Biltmore Medical Associates

What Biltmore Medical Associates does

Biltmore Medical Associates is an independent, physician-owned primary care practice based in Asheville, North Carolina, founded in 1973. The practice serves patients of all ages and is staffed by six board-certified physicians (in Internal Medicine, Family Medicine, and Psychiatry) and three nurse practitioners, supported by 11-50 total employees. Its service portfolio spans routine and preventive care, DOT/CDL certification exams, cardiology (EKG, cardiac event monitoring), mental and behavioral health, on-site X-ray and bone density, in-house moderate-complexity laboratory testing (CLIA/COLA accredited), dermatology, gynecology, accident and injury treatment, nutrition counseling, vaccinations, and after-hours on-call coverage.

The technology stack is built on a standard healthcare SaaS foundation rather than a proprietary platform. It includes an electronic medical records system, the FollowMyHealth patient portal for secure messaging and scheduling, Phreesia for online bill pay, JotForm for digital intake and consent forms, SurveyMonkey for patient satisfaction surveys, and Google Maps for location services. Same-day appointments and extended weekday hours (early-morning in-office and early-evening virtual) are operational differentiators. The practice holds NCQA Level 3 Patient Centered Medical Home recognition, BCBS Blue Cross Quality Provider status, and five consecutive years of United Healthcare Medicare Advantage quality recognition at the 90th percentile or above.

Biltmore Medical Associates operates a fee-for-service revenue model. The vast majority of revenue is generated by insurance-billed patient visits across a broad in-network payer panel that includes BCBS, United Healthcare, Medicare and Medicare Advantage, Aetna, Cigna, Humana, AARP, MedCost, GEHA, and Coventry. Out-of-network relationships (Aetna HCA, AmeriHealth, Ambetter NC, Cigna MCR-ADV) are explicitly disclosed. A supplementary revenue stream consists of DOT/CDL certification exams priced at $150 and paid at the time of service outside of insurance billing. The go-to-market is direct-to-consumer in a single Asheville catchment, with demand driven by community reputation, word-of-mouth referrals built over 50+ years, and self-pay options for uninsured patients.

Name

Biltmore Medical Associates

Legal name

Biltmore Medical Associates

Website

https://biltmoremedical.com

Company type

Private

Founded year

1973

Operating status

Operating

Headcount range

11–50 employees

Short description

Biltmore Medical Associates is an independent, physician-owned primary care practice in Asheville, North Carolina, founded in 1973. Six board-certified physicians and three nurse practitioners deliver comprehensive internal medicine, family medicine, and psychiatry services to patients of all ages at a single clinic.

Ownership category

akta.pro rank

Headquarters

HQ city

Asheville

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2C

Offering type

Services

Cost components

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

Revenue model

1. Patient Visit Revenue: Fee-for-service medical visits billed to insurance or paid out-of-pocket. Accepts Medicare, Medicare Advantage, and most major commercial insurance plans. Offers self-pay rates for uninsured patients.
2. DOT/CDL Certification Exams: One-time $150 fee for commercial driver certification exams, not filed through insurance

Pricing tiers

Go-to-market motion1 record

Distribution channels1 record

Marketing channels4 records

Core offering

Biltmore Medical Associates is a private primary care medical practice delivering comprehensive internal medicine, family medicine, and psychiatric services to patients of all ages in Asheville, North Carolina. The practice provides routine and preventive care, vaccinations, DOT/CDL certification exams, cardiology, mental and behavioral health, in-office radiology, in-house laboratory testing, dermatology, gynecology, nutrition counseling, and accident/injury treatment, supported by an EMR system, patient portal, online scheduling, and online bill pay.

Product overview

Biltmore Medical Associates is a primary care medical practice offering a unified portfolio of healthcare services rather than a modular platform. The practice provides comprehensive primary care including routine/physical exams, vaccinations, DOT/CDL exams, dermatology, gynecology, accident/injury treatment, cardiology services, mental/behavioral health, radiology (X-ray and bone density), in-house laboratory, and nutrition counseling. The practice is complemented by patient-facing digital services including FollowMyHealth patient portal for secure messaging and health records, Phreesia online bill pay, JotForm-based online form completion, and after-hours on-call physician access. Services are delivered by board-certified physicians in Internal Medicine, Family Medicine, and Psychiatry, along with certified nurse practitioners and support staff.

Differentiator

Problem solved

Functional benefit

Products and services

• Routine & General Medical Services Comprehensive primary care services including vaccinations, physical exams, wellness visits, and preventive care for patients of all ages with age-appropriate testing and screenings.
• DOT/CDL Certification Exams Department of Transportation commercial driver's license medical examination performed by a certified provider. Exam costs $150, due at time of service, not filed through insurance.
• Cardiology & Heart Related Services Basic cardiology services including electrocardiograms (EKG) and cardiac event monitoring for evaluation of heart conditions.
• Mental & Behavioral Healthcare Psychiatric services provided by a board-certified psychiatrist on staff for mental health conditions including PTSD, mood disorders, anxiety disorders, and complex work/personal situation-related problems.
• In-Office Radiology Services On-site X-ray and bone density testing performed by a Registered X-Ray Technologist. Provides quicker results without requiring patients to visit additional facilities.
• Food & Nutrition Dietary Counseling Nutrition and dietary counseling services with a Registered Dietician for diabetes management, weight loss, weight gain, and general nutrition education.
• Dermatology Services Limited dermatology services including removal of skin tags, warts, certain skin cancers, and biopsies.
• Gynecology Services Women's health services including breast and pelvic exams, pap smears, medication management for hormone replacement, birth control, and menopausal symptoms.
• Accident/Injury Treatment Treatment for non-life-threatening accidents and injuries including X-ray evaluations for broken bones, wound care, suture/staple/glue for lacerations, and steroid joint injections when indicated.
• In-House Laboratory On-site Certified Moderate-Complexity Lab licensed by COLA in conjunction with CLIA, with ASCP-certified Lab Technicians and Phlebotomists. Offers rapid PCR Covid, Flu, and RSV testing with same-day results typically available.
• Same Day Appointments Same-day appointment availability for sick patients. Each physician has specific time slots reserved daily for same-day appointments that can only be scheduled on that same day.
• Patient Portal Secure online platform (FollowMyHealth) for patients to manage appointments, access health records, communicate with care team, view test results, and request prescription refills.
• Online Bill Pay Secure online payment system through the Phreesia platform accepting Visa, Mastercard, Discover, and American Express for processing patient payments for services rendered.
• After Hours On-Call Physician Services Physician on-call after normal business hours and weekends. Patients can call the main office and follow prompts to reach the on-call physician with access to their medical record.
• Flu Shot Services Annual flu vaccinations available without appointment daily from 8am-3:30pm during flu season, plus two drive-through flu shot clinics for convenience.

Quantifiable outcome

• 80% of patients have lowered their blood pressure
• +3 more outcomes

Named customers3 records

Segments2 records

Ideal customer profiles3 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration5 records

Feature4 records

Partnerships

Ten partnerships are on record, tiered core and minor.

• Blue Cross Blue ShieldcoreOthersIn-network provider recognized as Level 3 Blue Cross Quality Provider. The Blue Cross Quality Provider Program rewards independent practices committed to high quality outcomes and low cost, patient-centered care for BCBS members.
• United HealthcarecoreOthersRecognized by UHC for 5 consecutive years for focus on improving health and wellness of Medicare Advantage members, consistently scoring in 90th percentile and above on all quality metrics.
• AetnaminorOthersIn-network insurance provider accepted at practice
• CignaminorOthersIn-network insurance provider accepted at practice
• MedicarecoreOthersAccepts Medicare and Medicare Advantage plans. Provides covered wellness visits for Medicare beneficiaries.
• HumanaminorOthersIn-network insurance provider accepted at practice
• AARPminorOthersIn-network insurance provider accepted at practice
• MedCostminorOthersIn-network insurance provider accepted at practice
• GEHAminorOthersIn-network insurance provider accepted at practice
• CoventryminorOthersIn-network insurance provider accepted at practice

Scale indicators3 records

Recent moves6 records

Expansion highlights4 records

Broad incumbents

• ChenMed: National senior-focused primary care group operating under full-risk value-based contracts with Medicare Advantage plans. Directly comparable in geriatric primary care orientation and high-touch doctor-patient continuity model; relevant benchmark for value-based revenue capture.
• VillageMD: Primary care platform majority-owned by Walgreens Boots Alliance; operates employed and affiliated PCP practices with embedded value-based contracts. Comparable as a scaled, multi-payer primary care model that competes for the same physician recruitment and payer relationships.
• One Medical (Amazon): National membership-based primary care chain with technology-forward patient portal, in-office lab, and value-based payer relationships. Closest scaled analog of Biltmore's 'old-fashioned primary care with current technology' positioning, though at vastly greater scale and capital intensity.
• Oak Street Health (CVS Health): Value-based primary care provider focused on Medicare-eligible seniors, acquired by CVS Health. Comparable geriatric PCP model with strong payer quality programs and integrated in-office services — useful as a strategic alternative / acquirer reference.

Others

• Agilon Health: Value-based primary care enabler that partners with independent PCPs to take global risk from Medicare Advantage plans. Comparable in operating model (independent PCPs with central support) and as a potential structural exit or partnership template for Biltmore.
• Privia Health: Physician-enablement and medical group platform that partners with independent PCPs on payer contracting, value-based care, and technology. Relevant as a potential strategic partner / aggregator for an independent practice like Biltmore, and as a comp for PCP group economics.
• Aledade: Primary care ACO network partnering with independent practices on Medicare and commercial value-based contracts. Comparable as an enabling organization that could augment Biltmore's existing NCQA PCMH and UHC quality programs with shared-savings infrastructure.

Regional players

• Mission Health (HCA Healthcare): Dominant Western North Carolina health system and largest local competitor; operates an employed primary care network, owns hospital and specialty referral channels, and historically recruits the same PCPs Biltmore relies on. Comparable in geography and patient catchment, though vastly larger and system-owned.
• Atrium Health Wake Forest Baptist: Major North Carolina-based regional health system with employed primary care clinics and value-based care programs across the state. Comparable as a regional incumbent competing for the same independent PCP patient pool and employing physicians in nearby markets.
• Pardee UNC Health Care: Community hospital and primary care network in Hendersonville, NC — adjacent to Biltmore's Asheville catchment. Competes for the same Western NC primary care patient base with a hospital-employed PCP model and similar payer mix.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat4 records

Key risks6 records

Key highlights7 records

Customer concentration

• Facebookfacebook.com/BiltmoreMed
• LinkedInlinkedin.com/company/biltmore-medical-associates

Compliance5 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles10 records

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 Biltmore Medical Associates