One flat monthly fee per practice. Not per provider, not a percentage of your revenue, and no startup fee. You get the exact number in writing after one short conversation, and that conversation is free.
Pricing at a glance
| Fee structure | One flat monthly fee per practice, fixed and fair-market, agreed in writing before services begin |
|---|---|
| Setup or startup fee | None |
| Percentage of revenue or per-patient cut | Never, in any state |
| How you get a number | A free state and menu review, then a written quote |
| Time to your first patient | Typically one week or less from a signed agreement |
| Where we staff physicians | All 50 states and the District of Columbia |
What the fee can cover
The quote is built from what your practice actually needs. Depending on your states and your menu, it covers:
- A named medical director — an MD or DO licensed in your state who does the work the role requires, not a signature on a wall.
- The professional entity and management agreement, where your state requires a physician-owned practice. Formed or realigned to the state, not to a national template.
- Protocols and delegation written against your real service list, and updated when the menu or the rules change.
- Supervision and chart review at the cadence your state sets, including on-site presence where the state requires it.
- Good faith exams on our platform, if you prescribe or inject.
- Licensed providers in additional states, for multi-site and online brands.
- Credentialing that is re-verified on renewal cycles, not once at onboarding. How we credential providers.
What sets the number
- Which states. Supervision rules differ widely. An on-site presence rule like Alabama’s 10% is a different job from a state that accepts availability by phone.
- How many locations. The fee is per practice, but each site adds the supervision its state requires.
- Your service lines. Injectables, IV therapy, weight management, hormones and peptides each need their own protocols.
- Medical direction only, or the platform and provider network as well. You do not have to use our platform.
Anyone quoting you a flat national price before asking which states you operate in has not looked at the problem. Delaware and California are not the same job.
What you never pay
- A percentage of revenue. Several states prohibit paying a management company a share of clinical collections, and New York prohibits it outright. A fee that rises with your revenue is also hard to defend as fair market value anywhere. Why percentage fees are fee splitting.
- A per-patient cut of clinical income, for the same reason.
- A startup fee.
For how fixed and percentage fees compare under the law, read MSO fees: fixed vs percentage and how fair market value is set. For what the market as a whole charges, read what a medical director costs in 2026.
How to get your quote
- Book a call. Tell us where you operate and what you offer.
- Free state and menu review. We tell you what structure that combination requires, and sometimes that you need less than you think. Nothing is signed.
- Written quote. One flat monthly number, with what it covers.
- Sign and start. A typical practice treats its first patient within a week of signing.
Comparing this with other ways to get a medical director? Read medical director options compared.
Frequently asked questions
Is there a startup fee?
No.
Is the fee per provider?
No. It is one flat monthly fee per practice. The states and locations you operate in shape the quote, because they set how much supervision the law requires.
Why don’t you publish a price?
Because the honest number depends on your states and your menu. A national price list would either overcharge a simple practice or underprice a demanding state. The review is free, and the quote is in writing.
How fast can we start?
Typically one week or less from a signed agreement to your first patient. Where a new professional entity has to be formed, or the state licenses clinics (Florida’s AHCA process, for example), the state’s own processing time sits on top. We tell you that before you sign.
Which states do you cover?
All 50 states and the District of Columbia.
What happens to the fee if we add a state or a service line?
It is a change to the existing agreement, quoted the same way, not a new project.
Do we have to use your platform?
No. Medical direction and structure can be provided on their own.