescribing of controlled substances. If the concern is monitoring, I’d be happy to complete urine drug screens at a local lab or comply with other reasonable requirements. I’m not looking to avoid oversight, I need a process that’s practical.

I’m also nervous about changing providers because I previously had a terrible experience with Harmony United. They repeatedly billed my insurance as though my appointments were over 15 minutes and included services that didn’t happen. I submitted a suspected fraud claim to my insurance company and they contacted me to verify provider education was done because billing was wrong. My last straw with them was when the receptionist called to confirm my appointment that day and asked that I pay toward this incorrect bill and I said I couldn’t or could pay a reasonable amount, like $10-$20 and they wanted $200, then actually cancelled my visit without knowing anything about me or my status that day.

Has anyone found a psychiatrist or psychiatric NP (in Florida) who:

Prescribes ADHD medication through telehealth and doesn’t require frequent office visits if you’re stable on treatment?

Is ethical with billing and doesn’t overcode routine follow-up visits?

I’m not looking for shortcuts or trying to avoid appropriate monitoring. I just want reasonable and reasonable care that doesn’t require using PTO and driving three hours twice a year for a two-minute conversation. Currently feel like I’m drowning in visits for a $15 prescription. I feel like I’m being taken advantage of and if I didn’t need help with focus I’d stop all of this in a heartbeat.

Thank you in advance.