What BioBalance Health does

BioBalance Health is a privately held medical practice founded in 2002 by Dr. Kathy Maupin and headquartered in St. Louis, Missouri, with a second office in Kansas City. The practice specializes in bioidentical hormone replacement therapy using sub-dermal testosterone and estradiol pellets sourced from long-term compounding pharmacy partners, primarily treating symptoms of menopause and andropause in adults. Beyond hormone therapy, the practice operates the BioBalance Skin medical aesthetics subsidiary, a Medicated Weight Loss program incorporating GLP-1 agonists (Semaglutide, Tirzepatide), and an online store for supplements, books, and medical-grade skincare.

The core product is a recurring pellet insertion procedure: women return every 3-6 months at approximately $600 per insertion and men every 5-6 months at approximately $1,600 per insertion, with hour-long physician consultations ($300) and shorter nurse practitioner visits ($150-$200) layered on top. Revenue is primarily cash-pay, with insurance occasionally reimbursing labs and prescriptions. Patient acquisition is driven by a sizeable content moat (650+ Healthcast video episodes, two published books, blog and social media presence), a $50 referral incentive, and physician referrals. Patients self-identify as traveling from across the United States and several other countries to receive treatment.

The practice is owned and operated by founder Dr. Kathy Maupin (Medical Director) and partner Dr. Rachel Sullivan (joined 2015), with a COO (Joe Baalman, 7+ year tenure), Administrative Director, Marketing Director, four nurse practitioners, two triage nurses, two medical assistants, and an aesthetics team, totaling approximately 18 staff. The business model is a service-led direct-to-patient practice, with no disclosed external funding, no parent company, and no identified acquisition activity since the 2006 BioBalance Skin launch.

Name

BioBalance Health

Legal name

BioBalance Health

Website

https://biobalancehealth.com

Company type

Private

Founded year

2002

Operating status

Operating

Headcount range

11–50 employees

Short description

BioBalance Health is a privately held St. Louis-based medical practice founded in 2002 that provides bioidentical hormone pellet therapy (testosterone and estradiol) to aging men and women, alongside medical aesthetics, medicated weight loss, and supplements across two Missouri offices.

Ownership category

akta.pro rank

Product category

Bioidentical Hormone Replacement Therapy

NAICS

Offices of Other Health Practitioners (6213), Food (Health) Supplement Retailers (456191)

SIC

Services-Offices & Clinics Of Doctors Of Medicine (8011)

akta.pro primary industry

Menopause & Midlife Women’s Health (HLAKAJAH)

akta.pro secondary industry

Women’s Health Supplements (Prenatal, Menopause, Hormonal) (CRADAGAK)

Keywords

• Bioidentical hormone therapy
• Hormone replacement pellets
• Anti-aging medicine
• Testosterone replacement therapy
• Medical aesthetics services

Headquarters

HQ city

St Louis

HQ country

United States

HQ region

North America

Offices3 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

Personnel, Operations, Technology or R&D, Marketing or Sales, Supply Chain

Revenue model

1. Hormone Pellet Therapy: Revenue from pellet insertion procedures for testosterone and estradiol replacement. Pellets are inserted every 3-6 months for women and every 5-6 months for men. Women's pellet insertions cost approximately $600 every 4-6 months; men's approximately $1,600 every 6 months.
2. Medical Consultations: Fees for initial and follow-up consultations with physicians (Dr. Maupin or Dr. Sullivan at $300) or nurse practitioners ($200 initial, $150 follow-up). Two consultations required initially; thereafter annually or as needed.
3. Medical Aesthetics: Services including HydraFacials, VIPeels, microneedling, neurotoxin injections, injectable fillers, thread lifts, EmFace, EmSculpt, EmSella, microblading, permanent makeup, laser treatments, and skincare products.
4. Medicated Weight Loss Program: Personalized weight loss program including prescription medications (Metformin, Semaglutide, Tirzepatide, Phentermine, etc.), nutrition guidance, supplements, and exercise monitoring.
5. Product Sales: Sale of supplements, books, and medical-grade skincare products through the company's online store and at office locations.

Pricing tiers

Go-to-market motion1 record

Distribution channels3 records

Marketing channels7 records

Core offering

BioBalance Health is a medical practice that delivers bioidentical hormone replacement therapy using sub-dermal testosterone and estradiol pellets to treat symptoms of aging, menopause, and andropause in men and women. The practice supplements its core hormone services with a medicated weight-loss program, medical aesthetics (BioBalance Skin), and retail sales of supplements, books, and medical-grade skincare. Services are delivered through cash-pay consultations and recurring pellet insertions at two Missouri offices.

Product overview

BioBalance Health is a medical practice offering bioidentical hormone replacement pellet therapy as its core service. The practice specializes in testosterone and estradiol pellet therapy for both men and women, treating symptoms of aging, menopause, and andropause. The company operates three main service lines: Hormone Therapy for Women (using testosterone and estradiol pellets), Hormone Therapy for Men/Low T Therapy (using testosterone pellets), and Medical Esthetics through its BioBalance Skin subsidiary. Additional offerings include a Medicated Weight Loss Program combining prescription medications, diet planning, and hormone optimization. The company also sells supplements and medical-grade skincare products through its online store, and Dr. Kathy Maupin has authored two books on hormone replacement therapy.

Differentiator

Problem solved

Functional benefit

Brands

• BioBalance Skin: Medical aesthetics practice offering HydraFacials, VIPeels, microneedling, neurotoxin injections, injectable fillers, thread lifts, EmFace, EmSculpt, EmSella, microblading, permanent makeup, and medical-grade skincare products including Skinceuticals and Colorscience.

Products and services

• Hormone Therapy for Women Bioidentical testosterone and estradiol pellet therapy for women addressing symptoms of testosterone deficiency and menopause including low libido, weight gain, fatigue, anxiety, insomnia, and hot flashes. Insertions every ~4 months at ~$600 per session.
• Low T Therapy for Men Bioidentical testosterone pellet replacement therapy for men treating andropause symptoms including low sex drive, erectile dysfunction, decreased strength, loss of muscle mass, and fatigue. Insertions every 5-6 months at ~$1,600 per session.
• Medicated Weight Loss Program

Quantifiable outcome

• 95% effectiveness at resolving hormone deficiency symptoms
• +3 more outcomes

Named customers1 record

Segments4 records

Ideal customer profiles4 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration4 records

Feature3 records

Partnerships

Three partnerships are on record, tiered core and minor.

• Compounding Pharmacies (Two Long-term Partners)coreTechnology or Integration · 1 January 2005Two compounding pharmacies have been exclusive providers of non-micronized bio-identical testosterone powder for BioBalance Health pellets for two decades. These pharmacies custom-formulate pellets specifically for the practice.
• Fit FlavorsminorOthersRecommended meal program for patients in the medicated weight loss program. Fit Flavors provides healthy meal options to support patient weight loss goals.
• Quest Diagnostics and LabCorpcoreTechnology or IntegrationPreferred laboratory partners for patient blood work. Practice passes along lab company discounts to patients, offering lower costs than direct payment.

Scale indicators8 records

Recent moves14 records

Expansion highlights5 records

Direct peers

• BodyLogicMD: National network of physicians specializing in bioidentical hormone replacement therapy and integrative medicine. Most direct comparable to BioBalance Health given the shared BHRT focus, physician-led clinic model, and recurring pellet-based revenue approach.
• SottoPelle: Pioneer of subcutaneous bioidentical hormone pellet therapy with a national affiliated-physician network. Directly comparable because both practices center on subcutaneous testosterone/estradiol pellets as the core therapy delivery method.
• Pellecome: Bioidentical hormone pellet therapy practice and training organization serving both patients and affiliated providers. Comparable due to its pellet-based BHRT protocols and clinic-plus-affiliate model analogous to BioBalance's expansion plans.
• BioTE Medical: Provider of bioidentical hormone pellet therapy with a large affiliated provider network and proprietary training programs. Comparable to BioBalance Health because both focus on subcutaneous hormone pellets and have built training/affiliate ecosystems around the modality.

Emerging players

• Marek Health: Direct-to-consumer men's health platform offering testosterone replacement therapy via telehealth and at-home labs. Comparable because it targets the same Low-T/andropause patient base as BioBalance Health's male pellet program, but through a digital-first model.
• Defy Medical: Telehealth practice specializing in hormone replacement therapy (including testosterone and estradiol) for men and women. Comparable in target conditions and patient population, though delivered remotely rather than via in-office pellet insertions.
• Found (Weight Care): Direct-to-consumer medicated weight loss program using GLP-1s with physician oversight. Comparable to BioBalance's Medicated Weight Loss Program (Semaglutide/Tirzepatide-based) but delivered digitally rather than in-office.

Broad incumbents

• Hims & Hers Health: Large publicly traded consumer telehealth platform that has expanded into men's testosterone and women's hormone treatments. Comparable because it now competes for the same anti-aging and hormone-related patient demand, though it operates at vastly greater scale and primarily via shipped medications.
• Ideal Image: Largest U.S. medspa brand offering aesthetics services including injectables, body contouring, and skin treatments. Comparable through the BioBalance Skin sub-brand, which offers overlapping services such as HydraFacials, neurotoxins, fillers, and EmSculpt/EmFace/EmSella.

Regional players

• SkinSpirit: Multi-location medical spa chain offering injectables, laser treatments, facials, and body contouring. Comparable to BioBalance Skin in service mix (neurotoxins, fillers, microneedling, laser treatments) but primarily West Coast whereas BioBalance is Midwest-focused.

Market position

Strengths4 records

Weaknesses5 records

Competitive moat5 records

Key risks6 records

Key highlights7 records

Customer concentration

• Xtwitter.com/bbalancehealth
• YouTubeyoutube.com/user/BioBalanceHealthcast
• Facebookfacebook.com/biobalancehealth

Revenue estimate

Valuation estimate

Number of profiles

Profiles5 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 BioBalance Health