Big Tree Medical

Name

Big Tree Medical

Legal name

Big Tree Medical

Website

https://bigtreemedical.com

Company type

Private

Founded year

2017

Operating status

Operating

Headcount range

11–50 employees

Ownership category

akta.pro rank

Product category

Direct Primary Care

NAICS

Offices of Physicians (6211), Health Care and Social Assistance (62)

SIC

Services-Offices & Clinics Of Doctors Of Medicine (8011), Services-Health Services (8000)

akta.pro industry

PRIMARYHLAFAGAD

Direct Primary Care (DPC) & Concierge Medicine

Healthcare & Life Sciences/Healthcare Providers & Systems/Primary Care & Community Health Providers

SECONDARYHLALAAAA

Primary Care & General Medicine Virtual Care

Healthcare & Life Sciences/Telehealth Platforms/Direct-to-Consumer Virtual Care Platforms

SECONDARYHLALADAA

Primary Care & General Medicine Virtual Care (Employer-Sponsored)

Healthcare & Life Sciences/Telehealth Platforms/Employer-Sponsored Virtual Care Platforms

Keywords

• Direct primary care
• Membership-based healthcare
• Primary care services
• Medical weight loss
• Hormone replacement therapy

Headquarters

HQ city

Columbia

HQ country

United States

HQ region

North America

Offices6 records

Markets served

GTM type

B2B and B2C

Offering type

Services

Cost components

Personnel, Operations, Technology or R&D, Marketing or Sales, Infrastructure

Revenue model

1. Monthly Membership Subscriptions: Core revenue from three tiers of Direct Primary Care memberships (Unlimited, Virtual, Access) billed monthly. The membership model replaces fee-for-service billing, providing unlimited access to primary care, messaging, and included services for a flat monthly fee. Additional family tiers (member + spouse, member + children, family) drive per-household expansion revenue.
2. Specialty Clinical Services: Revenue from specialized services including Hormone Replacement Therapy (testosterone, Biote pellet therapy), medical weight loss programs (including compounded GLP-1 medications), Big Tree Performance longevity programs (IV therapy, NAD+, biomarker testing, whole genome testing via Biography Health, peptides), and medical aesthetics (laser hair removal, laser facials, Xeomin/Daxxify injections, dermal fillers, sclerotherapy). These are typically cash-pay add-ons to base membership.
3. In-House Pharmacy: Revenue from dispensing generic medications ($1 generics plus other prescriptions), brand-name prescriptions to outside pharmacies, controlled substance management (non-opioid), and over-the-counter medications at discounted prices. All sourced through Big Tree's in-house pharmacy in Columbia, MO.
4. Employer Group Health Plans: Revenue from employer group plans where Big Tree memberships are offered as a core benefit. For larger employers, custom self-funded health plans centered on Direct Primary Care provide recurring membership revenue per employee, combined with integrated health-sharing solutions (Sedera) and supplementary benefits (dental, vision).

Pricing tiers

Go-to-market motion2 records

Distribution channels5 records

Marketing channels6 records

Core offering

Big Tree Medical is a Direct Primary Care (DPC) practice that delivers unlimited primary care, chronic care management, preventive care, and specialty clinical services (Hormone Replacement Therapy, Medical Weight Loss including GLP-1 medications, Big Tree Performance longevity program, and medical aesthetics) through monthly membership subscriptions. The company operates four physical clinics in mid-Missouri and a virtual care platform serving most U.S. states, supported by an in-house pharmacy dispensing 180+ generic medications at $1 and partnerships with Quest Diagnostics, Spruce, Fullscript, and Biote.

Product overview

Big Tree Medical is a membership-based direct primary care company operating a platform-plus-modules architecture. The core offering is the membership model with three tiers (Unlimited, Virtual-Only, and Access), providing unlimited primary care access through a flat monthly fee. This core is augmented by specialized programs including Hormone Replacement Therapy, Medical Weight Loss, Big Tree Performance longevity services, Aesthetics, Big Tree Pharmacy, and Little Tree Pediatrics sub-brand. Additional modules include employer Group Plans, Big Tree Plus supplemental coverage, and Dental & Vision add-ons. The company operates physical clinics in Missouri (Columbia, Boonville, Sedalia, Jefferson City) with virtual care available nationwide.

Differentiator

Problem solved

Functional benefit

Brands

• Little Tree Pediatrics: Specialized pediatric clinic providing well child visits, sport physicals, developmental tracking, and pediatric care services. Located at 206 Corporate Lake Dr, Columbia, MO 65203.
• Big Tree Performance
• Big Tree Pharmacy

Products and services

• Unlimited Membership Comprehensive membership plan offering unlimited in-person and virtual care visits at Missouri clinic locations (Columbia, Sedalia, Boonville, Jefferson City). Priced at $80/month for member only, $150 for member+child(ren) or member+spouse, $225 for member+family. Includes 24/7 access, 180+ generic medications at $1, and wholesale lab pricing through Quest partnership.
• Virtual-Only Membership Telehealth-focused membership providing unlimited virtual visits for members outside Missouri or those preferring remote care. Priced at $62/month for member only, $110 for member+child(ren) or member+spouse, $160 for member+family. Includes chronic care, mental health support, weight loss care, and refills. In-person visits charged at $89 office fee.
• Access Membership Hybrid membership requiring traditional insurance. Priced at $40/month for member only, $77 for member+child(ren) or member+spouse, $110 for member+family. In-person and virtual visits billed through insurance with copays/deductibles applying. Some services like HRT, Botox, and sclerotherapy available as cash-pay only.
• Hormone Replacement Therapy (HRT) Personalized hormone replacement therapy including testosterone therapy and female HRT for perimenopausal women. Includes comprehensive lab testing and ongoing monitoring. Offered as a cash-pay add-on to base membership.
• Medical Weight Loss Program Physician-supervised weight loss program with personalized approach including GLP-1 medications (both brand name and compounded), nutritional counseling, and ongoing support for sustainable medical-grade weight management.
• Big Tree Performance (Longevity Program) Advanced longevity and wellness program featuring biomarker testing, IV therapy (hydration fluids, Myers cocktails, NAD+ infusions), whole genome testing through Biography Health partnership, and peptide therapy for health optimization and disease prevention.
• Aesthetics Services Cosmetic medical services including laser hair removal (using Candela GentleMax Pro Plus dual-laser), laser facials for collagen stimulation at $150/session, cosmetic injections (Xeomin $8/unit, Daxxify $6/unit), dermal fillers (Restylane $400-420/syringe), and sclerotherapy for spider veins at $300/session.
• Big Tree Pharmacy In-house pharmacy providing over 180 generic medications for $1, brand-name prescriptions, controlled substances management (excluding opioids/narcotics), OTC medications, and medication shipping within Missouri. Includes medication sync service for refill coordination.
• Little Tree Pediatrics Specialized pediatric clinic in Columbia, Missouri offering well child visits, sport physicals, developmental tracking, and pediatric ADD/ADHD treatment. Operates with separate phone number (573-889-2699) and hours under the Little Tree Pediatrics sub-brand.
• Group Plans for Employers Employer benefit solutions offering Direct Primary Care memberships for employees, including custom self-funded plan options, integration with health sharing solutions (Sedera), and Corporate Accounts management through a dedicated representative. Targets organizations from 5 to 500+ employees.
• Big Tree Plus Enhanced membership tier adding nationwide provider access, ACA-compliant coverage, Paytient health payment account ($1,000 individual / $1,500 family interest-free spending limit), free lab/vision/hearing services, and Zion reimbursement benefit. Includes primary care copays ($25) and specialty care copays ($50).
• Dental & Vision Coverage Supplemental dental and vision benefits available exclusively to Big Tree members. Features any-provider nationwide access and routine preventative care including cleanings, exams, glasses, and contacts.

Quantifiable outcome

• Members save approximately $250/month on medications through $1 generic program and wholesale pharmacy pricing
• +3 more outcomes

Named customers5 records

Segments3 records

Ideal customer profiles2 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration6 records

Feature4 records

Partnerships

Six partnerships are on record, tiered core and standard.

• Sedera MedicalcoreStrategic or Co-development PartnerSedera Medical is a recognized Health Care Sharing Ministry (HCSM) and non-insurance alternative for managing large, unexpected medical costs. Big Tree members can pair their DPC membership with a Sedera cost-sharing plan to cover expenses outside primary care (ER visits, surgeries, imaging). Sedera offers discounted rates when combined with Big Tree membership. Sedera provides a values-based, community-driven cost-sharing model where members share one another's large medical needs.
• Quest DiagnosticscoreTechnology or IntegrationBig Tree Medical offers wholesale pricing on laboratory tests through its partnership with Quest Diagnostics. All membership tiers (Unlimited and Virtual) include access to Quest's lab network at discounted rates, enabling affordable diagnostics alongside primary care.
• FullscriptstandardTechnology or IntegrationBig Tree members receive 25% off practitioner-recommended supplements through Fullscript's online platform. Members set up a Fullscript account linked to their Big Tree account to order supplements for delivery. Fullscript provides the e-commerce platform for supplements; Big Tree providers recommend products.
• BiotestandardTechnology or IntegrationBiote is a hormone pellet therapy program offering long-acting testosterone replacement. Big Tree Medical offers Biote pellet therapy as part of its HRT services, providing patients with a convenient, steady-release hormone delivery option repeated every few months.
• Biography HealthstandardTechnology or IntegrationBig Tree Medical partners with Biography Health to offer whole genome testing as part of its Longevity program. Whole genome testing reveals how a patient's genes influence metabolism, nutrient needs, and disease risk, enabling more precise prevention and health optimization strategies.
• PaytientstandardTechnology or IntegrationPaytient Visa Health Payment Account (HPA) is included in the Big Tree Unlimited Plus plan, offering an interest- and fee-free spending limit of $1,000 for individuals and $1,500 for families. Members can pay out-of-pocket medical, pharmacy, dental, vision, and veterinary expenses with custom repayment plans up to 18 months. Issued by Commerce Bank, Member FDIC.

Scale indicators2 records

Recent moves6 records

Expansion highlights6 records

Direct peers

• Amazon One Medical: Membership-based primary care with in-person clinics plus a national virtual platform, employer sales motion, and lab integrations. Directly comparable because it occupies the same DPC-plus-add-ons category Big Tree targets, but at vastly greater scale and capital.
• Forward Health: Tech-forward membership primary care offering preventive care, chronic disease management, and longevity-style add-ons in physical 'CarePods'. Comparable to Big Tree on subscription DPC economics and emphasis on tech-enabled, prevention-focused care, though with heavier tech investment.
• Everside Health: Large-scale employer-sponsored primary care network operating near-site clinics. Highly comparable to Big Tree's group/B2B DPC motion targeting 5–500+ employee employers with self-funded plan structures.
• Parsley Health: Membership-based primary care practice focused on root-cause and chronic care with nutrition and wellness add-ons. Comparable as a subscription-DPC model with cash-pay specialty modules similar to Big Tree's longevity, HRT, and weight-loss stack.
• SteadyMD: Virtual-first Direct Primary Care platform that pairs members with dedicated providers for monthly subscriptions. Directly comparable to Big Tree's Spruce-powered Virtual-Only tier with national reach and B2B employer channel.
• Crossover Health: Employer-sponsored primary care and behavioral health centers with integrated pharmacy and virtual components. Comparable on the group-plan / employer value-based primary care positioning, including pharmacy and virtual add-ons.
• Paladina Health: Employer-sponsored Direct Primary Care model offering near-site and virtual primary care to employees and families. Highly comparable to Big Tree's B2B group plans and mid-sized employer focus.

Broad incumbents

• Oak Street Health: Value-based primary care platform (acquired by CVS Health) operating PCP clinics for Medicare populations. Broader incumbent in the same primary care category as Big Tree, with deeper payer relationships and significantly larger scale.

Emerging players

• PlushCare: Virtual primary care and mental health platform with subscription/membership options. Comparable as an online-only primary care alternative, though without Big Tree's physical clinic and in-house pharmacy footprint.

Others

• Hint Health: DPC operating system and billing platform used by independent DPC practices; Big Tree itself runs on Hint for member accounts. Adjacent rather than competitive—relevant as the infrastructure layer beneath independent DPC clinics like Big Tree.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks7 records

Key highlights7 records

Customer concentration

• Facebookfacebook.com/BigTreeMedicalHome
• LinkedInlinkedin.com/company/big-tree-medical

Compliance1 record

Revenue estimate

Valuation estimate

Number of profiles

Profiles11 records

Subsidiaries1 record

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Big Tree Medical