Last updated: May 2026
TL;DR — U.S. Concierge Medicine Market Report 2026
- 2,601 U.S. concierge medicine and Direct Primary Care (DPC) practices indexed across all 50 states plus DC.
- Roughly 65% traditional concierge / 16% DPC / 19% unclassified across our directory; 357 records are explicitly DPC.
- U.S. market valued at $7.35B in 2024, projected to reach $13.23B by 2030 (10.33% CAGR — Grand View).
- AAMC projects a primary-care shortage of 20,200–40,400 physicians by 2036, the demand engine behind concierge growth.
State of the U.S. concierge medicine market in 2026
The U.S. concierge medicine market in 2026 spans more than 2,600 indexed practices across 50 states plus DC, sitting inside a category that Grand View Research valued at $7.35 billion in 2024 and projects will reach $13.23 billion by 2030 — a 10.33% CAGR. That growth rate is roughly double the broader U.S. healthcare services market.
The category has two distinct halves. Traditional concierge practices — MDVIP, SignatureMD, Castle Connolly, plus thousands of independents — charge an annual retainer on top of insurance billing. Direct Primary Care (DPC) practices charge a flat monthly fee, don't bill insurance for primary care, and now number more than 2,800 offices serving over 1.4 million members per DPC News.
Three forces drive the demand side. First, the AAMC projects a national shortage of 20,200–40,400 primary care physicians by 2036. Second, the Health Resources and Services Administration has designated 7,488 primary care Health Professional Shortage Areas, covering nearly 74 million Americans. Third, 9% of AAFP members reported operating a DPC practice in 2023, up from 3% in 2022 — a tripling in 12 months.
On the supply side, the Mid-tier $3,000–$10,000 annual fee bracket captured 39.28% of 2025 revenue, per the Concierge Medicine 2026–2030 industry report cited by Yahoo Finance. That figure undercuts the long-held assumption that concierge medicine is a luxury reserved for the ultra-wealthy.
The regulatory backdrop is tightening — in concierge medicine's favor. Starting January 1, 2026, the One Big Beautiful Bill Act allows patients on high-deductible health plans to use HSA funds to pay up to $150/month in DPC membership fees for individuals and $300/month for families. The provision implements a long-standing AAFP policy ask and is expected to accelerate DPC patient growth through 2026 and beyond.
Our directory of 2,601 practices is, as of May 2026, the largest indexed dataset of concierge medicine and DPC practices in our portfolio. Top 5 states by practice count: Texas (181), Florida (155), California (127), Pennsylvania (75), and New York (66) — collectively 604 practices, or 23% of all U.S. practices we've indexed. State coverage is the largest data gap: 1,026 records (39%) are still pending state confirmation and feed our monthly verification queue.
DPC vs concierge: the practice-type split (proprietary data)
Among the 2,215 practices in our directory with a confirmed practice type, roughly 65% operate as traditional concierge medicine (with insurance billing layered on top of an annual retainer), 16% operate as Direct Primary Care (no insurance billing for primary care), and 19% sit in mixed or unclassified categories. This is the first cross-sectional split of U.S. concierge-style practices by primary insurance model that we've published.
The headline counts: 1,089 records labeled "Concierge Medicine," 600 labeled "Concierge," 357 labeled "DPC (Direct Primary Care)," 17 labeled "Primary Care" (with concierge characteristics), and 386 unclassified. Within the explicit DPC subset of 357, none bill insurance for primary care — the defining structural feature.
The distinction is operationally load-bearing, not cosmetic. A DPC practice charges a flat monthly fee — typically $50–$100 per AAFP — and doesn't run claims through Medicare or commercial payers for primary care. A traditional concierge practice charges an annual retainer (often $2,000–$5,000) on top of insurance billing for visits, labs, and procedures.
The IRS has, until recently, distinguished sharply between the two. Concierge retainer fees were explicitly not HSA-eligible because the membership covers "access" rather than billable medical services. DPC fees occupied a similar gray zone until the One Big Beautiful Bill Act made DPC fees up to $150/month HSA-eligible starting January 1, 2026.
That tax change is the single largest 2026 catalyst for the DPC-vs-concierge split tilting further toward DPC. Patients on high-deductible health plans now have an explicit federal subsidy for DPC membership; the same subsidy doesn't extend to traditional concierge fees.
Coverage gap: 386 of our 2,601 records (15%) don't carry a clear practice-type classification, and another roughly 80 records carry compound or hybrid labels we haven't yet collapsed into the 65/16/19 buckets. We re-classify monthly via Outscraper Google Maps refreshes plus manual editorial verification — the gap typically closes 2–3 percentage points per cycle.
Practice-type comparison
| Attribute | Direct Primary Care (DPC) | Traditional Concierge | MDVIP / SignatureMD network | Ultra-Concierge (e.g., MD2) |
|---|---|---|---|---|
| Insurance billing for primary care | No | Yes | Yes (network affiliated) | Typically no (out-of-network) |
| Typical fee | $50–$100/month | $2,000–$5,000/year | $1,500–$5,000/year | $15,000–$50,000/year |
| Patient panel cap per physician | 300–600 | 400–800 | ~600 (MDVIP) / 400–600 (SignatureMD) | 50 families (MD2) |
| HSA-eligible (2026 OBBBA) | Up to $150/mo individual, $300/mo family | No | No | No |
| Same/next-day access | Standard | Standard | Standard | 24/7 direct line |
| Practices in our 2,601-record database | 357 explicitly DPC | 1,089 "Concierge Medicine" + 600 "Concierge" | ~280 MDVIP-tagged + smaller SignatureMD subset | Sparse — under 5 explicit ultra-tier records |
| Best fit | Cost-conscious, lower-acuity patients | Patients with insurance who want extended access | Older patients with chronic disease + insurance | High-net-worth, multi-physician coordination |
Source: Concierge MD Finder proprietary directory (May 2026) plus published network counts from MDVIP, SignatureMD, and DPC Frontier mapper.
For a deeper side-by-side, see our DPC vs Concierge vs Traditional Primary Care comparison and our DPC vs Concierge Medicine cost guide for 2026.
State-by-state distribution
The top 5 states by concierge medicine practice count in 2026 are Texas (181), Florida (155), California (127), Pennsylvania (75), and New York (66) — collectively 604 practices, or about 23% of all U.S. practices we've indexed. That share is concentrated relative to the U.S. population, where the same five states hold roughly 38% of residents.
Per-capita density tells a different story. Maryland (64 practices, ~6.2M residents), Hawaii (24 practices, ~1.4M), Delaware (27 practices, ~1.0M), and DC (14 practices, ~700K) all punch well above their population share. The Delaware-and-DC pattern reflects beltway demand for executive-health-style concierge programs and Hawaii's resident-physician scarcity driving private-pay options.
Top 25 states by indexed practice count
| Rank | State | Practice count | Notes |
|---|---|---|---|
| 1 | Texas | 181 | Austin (29), Houston (27), Dallas (24), San Antonio (20) |
| 2 | Florida | 155 | Tampa (12), Boca Raton (10), Fort Lauderdale (10) |
| 3 | California | 127 | San Francisco (10), Fresno (9), San Luis Obispo (8) |
| 4 | Pennsylvania | 75 | Philadelphia (12), Paoli (12) |
| 5 | New York | 66 | NYC (11) |
| 6 | Maryland | 64 | High per-capita density |
| 7 | Arizona | 63 | Scottsdale (13), Tucson (12), Phoenix (12) |
| 8 | New Jersey | 51 | Suburban metro spread |
| 9 | South Carolina | 47 | Coastal concentration |
| 10 | Georgia | 45 | Atlanta (13) |
| 11 | North Carolina | 44 | Charlotte (14) |
| 12 | Virginia | 44 | Alexandria (11) |
| 13 | Tennessee | 43 | Nashville (16), Memphis (7) |
| 14 | Ohio | 40 | Cincinnati (11) |
| 15 | Nevada | 40 | Las Vegas (13), Henderson (11), Reno (9) |
| 16 | Michigan | 40 | Detroit-metro spread |
| 17 | Oklahoma | 32 | Tulsa (13), OKC (8) |
| 18 | Louisiana | 32 | Baton Rouge (10) |
| 19 | Alabama | 28 | Huntsville (10) |
| 20 | Illinois | 27 | Chicago (8) |
| 21 | Delaware | 27 | Wilmington (11) |
| 22 | Massachusetts | 26 | Boston metro |
| 23 | Colorado | 25 | Colorado Springs (9) |
| 24 | Kentucky | 25 | Louisville (11) |
| 25 | Hawaii | 24 | Honolulu (17) — top per-capita |
States with under 10 indexed practices in our directory include North Dakota (1), South Dakota (1), Mississippi (2), Vermont (5), Arkansas (5), New Mexico (6), Maine (7), and Minnesota (7). These long-tail states are coverage gaps under active verification; rural Health Professional Shortage Area concentration suggests the true count is likely 2–3× higher in several of them.
A separate 1,026 records (39%) in our master index don't yet carry a confirmed state assignment and are excluded from the state totals above. They feed monthly verification queues — see Methodology.
For city-level guides, see our Best Concierge Medicine in Phoenix, Denver, and Seattle 2026 guide and the Miami, Houston, and Dallas guide.
Pricing landscape
U.S. concierge medicine fees in 2026 span more than two orders of magnitude, from $50/month DPC memberships to $50,000/year ultra-premium retainers. The national average concierge fee is approximately $135–$150 per month, per AAPP executive director Tom Blue, with the broader range running $50/month to $25,000/year.
Our directory captures 1,222 practices with published price-tier signals. The distribution:
- $$ tier (~$50–$300/month or ~$600–$3,600/year): 1,196 practices (98% of those publishing a tier) — dominated by DPC memberships and entry-level concierge retainers.
- $$$ tier (~$3,600–$10,000/year): 24 practices — mid-tier concierge, including most MDVIP and SignatureMD-affiliated programs.
- $$$$ tier ($10,000+/year): 1 practice — ultra-concierge.
- No published price: 1,379 practices (53%) — typical of MDVIP-affiliated and hospital-affiliated practices that quote on request.
The 53% no-price-published rate is consistent with how mid-tier and network-affiliated practices market themselves — many MDVIP and SignatureMD pages defer to the affiliated physician's office for actual pricing.
Price tiers by model
| Tier | Annual fee range | Typical model | Patient panel cap | Example brands / network |
|---|---|---|---|---|
| Entry DPC | $600–$1,200 | Direct Primary Care | 600–1,000 | Independent DPC practices via DPC Frontier mapper |
| Premium DPC | $1,200–$2,400 | DPC with extended scope (some procedures, labs) | 300–600 | Plum Health DPC, Cypress Family Medicine |
| Entry concierge | $1,500–$3,000 | Insurance + retainer hybrid | 400–600 | SignatureMD-affiliated independents |
| Mid-tier concierge | $2,400–$5,000 | MDVIP standard tier | ~600 | MDVIP — 1,300 physicians in 45 states |
| Boutique concierge | $5,000–$15,000 | Smaller panel, executive-health add-ons | 200–400 | PartnerMD, Specialdocs, Castle Connolly Private Health Partners |
| Ultra-concierge | $15,000–$50,000 | Multi-physician team, near-instant access | 50–150 families | MD2 (50 families per physician) |
For self-pay patients on a multi-year plan, the dominant cost lever isn't headline fee — it's panel size. A $2,500/year MDVIP retainer with a 600-patient panel buys roughly 4× the per-patient physician time of a traditional primary care panel of 2,400, per the MDVIP physician FAQ. A $25,000/year ultra-concierge program with a 100-patient panel buys 24× the time.
See our deeper breakdowns in the Is Concierge Medicine Worth It pros and cons piece and the Complete Concierge Medicine Guide.
MDVIP, SignatureMD, and Castle Connolly network share
The three largest national concierge networks — MDVIP, SignatureMD, and Castle Connolly Private Health Partners (CCPHP) — together affiliate roughly 1,500–1,600 physicians, covering an estimated 8–10% of all concierge-style practices in the U.S. by physician count.
MDVIP is the largest by an order of magnitude. As of 2025, MDVIP's network consists of 1,300 affiliated physicians serving more than 400,000 patients across 45 states and DC. Membership fees typically range $2,400–$5,000/year. MDVIP caps physician panels at roughly 600 patients, vs 2,000+ in traditional practice. In our directory, we tag at least 280 records as MDVIP-affiliated via insurance-model metadata.
SignatureMD operates the second-largest national network. SignatureMD partners with more than 200 affiliated primary care physicians and specialists across 35 states, with annual fees in the $1,500–$2,000 range and panels capped at 400–600 patients. SignatureMD completed a merger with Cypress Membership Medicine in 2024, backed by Blue Sea Capital, consolidating it as the second-largest concierge platform.
Castle Connolly Private Health Partners (CCPHP) operates a smaller but premium-positioned network. CCPHP physicians have access to consult with more than 60,000 Castle Connolly Top Doctors in the U.S. and internationally. Membership fees are typically not publicly disclosed and are quoted per-physician.
Outside these three, PartnerMD, Specialdocs Consultants, Concierge Choice Physicians, and Sollis Health (urgent-care concierge) round out the consolidated tier. The other ~90% of U.S. concierge and DPC practices are independent or operate under regional/state-specific brand networks.
Network consolidation has accelerated since 2023. Concierge Medicine Today reported in January 2026 that practice sales are on the rise, driven by physician burnout, regulatory complexity, and platform-backed buyer pools — including private equity rolling up regional concierge groups.
Insurance overlap models
The single sharpest distinction inside the concierge category is whether the practice bills insurance for primary care. DPC practices don't. Traditional concierge practices and MDVIP/SignatureMD-affiliated practices typically do. This drives every other operational difference: HSA eligibility, Medicare opt-out status, fee structure, and the regulatory exposure of the membership fee itself.
DPC (no insurance billing for primary care). 357 records in our directory explicitly carry this model. The defining structural feature: a flat monthly fee covers all primary-care visits, with no claims submitted to Medicare or commercial insurance for those visits. Patients typically pair DPC with a high-deductible health plan or catastrophic insurance for hospital and specialist coverage. Per AAFP, DPC monthly fees usually range $50–$100. The new One Big Beautiful Bill Act provision makes up to $150/month HSA-eligible for individuals starting January 1, 2026.
Concierge-only (no insurance, retainer-funded). A smaller subset — 28 records in our directory — operate as pure concierge with no insurance billing of any kind. These practices charge an annual retainer that covers all primary-care services. They function operationally like DPC at a higher price point but typically don't market themselves under the "DPC" label.
Hybrid concierge (insurance + retainer). The largest single subset — 129 of 592 records with confirmed insurance models — accept insurance for visits and labs while charging an annual membership fee for enhanced access and amenities (24/7 line, extended physicals, wellness coordination). MDVIP and SignatureMD-affiliated practices dominate this category.
MDVIP-affiliated. Our directory tags 78 records explicitly as MDVIP affiliates with a "Concierge (MDVIP)" label, plus additional records under variant insurance-model strings. MDVIP practices typically accept Medicare and commercial insurance for medical services while charging $2,400–$5,000/year for the membership Wellness Program. The IRS treats the MDVIP fee as a retainer (not HSA-eligible), with insurance billing applied to visits and labs as a separate channel.
Insurance-accepted with annual fee. A long-tail subset (~50 records under variant strings) operate as primarily insurance-based practices with a smaller add-on annual fee for concierge-style perks. These sit closest to traditional primary care and are sometimes labeled "semi-concierge" or "hybrid-light."
What the membership fee actually buys
| Model | Insurance billed for primary care visits? | What the membership fee covers |
|---|---|---|
| DPC | No | All primary care, basic procedures, often wholesale labs/Rx |
| Pure concierge | No | All primary care visits + extended access + on-call |
| Hybrid concierge | Yes (insurance bills) | Wellness program, executive physical, after-hours access |
| MDVIP | Yes (insurance bills) | Wellness program + comprehensive annual exam |
| Insurance + nominal fee | Yes (insurance bills) | Coordination, modest after-hours access |
For Medicare patients, the regulatory layer matters. A concierge practice that bills Medicare for visits but charges a separate retainer for non-Medicare-covered services is operating within a framework the OIG has examined multiple times since 2007 and is generally permissible if the retainer doesn't cover services Medicare already covers. DPC practices that opt out of Medicare avoid this complexity entirely by not billing the program in the first place.
For a state-by-state legal overview, see our Concierge Medicine State Laws by Region guide.
Patient demographics and driving forces
Concierge medicine patients in 2026 skew older, higher-income, and more chronically ill than the U.S. average. The Concierge Medicine 2026–2030 industry report identifies the over-55 population as the dominant demand segment, driven by the higher prevalence of chronic conditions requiring continuous management.
Demographic snapshot
- Age: Roughly two-thirds of concierge patients are 55 or older, per published industry estimates. Approximately 129 million Americans have at least one chronic condition, the demand engine behind concierge growth.
- Income: Mid-tier concierge ($3,000–$10,000/year) captured 39.28% of 2025 revenue, suggesting middle-to-upper-income households now anchor the segment — not only the ultra-wealthy.
- Employer-sponsored: Per a Hint Health August 2025 employer trends report, 58% of DPC memberships are now sponsored by employers, a structural shift from purely individual purchases.
- Geographic: Demand concentrates in metro areas with high primary-care wait times — Austin, Houston, Tampa, NYC, and DC are top-decile per our state-by-state index.
Driving forces
Physician shortage. The AAMC's 2024 workforce projections anticipate a primary-care shortage of 20,200–40,400 physicians by 2036 under base scenarios. HRSA has designated 7,488 primary-care Health Professional Shortage Areas covering nearly 74 million Americans. Wait times for new-patient primary-care appointments in major metros now routinely exceed 30 days.
Visit-time compression. Traditional primary-care visits in 2026 average 13–18 minutes per patient; MDVIP and concierge practices average 30–60 minutes. The compression of insurance-based primary care toward shorter visits has created a defection lane into concierge for both patients and physicians.
Physician satisfaction. Per AAFP 2023 DPC survey, 94% of family physicians in DPC reported satisfaction with their practice, vs 57% of those still in traditional models. That gap is the supply-side driver behind 9% of AAFP members now operating DPC practices, up from 3% in 2022.
Tax policy. The January 2026 implementation of the One Big Beautiful Bill Act DPC provision is a structural demand stimulus for the DPC sub-segment specifically.
Chronic disease prevalence. 129 million U.S. adults live with at least one chronic condition, per CDC. The continuous-care model concierge offers maps closely to chronic disease management requirements, which the American College of Cardiology and ADA care guidelines explicitly endorse as superior to episodic visits.
For deeper analysis, see our Concierge Medicine for Chronic Disease Management article.
How to evaluate a concierge practice
Before paying an annual retainer, prospective patients should verify five things: insurance and Medicare billing posture, panel size, physician credentials, fee transparency, and what the membership fee actually covers. Each takes under 20 minutes of due diligence.
Insurance and Medicare billing posture. Ask the practice three questions. Does the practice bill insurance for visits and labs? Is the membership fee billed separately as a retainer? Does the practice participate in Medicare, or has it opted out? A DPC practice will answer "no, yes, opted out (or doesn't bill)." A hybrid concierge or MDVIP-affiliated practice will answer "yes, yes, participates."
Panel size. Ask the cap — the maximum number of patients the practice accepts. Standard concierge: 400–600 patients. MDVIP: ~600. Boutique concierge: 200–400. Ultra-concierge: 50–150 families. A practice with a panel above 800 is operating more like a traditional primary-care office with concierge marketing.
Physician credentials. Confirm board certification via the ABMS Certification Check tool. Look for residency training in family medicine, internal medicine, or pediatrics for primary-care concierge. Specialty concierge (cardiology, GI, etc.) should match a board-certified specialist.
Fee transparency. A reputable practice publishes its fee schedule or quotes it on first call. Vague pricing — "fees vary based on your needs" — is a red flag for traditional concierge. DPC practices almost universally publish flat monthly fees on the website.
What the membership covers vs doesn't. Ask for a written list. A standard list should cover same/next-day access, extended visits, annual physical, after-hours direct line, and care coordination. It should NOT cover services Medicare already covers if the practice bills Medicare — that overlap is the historical concern the OIG has flagged.
Red flags: Claims that the membership "replaces health insurance" (only DPC paired with catastrophic coverage approaches this, and even then most DPCs recommend pairing with insurance for hospital/specialist). Marketing language promising "concierge for everyone" without disclosing the panel size or fee. Pressure to enroll on the first call. No physician-direct contact during the inquiry phase.
For a printable evaluation checklist, see our Concierge Medicine for Beginners guide.
FAQ
How many concierge medicine practices are in the U.S.?
There are 2,601 concierge medicine and Direct Primary Care practices indexed in the U.S. as of May 2026 per our directory. The figure spans all 50 states plus DC. Top 5 states by count: Texas (181), Florida (155), California (127), Pennsylvania (75), and New York (66). A separate count of DPC-only practices comes from the DPC Frontier mapper, which lists more than 2,800 active DPC offices nationwide. The two counts overlap substantially since 357 records in our directory are explicitly DPC. The U.S. concierge medicine market is valued at $7.35 billion in 2024, per Grand View Research, projected to reach $13.23 billion by 2030.
What's the difference between DPC and concierge medicine?
Direct Primary Care (DPC) practices charge a flat monthly fee and don't bill insurance for primary-care visits. Traditional concierge practices charge an annual retainer on top of insurance billing — patients pay the membership fee plus standard insurance copays for visits. DPC monthly fees typically run $50–$100 per AAFP. Concierge annual fees range $1,500–$5,000 for entry tier and up to $50,000 for ultra-concierge. Starting January 1, 2026, DPC fees up to $150/month are HSA-eligible under the One Big Beautiful Bill Act; concierge retainers are not. In our directory, 357 of 2,601 practices are explicitly DPC (~14%), while roughly 65% are traditional concierge.
How much does concierge medicine cost in 2026?
U.S. concierge medicine fees in 2026 span $600/year (entry DPC) to $50,000/year (ultra-concierge), with most patients paying $2,000–$5,000/year. The national average is approximately $135–$150 per month, per AAPP. MDVIP-affiliated practices typically charge $2,400–$5,000/year; SignatureMD $1,500–$2,000/year; boutique concierge $5,000–$15,000/year; ultra-concierge $15,000–$50,000/year. In our directory, 98% of practices that publish a tier fall in the $$ bracket (~$600–$3,600/year), 2% in the $$$ bracket ($3,600–$10,000), and a single practice in the $$$$ tier ($10,000+).
Is concierge medicine HSA-eligible?
Mostly no, with one significant exception coming in 2026. The IRS treats concierge retainer fees as access fees, not medical services, and they're not reimbursable from an HSA or FSA. Itemized medical services billed separately by a concierge practice are eligible. The major exception: starting January 1, 2026, the One Big Beautiful Bill Act allows patients on high-deductible health plans to use HSA funds to cover up to $150/month in DPC membership fees for individuals and $300/month for families. The exception applies specifically to Direct Primary Care, not traditional concierge or MDVIP retainers.
Does MDVIP accept insurance?
Yes. MDVIP-affiliated practices accept Medicare and most commercial insurance plans for medical services like office visits and labs. The MDVIP annual membership fee (typically $2,400–$5,000/year) is billed separately as a retainer for the Wellness Program — comprehensive annual exam, preventive coordination, and extended-access amenities. Insurance does not cover the membership fee. MDVIP's network covers 1,300 physicians serving more than 400,000 patients across 45 states and DC as of 2025.
How big is MDVIP's network in 2026?
MDVIP affiliated 1,300 physicians as of January 2025, with that count growing modestly through 2026. The network covers 45 states plus DC and serves more than 400,000 patients. Average panel size per affiliated physician is approximately 600 patients, vs 2,000+ in traditional primary care. MDVIP's primary fee tier is $2,400–$5,000/year. The company is the largest single concierge medicine network in the U.S. by physician count, roughly 6.5× the size of SignatureMD's network of 200+ physicians across 35 states.
What is Direct Primary Care (DPC)?
Direct Primary Care is a primary-care model in which the patient pays a flat monthly fee (typically $50–$100, per AAFP) directly to the practice, and the practice doesn't bill insurance for primary-care visits. The fee usually covers unlimited visits, basic in-office procedures, and often wholesale-cost labs and medications. Patients pair DPC with a high-deductible health plan or catastrophic insurance for specialist and hospital coverage. The DPC Frontier mapper lists more than 2,800 DPC offices, with industry estimates of 1.4 million active DPC memberships in 2026. Starting January 1, 2026, DPC fees up to $150/month per individual are HSA-eligible under the One Big Beautiful Bill Act.
Why is concierge medicine growing in 2026?
Four factors. First, the AAMC projects a 20,200–40,400 primary-care physician shortage by 2036, with HRSA designating 7,488 primary-care shortage areas covering nearly 74 million Americans. Second, traditional primary-care visit times have compressed to 13–18 minutes vs 30–60 minutes for concierge, driving patient defection. Third, physician burnout is driving supply-side conversion — 94% of DPC physicians report satisfaction vs 57% of traditional. Fourth, the January 2026 HSA-eligibility expansion for DPC fees creates a federal tax subsidy that accelerates the DPC sub-segment specifically. Combined, these drove the U.S. concierge medicine market from $7.35B in 2024 toward a projected $13.23B in 2030 — a 10.33% CAGR per Grand View.
Which states have the most concierge medicine practices?
Top 5 states by indexed practice count in 2026: Texas (181), Florida (155), California (127), Pennsylvania (75), and New York (66) — collectively 604 practices, or 23% of all U.S. practices we've indexed. On a per-capita basis, Maryland (64 practices, ~6.2M residents), Delaware (27 practices, ~1.0M), Hawaii (24 practices, ~1.4M), and DC (14 practices, ~700K) significantly outperform. The Texas concentration reflects both population scale and a strong Austin/Houston/Dallas concierge corridor. Florida reflects retiree-driven demand for MDVIP-affiliated practices. Note: 1,026 records (39%) in our index don't yet carry a confirmed state and feed monthly verification queues.
Methodology
This report draws on Concierge MD Finder's proprietary directory of 2,601 U.S. concierge medicine and Direct Primary Care practices, refreshed monthly via Outscraper Google Maps data extraction plus manual editorial verification. Each record includes name, address, state, city, practice type (where published), insurance model (where published), and price tier.
Practice-type classification is based on the practice's own public-facing marketing language and our editorial collapse rules. We classify as "DPC" when the practice explicitly identifies as Direct Primary Care or operates a flat-monthly-fee model without insurance billing for primary care. We classify as "Concierge Medicine" or "Concierge" when the practice charges an annual retainer alongside insurance billing. 386 records (15%) carry no clear practice-type signal and are flagged unclassified.
Insurance-model classification is similarly self-reported and editorially normalized. We track explicit network affiliations (MDVIP, SignatureMD, Castle Connolly) via marketing language and physician-page metadata. The dataset is sparse — only 592 of 2,601 records (23%) currently carry a verified insurance-model classification — which we are working to expand monthly. State coverage is the second-largest gap: 1,026 records (39%) are still pending state confirmation.
Price tier is self-reported and normalized to four tiers: $$ (~$50–$300/month or ~$600–$3,600/year), $$$ ($3,600–$10,000/year), $$$$ ($10,000+/year), and unknown. 1,379 practices (53%) don't publish pricing publicly and are excluded from the price-tier distribution.
Refresh cadence: Full directory refresh runs monthly; verification queue runs continuously. Major regulatory updates (IRS HSA rules, CMS Medicare opt-out provisions, AAFP DPC policy revisions) trigger an out-of-cycle report update.
Report inaccuracy: If you spot a listing error, an outdated practice-type classification, or a regulatory fact that needs correction, email corrections@conciergemedfinder.com. We typically resolve flagged inaccuracies within five business days.
Limitations: Practice-type and insurance-model fields are populated for roughly 85% and 23% of records respectively; market-share figures for ultra-concierge specifically rely on secondary sources and small-n samples. State-level totals exclude 1,026 records pending state confirmation. The pricing-tier field is statistically thinner than the practice-type field and should be interpreted as directional. Nothing in this report is medical, legal, or financial advice; readers considering a concierge medicine arrangement should consult their physician, accountant, and applicable state regulations.
Key findings at a glance
For citation and reference, the headline numbers from this report:
- 2,601 U.S. concierge medicine and DPC practices indexed nationwide (May 2026).
- 50 states + DC covered; 1,026 records (39%) pending state confirmation.
- ~65% traditional concierge / 16% DPC / 19% unclassified — by practice type across our directory.
- 357 practices explicitly labeled Direct Primary Care.
- 78 practices explicitly tagged "Concierge (MDVIP)" plus additional MDVIP variants.
- Top 5 states: TX (181), FL (155), CA (127), PA (75), NY (66) — 23% of U.S. practices.
- $7.35B → $13.23B U.S. market 2024–2030 (10.33% CAGR, Grand View Research).
- 20,200–40,400 primary-care physician shortage projected by 2036 (AAMC).
- 7,488 HRSA-designated primary-care Health Professional Shortage Areas covering ~74M Americans.
- 9% → 3% AAFP members in DPC, 2023 vs 2022 (AAFP) — tripling in 12 months.
- 2,800+ DPC offices and 1.4M memberships per DPC News January 2026.
- MDVIP: 1,300 physicians, 400,000+ patients, 45 states + DC (2025).
- SignatureMD: 200+ physicians, 35 states (2025).
- $50–$100/month typical DPC fee; $2,400–$5,000/year typical MDVIP fee; $15,000–$50,000/year ultra-concierge.
- $150/month new HSA-eligibility ceiling for DPC fees under the One Big Beautiful Bill Act, effective January 1, 2026.
- 58% of DPC memberships now employer-sponsored (Hint Health August 2025).
- 129M U.S. adults with at least one chronic condition (CDC), the demand engine behind concierge growth.
About this report: The U.S. Concierge Medicine Market Report is produced quarterly by the Concierge MD Finder editorial team using our proprietary directory of 2,601 U.S. concierge medicine and DPC practices. The dataset is refreshed monthly via Outscraper Google Maps extraction plus manual editorial verification. Cite as: "Concierge MD Finder U.S. Concierge Medicine Market Report 2026." For data partnerships, custom segmentation, or to flag a listing correction, contact corrections@conciergemedfinder.com.
The next quarterly update (August 2026) will include: closing the 1,026-record state coverage gap, expanding the insurance-model field from 23% to a 50% coverage target, the first per-capita practice-density index by metro, and a first cut at city-level pricing variance across the top 25 metros.