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Among 385 small hormone, weight-loss and functional medicine practices whose websites we read in November 2026, 55% had a booking or patient-portal tool we could identify, and no single tool had more than 11%. OptiMantra was the most common (11%), followed by Tebra (8%) and GoHighLevel (5%). The other 45% showed only a phone number, a contact form or a tool we could not identify.
We wanted to know what small cash-pay practices use in the real world, not what vendors say they use. So we started from the federal provider registry, found each practice's own website, and read the public pages. This page reports the totals. It names tools, never practices.
Who is in the sample?
The 385 practices are US organizations in the National Provider Identifier registry whose names point to hormone therapy, medical weight loss or functional medicine, and whose own website we could find and read. They sit in 47 states, with the most in Texas (51) and Florida (36). They are small: 92% name two or fewer providers on the pages we read, or none at all.
Most offer more than one of the three services. On their sites, 67% describe hormone care, 63% weight loss and 53% functional or integrative medicine. Just over half (51%) describe both hormone care and weight loss.
Which booking and portal tools do they use?
We looked for links, embedded widgets and scripts from known scheduling, EHR and patient-portal tools on the home page and up to six more pages (services, team, pricing, new patients, booking, contact).
| Tool | Practices | Share |
|---|---|---|
| OptiMantra | 43 | 11% |
| Tebra (including PatientPop and Kareo) | 30 | 8% |
| GoHighLevel | 21 | 5% |
| Charm | 16 | 4% |
| Elation or Hint | 14 | 4% |
| Practice Better | 13 | 3% |
| Square Appointments | 11 | 3% |
| athenahealth | 11 | 3% |
| Zocdoc | 10 | 3% |
| eClinicalWorks (Healow) | 10 | 3% |
| Jane | 9 | 2% |
| Calendly | 8 | 2% |
| IntakeQ | 8 | 2% |
| Acuity Scheduling | 7 | 2% |
| SimplePractice | 5 | 1% |
| Any tool we could identify | 212 | 55% |
| None identified | 173 | 45% |
Three things stand out.
- There is no standard tool. The leader has 11%. A consultant, VA or software vendor who works with these practices has to expect a different setup at almost every one.
- Purpose-built tools lead, but general ones are close behind. OptiMantra, Charm, Practice Better and Elation were built for this kind of practice. GoHighLevel, Square and Calendly were not, and together they appear on about one site in ten.
- Some practices run two. 33 sites (9%) showed more than one of these tools, for example a general scheduler in front of an EHR portal. Each extra tool is one more place a new patient can stall.
If you are choosing between the purpose-built options, see our EHR comparison for cash-pay practices and OptiMantra vs Practice Better vs Healthie. Before you put patient details into a general scheduler, check which tools sign a BAA.
How many say they are cash-pay?
| What the site says | Practices | Share |
|---|---|---|
| Says it is cash-pay, self-pay or does not take insurance, or offers a superbill | 146 | 38% |
| Says it accepts insurance | 92 | 24% |
| Says both (for example, insurance for primary care, cash for programs) | 56 | 15% |
| Mentions a membership or monthly plan | 146 | 38% |
| Shows at least one dollar price | 164 | 43% |
| Mentions HSA or FSA cards | 62 | 16% |
The rows overlap, so they do not add up to 100%. More than half of the sites (53%) say nothing clear either way about insurance on the pages we read. A new patient has to call or write to find out, which is one more reason the first reply matters. See how fast to reply to a new patient inquiry.
What else is on these sites?
| Found on the site | Practices | Share |
|---|---|---|
| Mentions telehealth or virtual visits | 197 | 51% |
| A contact email address in the page | 273 | 71% |
| Link to a Facebook page | 242 | 63% |
| Link to an Instagram profile | 193 | 50% |
| Fullscript supplement dispensary | 58 | 15% |
| Patient financing (CareCredit, Cherry, Afterpay or Klarna) | 39 | 10% |
| Email marketing tool (Mailchimp, Flodesk or Klaviyo) | 15 | 4% |
The websites themselves are mostly built on WordPress (38%), Squarespace (15%), Wix (14%) and GoDaddy's builder (14%).
One gap is worth noting. Half of these practices link to an Instagram profile, but only 4% show an email marketing tool on their site. Some will send email from their EHR, which we cannot see. Even so, it suggests many have no routine way to write to people who inquired and went quiet. That is the group a reactivation series is for.
How we did this, and what it cannot tell you
- Source list. We started from the public NPI registry (November 2026 file) and kept organizations whose names contain words such as hormone, menopause, testosterone, functional medicine, integrative or weight loss, after removing hospitals, pharmacies, behavioral health and other specialties.
- Websites. We searched for each practice's own site and kept it only when the page showed the registry phone number or the practice's name and city. Directory and review sites were excluded.
- Reading. For each site we read the home page and up to six linked pages, respected robots.txt, and submitted nothing. We looked for the names, links and scripts of about 40 booking and portal tools, plus payment, financing and marketing tools.
The limits matter:
- These are minimums. A tool that sits behind a login, or a booking link that appears only after a phone call, is invisible to us. The 45% "none identified" includes practices that use a tool we did not see.
- Wording is not policy. "Accepts insurance" on a site may apply to one service only. We counted what the pages say.
- The sample leans toward practices that name their service. A hormone practice called "Smith Family Wellness" is less likely to be in it.
- One point in time. We read the sites in the second week of November 2026.
Spot an error, or want a cut of the data we did not show? Email hello@patientstepshq.com. Please don't include any patient information.
Common questions
What is the most common EHR for hormone and weight-loss practices?
In our November 2026 reading of 385 small practice websites, OptiMantra was the most common booking or portal tool, on 11% of sites, followed by Tebra on 8% and GoHighLevel on 5%. No tool had a majority, and 45% of sites showed no tool we could identify.
Do most hormone and weight-loss practices take insurance?
Their websites are split. 38% say they are cash-pay, self-pay or do not take insurance, 24% say they accept insurance, and 15% say both. More than half say nothing clear about insurance on the pages we read.
How many small hormone practices offer telehealth?
About half. 51% of the 385 websites we read mention telehealth or virtual visits.
What do these practices build their websites on?
WordPress is the most common at 38%, followed by Squarespace at 15%, Wix at 14% and GoDaddy's website builder at 14%.