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Quick Answer: Miami, Houston, and Dallas are home to some of the nation's top concierge medicine practices in 2026. Annual retainer fees in these cities typically range from $2,000 to $25,000+ depending on the practice tier. Miami leads with academic-backed programs like UHealth Premier and Baptist Health. Houston offers strong options through Medical Clinic of Houston and major health system affiliates. Dallas is growing fast with boutique practices and in-home concierge services. If you're new to this model of care, start with our complete guide to concierge medicine for a full overview.
Why Miami, Houston, and Dallas Are Concierge Medicine Hotspots
Three of the fastest-growing metro areas in the United States. Three cities attracting high-net-worth individuals, corporate relocations, and retirees in record numbers. And three markets where traditional primary care is buckling under patient volume.
Miami, Houston, and Dallas aren't just population boomers. They're concierge medicine magnets.
According to the American Academy of Private Physicians, the concierge medicine industry has grown by approximately 25% since 2020, with Sun Belt cities leading adoption. A 2025 Concierge Medicine Today survey found that practices in the Southeast and Texas saw patient enrollment increases of 18–22% year over year. That tracks with what's happening on the ground in these three metros.
The reasons are straightforward. Population growth strains existing primary care infrastructure. Average wait times for a new patient appointment in Houston stretched to 26 days in 2025, per a Merritt Hawkins survey. In Miami-Dade County, the physician-to-patient ratio sits well below the national average. Dallas-Fort Worth added over 150,000 new residents in 2025 alone, but primary care physician supply hasn't kept pace.
Concierge medicine fills that gap. Same-day or next-day appointments. Direct physician access by phone, text, or email. Longer visits — 30 to 60 minutes instead of the typical 7 to 12 minutes. Annual comprehensive physicals that go far beyond what insurance-driven medicine covers.
For professionals, executives, families, and retirees in these cities, the math works out. You're paying for access, time, and a doctor who actually knows your name. Let's break down the best options in each city.
If you're weighing the financial side, our concierge medicine cost breakdown covers what to expect across different practice tiers.
Best Concierge Medicine Practices in Miami
Miami's concierge medicine scene is arguably the most mature of the three cities. The combination of a large retiree population, international patients, and a robust academic medical infrastructure creates a market with options at every price point.
UHealth Premier — University of Miami Health System
UHealth Premier stands apart for one reason: it's the only academic-backed concierge medicine program in South Florida. That means your concierge physician isn't just a primary care doctor. They're connected to the University of Miami's research pipeline, specialist network, and clinical trials.
What you get:
- Dedicated concierge internist or family medicine physician
- Same-day or next-day appointments guaranteed
- Extended office visits (45–60 minutes)
- 24/7 physician access via phone or secure messaging
- Priority referrals to UM specialists across 30+ departments
- Comprehensive annual executive physical with advanced diagnostics
- Coordination with UM's Sylvester Comprehensive Cancer Center, Bascom Palmer Eye Institute, and other top-ranked programs
Who it's best for: Patients who want the convenience of concierge medicine combined with the depth of an academic health system. Particularly strong for complex cases or patients managing multiple chronic conditions.
Estimated annual retainer: $3,500–$6,000 per individual (varies by physician and plan tier)
The academic connection is the differentiator here. If you're dealing with anything beyond routine primary care — rare diagnoses, cancer screening, cardiac risk assessment — having direct access to UM's specialist network is a significant advantage.
Baptist Health Concierge Medicine
Baptist Health South Florida operates one of the largest health systems in the region, with concierge medicine offerings at locations across Miami-Dade, Monroe, and Palm Beach counties. Their program combines the personalized access of concierge care with the institutional resources of a major hospital system.
What you get:
- Dedicated primary care physician with a limited patient panel (typically 300–400 patients vs. 2,000+ in traditional practice)
- Same-day appointments in most cases
- Extended visits with unhurried physician time
- Direct physician communication channels
- Coordination across Baptist Health's network of hospitals and specialty centers
- Annual wellness assessments with comprehensive lab work
Who it's best for: Patients who want concierge-level access but also value the safety net of a large hospital system with multiple locations. Strong choice for families and older adults.
Estimated annual retainer: $2,400–$5,500 per individual
iCare Mobile Medicine
For patients who want the doctor to come to them, iCare Mobile Medicine represents the house-call model of concierge medicine. Their team of concierge physicians is available 24 hours a day and will come to your home, office, hotel, boat, or plane. Yes, plane.
What you get:
- 24/7 on-call concierge physicians
- House calls to any location in the Miami metro area
- In-home diagnostics including blood draws, EKGs, and rapid testing
- IV hydration and vitamin therapy
- Travel medicine consultations and vaccinations
- Coordination with local specialists and hospitals
Who it's best for: Busy professionals, travelers, hotel and short-term rental guests, and anyone who values the ultimate convenience of not leaving their location for medical care.
Pricing: Per-visit and membership models available. Membership starts around $3,000/year; individual visits range from $350–$750.
Dr. Elliot Dinetz — Miami Comprehensive Medicine Group
Dr. Dinetz has built a reputation as one of Miami's top concierge physicians by integrating cutting-edge diagnostics with a genuinely personalized approach. His practice emphasizes advanced metabolic assessments, cardiovascular risk profiling, and tailored wellness plans.
What you get:
- Direct after-hours access to Dr. Dinetz
- 24/7 physician availability
- Electronic health records with patient portal access
- Advanced metabolic and cardiovascular screening
- Personalized nutrition and wellness planning
- Coordination with Miami's top specialists
Who it's best for: Health-conscious individuals who want proactive, data-driven care. Particularly strong for patients interested in longevity medicine and advanced preventive screening.
Estimated annual retainer: $4,000–$7,500
Dr. Elizabeth Trattner — Helia House
Dr. Trattner operates out of Helia House, which she describes as the first nontoxic healing center in the country. Her concierge practice specializes in women's health, autoimmune conditions, and weight management, blending conventional medicine with integrative approaches.
What you get:
- Specialized women's health concierge care
- Autoimmune condition management
- Weight management programs
- Integrative medicine approach (combining conventional and complementary therapies)
- Nontoxic treatment environment
- Extended consultations
Who it's best for: Women seeking a concierge physician who specializes in hormone health, autoimmune conditions, and integrative wellness. Patients who prefer a holistic approach alongside evidence-based medicine.
Estimated annual retainer: $5,000–$10,000
Miami Medicine — Dr. Hilton Gomes, Dr. Heather Mason, Dr. Ariel Moses
This multi-physician concierge practice offers patients the benefit of a small group practice where multiple doctors collaborate on patient care. Each physician maintains a limited patient panel while providing the backup coverage that a solo practitioner can't offer.
What you get:
- Three board-certified physicians sharing a collaborative practice
- After-hours access with physician backup coverage
- Same-day or next-day appointments
- Comprehensive annual physicals
- Specialist coordination throughout Miami
- Personalized preventive care plans
Who it's best for: Patients who want the intimacy of a concierge practice but the reliability of having multiple physicians available. Good choice for families where different family members may connect better with different doctors.
Estimated annual retainer: $3,500–$6,500
For real patient experiences with concierge care, check out our concierge medicine success stories.
Best Concierge Medicine Practices in Houston
Houston's medical scene is dominated by the Texas Medical Center — the largest medical complex in the world. That creates an interesting dynamic for concierge medicine. Patients have unparalleled access to specialty care, but primary care access remains a bottleneck. Concierge practices in Houston often position themselves as the connective tissue between patients and the TMC's vast specialist network.
Medical Clinic of Houston
Medical Clinic of Houston has been operating since 1921, making it one of the oldest multi-specialty group practices in Texas. Their concierge medicine division emphasizes preventive screening and precision medicine, leveraging over a century of clinical experience.
What you get:
- Dedicated concierge internist from a century-old practice
- Emphasis on preventive screening and accurate diagnosis
- Precision medicine approach using advanced diagnostics
- Priority access to the clinic's multi-specialty physician network
- Annual executive health assessments
- Same-day appointments and extended visit times
- Direct physician communication
Who it's best for: Patients who value the stability and depth of a long-established medical practice. Particularly strong for complex diagnostic cases where accuracy matters more than speed.
Estimated annual retainer: $3,000–$6,000
Houston Concierge Medicine — Dr. Shawn Khodadadian
A newer addition to Houston's concierge landscape, Dr. Khodadadian's practice focuses on a boutique, patient-first model with an emphasis on preventive cardiology and metabolic health. With a patient panel capped at approximately 200 patients, the level of individualized attention is exceptional.
What you get:
- Ultra-limited patient panel (approximately 200 patients)
- 60-minute standard appointments
- Same-day availability in most cases
- 24/7 direct physician cell phone access
- Advanced cardiac and metabolic risk assessment
- Personalized nutrition and exercise prescription
- Coordination with Texas Medical Center specialists
Who it's best for: Patients who want the smallest possible patient panel and the most direct physician relationship. Ideal for executives and high-net-worth individuals who prioritize having a doctor who truly knows their complete health picture.
Estimated annual retainer: $5,000–$10,000
MDVIP Houston Network
MDVIP operates one of the largest concierge medicine networks nationally, and Houston has strong representation with multiple affiliated physicians across the metro area. The MDVIP model offers a standardized concierge experience at a more accessible price point than many boutique practices.
What you get:
- Board-certified primary care physician with a panel limited to 600 patients
- MDVIP Wellness Program including comprehensive annual exam (valued at $2,000+)
- Advanced biomarker testing and health screenings
- Same-day or next-day appointments
- Extended 30-minute minimum appointments
- After-hours physician access
- Nationwide MDVIP network access (useful for frequent travelers)
Who it's best for: Patients who want a proven, standardized concierge model at a mid-range price point. The nationwide network is a major plus for Houston residents who travel frequently.
Estimated annual retainer: $1,800–$2,400
For a detailed comparison of MDVIP and other national networks, see our MDVIP vs. One Medical vs. Forward Health breakdown.
Clinic Concierge — Houston
Clinic Concierge has expanded its in-home healthcare model to Houston, offering concierge medical visits, IV hydration, cosmetic treatments, and weight loss management directly at the patient's location. Their model is particularly popular with busy professionals and families who find office visits disruptive.
What you get:
- In-home medical visits throughout the Houston metro
- IV hydration and vitamin infusion therapy
- Weight management programs
- Cosmetic treatments and aesthetics
- Urgent care-level services at your location
- Flexible scheduling including evenings and weekends
Who it's best for: Patients who prefer the house-call model and want a range of wellness services beyond traditional primary care. Popular with young professionals and families.
Pricing: Membership and per-visit options. Memberships start around $2,500/year; individual visits from $300–$600.
Houston Methodist Concierge Medicine
Houston Methodist, consistently ranked among the top hospitals in the nation by U.S. News & World Report, offers concierge primary care through select affiliated physicians. The program pairs personalized concierge access with the resources of a world-class hospital system.
What you get:
- Concierge primary care physician affiliated with Houston Methodist
- Priority scheduling and extended appointments
- Direct physician access for urgent needs
- Seamless referrals within the Houston Methodist specialist network
- Access to Houston Methodist's executive health program
- Coordination with Texas Medical Center resources
Who it's best for: Patients who want concierge-level primary care backed by one of the nation's top hospital systems. Excellent for patients with complex medical histories who need frequent specialist involvement.
Estimated annual retainer: $3,500–$7,500
Direct Primary Care Options in Houston
Houston also has a growing direct primary care (DPC) scene that offers many concierge-like benefits at lower price points. DPC practices charge a monthly membership fee (typically $75–$200/month) and provide unlimited primary care visits, same-day access, and direct physician communication. While DPC doesn't include the executive health assessments and premium amenities of traditional concierge medicine, it's an excellent option for budget-conscious patients who still want personalized care.
If you're curious about the DPC model, our guide on DPC and telehealth virtual visits covers how these practices are incorporating remote care into their offerings.
Best Concierge Medicine Practices in Dallas
Dallas-Fort Worth is the fastest-growing metro area in the United States by net migration. That growth has created serious pressure on the primary care system, making concierge medicine increasingly attractive for residents who want guaranteed physician access.
PartnerMD — Dallas
PartnerMD is a multi-location concierge medicine practice that expanded into the Dallas market to meet growing demand. Their model combines concierge primary care with an extensive wellness program that includes advanced diagnostic testing and health coaching.
What you get:
- Board-certified concierge physician with limited patient panel
- PartnerMD Wellness Program with comprehensive annual physical
- Advanced diagnostics including CIMT (carotid intima-media thickness), VO2 max testing, and advanced lipid panels
- Health coaching and lifestyle medicine support
- Same-day or next-day appointments
- After-hours physician access
- Telemedicine visits when appropriate
Who it's best for: Patients who want a structured wellness program alongside concierge access. The advanced diagnostics go beyond what most concierge practices offer in their standard package.
Estimated annual retainer: $2,200–$3,600
Clinic Concierge — Dallas / Fort Worth
Clinic Concierge operates its flagship in-home healthcare service across the Dallas-Fort Worth metro. Their mobile model brings concierge physicians directly to patients' homes, offices, or wherever they happen to be.
What you get:
- In-home concierge medical visits across DFW
- IV hydration therapy and vitamin infusions
- Medical weight loss management
- Cosmetic treatments and aesthetics
- Lab work and diagnostics at your location
- Flexible scheduling including weekends
Who it's best for: Dallas residents who want healthcare delivered on their terms. Popular with busy executives, parents with young children, and patients who find traditional office visits inconvenient.
Pricing: Membership plans starting around $2,500/year; individual visits from $300–$600.
MDVIP Dallas Network
Like Houston, Dallas has a strong MDVIP presence with multiple affiliated physicians throughout the metro. The standardized MDVIP model provides a reliable concierge experience across the DFW area.
What you get:
- Dedicated MDVIP-affiliated physician with 600-patient panel cap
- MDVIP Wellness Program with advanced annual physical
- Same-day or next-day appointments
- Extended visit times (30+ minutes)
- After-hours physician access
- Nationwide network access for travelers
Who it's best for: Dallas residents who want a proven concierge model at a competitive price. Particularly appealing for patients who split time between Dallas and other major cities where MDVIP has affiliates.
Estimated annual retainer: $1,800–$2,400
Dallas Concierge Internal Medicine
Several independent internal medicine practices in Dallas have transitioned to concierge models, offering boutique-level care with deep roots in the local medical community. These solo and small group practices typically cap their panels at 200–400 patients and provide the most personalized physician relationships available.
What you get:
- Ultra-limited patient panels for maximum physician attention
- 45–60 minute standard appointments
- Direct cell phone access to your physician
- Comprehensive annual executive physicals
- Advanced cardiovascular and cancer screening
- Coordination with UT Southwestern, Baylor Scott & White, and other DFW health systems
- Personalized preventive care and wellness planning
Who it's best for: Patients who value the deepest possible physician relationship and want a doctor embedded in the Dallas medical community with established specialist referral networks.
Estimated annual retainer: $4,000–$10,000
Baylor Scott & White Concierge Medicine
Baylor Scott & White, the largest not-for-profit health system in Texas, offers concierge medicine through select primary care physicians in the DFW area. Their program provides concierge access backed by the resources of a massive health system with 52 hospitals and over 800 patient care sites.
What you get:
- Concierge primary care within the Baylor Scott & White network
- Priority scheduling and extended visits
- Direct physician communication for urgent matters
- Seamless referrals across the BSW specialist network
- Access to BSW executive health programs
- Coordination with BSW research and clinical trials when appropriate
Who it's best for: Patients who want the personal touch of concierge medicine supported by one of the largest health systems in the country. Especially valuable for patients with complex conditions requiring frequent specialist coordination.
Estimated annual retainer: $3,000–$6,500
How to Compare Concierge Practices Across All Three Cities
Choosing a concierge physician isn't just about price. Here's a framework for evaluating practices whether you're in Miami, Houston, or Dallas.
Patient Panel Size
This is the single most important metric. A concierge doctor with 600 patients is a very different experience from one with 200 patients. Ask directly: "How many active patients are in your panel?" Anything under 400 means you're getting genuinely personalized care. Under 200 is boutique-level.
City comparison:
- Miami: Panels typically range from 200–500 patients depending on the practice
- Houston: MDVIP affiliates cap at 600; boutique practices range from 150–300
- Dallas: Similar to Houston, with independent practices trending toward smaller panels
Access and Availability
What does "24/7 access" actually mean at this practice? Some practices mean you can call your doctor's cell phone at 2 a.m. Others mean you'll reach an on-call nurse or an answering service. Clarify this before signing up.
Questions to ask:
- Do I reach my doctor directly, or an answering service?
- What's the guaranteed response time for non-emergencies?
- Are telemedicine visits available, and do they count against visit limits?
- Can I text or email my doctor directly?
Hospital and Specialist Affiliations
In all three cities, the concierge practice's hospital affiliations matter enormously. A concierge doctor affiliated with the Texas Medical Center in Houston, UT Southwestern in Dallas, or the University of Miami health system can facilitate specialist referrals that would otherwise take weeks.
Annual Physical and Diagnostic Depth
Concierge practices differentiate themselves heavily on the comprehensiveness of their annual physical. The spectrum ranges from a standard physical with basic blood work to full executive health assessments including advanced cardiac imaging, full-body MRI, genetic testing, and cancer biomarker panels.
What premium programs typically include:
- Advanced lipid panels (NMR LipoProfile or similar)
- Coronary calcium scoring
- Carotid intima-media thickness testing
- Cancer biomarker screening
- Body composition analysis (DEXA scan)
- Cognitive health screening
- Genetic risk assessment
- VO2 max and fitness testing
The value of these diagnostics is significant. A comprehensive executive physical at a hospital-based program can cost $3,000–$5,000 as a standalone service. If your concierge membership includes this, it offsets a large portion of the annual retainer.
Cost and Insurance Interaction
Concierge retainer fees are paid out of pocket and are generally not covered by insurance. However, most concierge physicians still bill your insurance for office visits, labs, and procedures — you're paying the retainer for access, not for the medical services themselves.
Some concierge practices operate on a hybrid model where you keep your insurance and the retainer covers the enhanced access. Others, particularly DPC practices, replace insurance billing entirely and include all primary care services in the membership fee.
For a deeper dive into the financial side, our concierge medicine cost breakdown covers pricing by city, practice type, and what's included.
Cost Comparison: Miami vs. Houston vs. Dallas
Understanding how pricing differs across these three markets helps set realistic expectations. Here's a snapshot based on 2026 data from practice websites and industry surveys.
| Practice Type | Miami | Houston | Dallas |
|---|---|---|---|
| National network (MDVIP) | $1,800–$2,400/yr | $1,800–$2,400/yr | $1,800–$2,400/yr |
| Health system concierge | $2,400–$6,000/yr | $3,000–$7,500/yr | $3,000–$6,500/yr |
| Boutique/independent | $4,000–$10,000/yr | $5,000–$10,000/yr | $4,000–$10,000/yr |
| Mobile/house-call | $3,000–$5,000/yr | $2,500–$4,000/yr | $2,500–$4,000/yr |
| Ultra-premium/VIP | $10,000–$25,000+/yr | $8,000–$20,000/yr | $7,500–$18,000/yr |
Key pricing takeaways:
- National network pricing is standardized — MDVIP charges roughly the same whether you're in Miami, Houston, or Dallas
- Miami skews slightly higher for health system programs, reflecting the market's maturity and cost of living
- Houston and Dallas are competitive with each other, though Houston's proximity to Texas Medical Center can drive premium pricing for TMC-affiliated practices
- Mobile/house-call services are most affordable in Texas compared to South Florida
A 2025 Concierge Medicine Today report found that the average concierge retainer nationally is $2,188 per year. All three cities fall within or slightly above this range for network and health system practices, with boutique practices commanding significant premiums.
What to Look for Before Signing Up
Signing a concierge medicine agreement is a commitment — typically a 12-month contract with an annual retainer paid upfront or quarterly. Here's what to evaluate before you write that check.
Physician Credentials and Tenure
Board certification in internal medicine or family medicine is the baseline. Beyond that, look for:
- How long has the physician been in practice?
- How long have they operated as concierge?
- Are they fellowship-trained in any subspecialty?
- What hospital privileges do they hold?
Contract Terms
Read the fine print. Key questions include:
- Is the retainer refundable if you move or are dissatisfied?
- What's the cancellation policy?
- Does the retainer increase annually, and if so, by how much?
- What happens if your physician leaves the practice?
- Are family member discounts available?
Technology and Communication
Modern concierge practices should offer:
- A secure patient portal for messaging and records
- Telemedicine capabilities for virtual visits
- Electronic prescribing
- Integration with your pharmacy
- Digital access to lab results with physician commentary
For more on how concierge and DPC practices are using telehealth, see our guide on DPC telehealth and virtual visits.
Patient Reviews and References
Ask the practice for references from current patients. Check Google Reviews, Healthgrades, Vitals, and Yelp — but weigh them carefully. Concierge practices with very small panels may have few public reviews simply because they have fewer patients.
How We Ranked
Our concierge-medicine rankings draw on three independent sources, never one alone:
- Verified clinical credentials: ABMS board certifications, state medical-license status, NPI registry, hospital affiliations, AAPP / MDVIP / SignatureMD network membership. Pulled from the relevant primary registry each time we update a profile.
- Patient-reported outcomes: Vitals, Healthgrades, and Google reviews from the past 24 months. We weight verified-visit reviews more than anonymous ones and flag any practice with a pattern of access complaints, billing surprises, or refusal-to-treat reports.
- First-hand intake testing: editorial calls to each practice asking the same five questions (annual retainer, what's included, how same-day visits actually work, telemedicine policy, what happens if I cancel). We document responses.
What we never accept: paid placement, sponsored "best of" slots, retainer-fee discounts in exchange for coverage. Disclosure: some practices listed have affiliate referral programs; we use those links only on the practice page, never as a ranking factor.
Update cadence: at minimum quarterly per niche; faster on any pricing change, network defection, or licensing issue. Last-updated date is at the top. To report an inaccuracy or claim a profile, email research@conciergemdfinder.com — corrections processed within 72 business hours.
Frequently Asked Questions
Is concierge medicine worth the cost in Miami, Houston, or Dallas?
For patients who value same-day access, extended visit times, and a physician who limits their panel to a few hundred patients, concierge medicine delivers measurable benefits. A study published in the American Journal of Managed Care found that concierge patients had 60% fewer emergency room visits and 85% fewer hospitalizations compared to traditional primary care patients. In high-growth metros like Miami, Houston, and Dallas where traditional primary care wait times are stretching longer, the value proposition is even stronger. Our detailed cost analysis can help you run the numbers for your situation.
Can I use my health insurance with a concierge doctor?
Yes, in most cases. The majority of concierge physicians in all three cities still accept and bill insurance for covered services — office visits, labs, imaging, and procedures. The annual retainer you pay covers the enhanced access, longer visits, and smaller panel size. Your insurance continues to work exactly as before for the medical services themselves. The exception is direct primary care (DPC) practices, which typically do not bill insurance at all.
How do I switch from my current doctor to a concierge physician?
The transition is straightforward. Request your medical records from your current physician (federal law requires they provide them within 30 days). Share these records with your new concierge physician before your first comprehensive visit. Most concierge practices will handle the records transfer for you and schedule an extended initial consultation (60–90 minutes) to review your full medical history. There's no insurance penalty for switching, and you can maintain your existing specialist relationships. Our guide on switching to a concierge doctor walks through the process step by step.
What's the difference between concierge medicine and direct primary care?
Concierge medicine charges an annual retainer fee for enhanced access and typically still bills your insurance for medical services. Direct primary care (DPC) charges a monthly membership fee ($75–$200/month) that covers all primary care services — visits, basic labs, and procedures — without any insurance billing. DPC is generally more affordable but may not include the executive-level annual physicals and premium amenities that concierge practices offer. Both models limit patient panels and provide direct physician access. Read our complete comparison of concierge vs. DPC for a full breakdown.
Are there concierge medicine options for families in these cities?
Absolutely. Many concierge practices in Miami, Houston, and Dallas offer family plans with discounted retainers for additional family members (typically 10–25% off per additional member). Practices like Baptist Health in Miami, MDVIP affiliates in all three cities, and Clinic Concierge in Dallas and Houston explicitly cater to families. Some practices offer pediatric concierge care as well, though this is less common. Family retainer packages typically run $5,000–$15,000/year for a family of four depending on the practice tier.
Related Reading
- What Is Concierge Medicine? Complete Guide for 2026
- Concierge Medicine Cost Breakdown: 2026 Edition
- Concierge Medicine Success Stories: Real Patient Experiences
- DPC Telehealth and Virtual Visits: What's Included
- MDVIP vs. One Medical vs. Forward Health: 2026 Comparison
- Direct Primary Care vs. Concierge Medicine: Key Differences
- How to Switch to a Concierge Doctor
-- The Concierge MD Finder Team