Direct Primary Care and cash-pay family practices run on a fundamentally different model than insurance-billed family medicine. Patients pay a monthly membership or a per-visit fee directly. The physician knows their panel. The software should be as simple as the relationship. Brooke is $99 a month flat with no per-provider fees and no insurance billing complexity.
Direct Primary Care (DPC) is a growing practice model where patients pay a monthly membership fee directly to their physician for unlimited or defined access to primary care services. DPC practices do not submit insurance claims. They do not code diagnoses for reimbursement. They collect payment directly from patients and use the freed-up administrative capacity to spend more time with each one.
A DPC practice bills monthly membership fees to a defined patient panel. The billing model is a recurring charge on a card on file — not a per-visit claim. The software needs to handle recurring membership billing, panel management, and patient communication without an insurance billing module that adds complexity the practice does not use.
DPC physicians typically manage a smaller panel — 300 to 600 patients compared to 2,000 or more in insurance-billed family medicine. The depth of the relationship is the product. The software should support scheduling, documentation, and communication that reinforces that depth rather than adding administrative friction between the physician and the patient.
DPC and cash-pay family practices do not code diagnoses, submit claims, manage denials, or wait for insurance reimbursement. Revenue is collected directly from the patient at membership enrollment or at the point of care. The software billing model should match: direct, fast, and complete at the moment of service.
A DPC practice that starts with one physician and adds a second does not want the software bill to change. Brooke charges $99 per location regardless of how many providers are on the platform. A solo DPC physician and a two-physician DPC group pay exactly the same price.
Cash-pay family medicine takes several forms. Each one collects payment directly from patients and operates without insurance billing infrastructure.
Monthly membership-based family medicine. Patients pay a flat monthly fee for unlimited primary care access. Brooke handles recurring membership billing, scheduling, intake, and visit documentation at the flat $99 practice price.
Premium direct-access family medicine with smaller patient panels and longer appointments. Annual or monthly membership pricing, same-day access, and comprehensive preventive care. Package billing, card on file, and detailed visit documentation all apply.
A family medicine practice that accepts direct payment per visit without insurance. Walk-in or appointment-based. Direct checkout at the close of each visit with tap-to-pay, card on file, or split payment.
A family medicine practice that serves both DPC members and cash-pay walk-in patients. Brooke handles membership billing for panel patients and per-visit checkout for direct-pay patients through the same platform.
Family medicine practitioners who address chronic conditions through functional and integrative approaches on a cash-pay model. Longer appointments, comprehensive intake, and follow-up care documentation handled through Brooke's treatment records.
Cash-pay family practices focused on preventive care, wellness assessments, and lifestyle medicine. Annual wellness packages, preventive screenings, and direct-pay preventive services billed through Brooke's checkout and package billing.
The DPC billing model is built around a recurring charge — a monthly membership fee collected on a card on file. Brooke handles recurring patient billing at the point of care without a separate billing system or a manual invoicing process.
DPC patients store a card on file at enrollment. Brooke charges the monthly membership fee automatically on the billing cycle without a manual invoice or a per-visit transaction. Revenue is deposited the same day each cycle runs.
DPC members who receive additional services — procedures, infusions, or wellness add-ons not included in the membership — check out through Brooke's point-of-care payment system at the end of each visit.
Cash-pay family practices that sell annual wellness packages — comprehensive physicals, preventive screenings, or annual membership bundles — collect payment through Brooke's package billing system at enrollment or split across the year on a card on file.
Every membership charge and every visit-based payment collected through Brooke hits the practice account the same day. A DPC practice with 300 members knows its monthly revenue without waiting for insurance reimbursement cycles that do not exist in its model.
Brooke covers the core clinical and operational workflow for a cash-pay family practice at one flat price with no insurance billing module required.
Comprehensive patient intake forms covering medical history, family history, current medications, allergies, and chief complaint — completed before the appointment. A DPC physician who opens an appointment with a complete intake spends the visit on clinical care, not data entry.
Provider-specific calendars, online booking, and automated reminders. A DPC practice that promises same-day access to its members needs scheduling infrastructure that supports that promise. Brooke's scheduling handles same-day and advance booking from a single calendar view.
Visit-by-visit treatment records capturing clinical notes, assessment, treatment plan, and follow-up instructions. Every visit is documented in the patient's chart alongside their complete history. No separate charting tool, no paper records, and no documentation lag.
Good faith exam templates, state-specific compliance workflows, and tamper-proof audit trails built into the chart for cash-pay procedures performed within the family practice. GFE documentation is included as a core feature, not an add-on.
DPC practices that dispense medications, supplements, or perform in-office procedures track product inventory in Brooke automatically. Low-stock alerts trigger before the practice runs out. Lot number capture is part of every treatment record for dispensed products.
Revenue per provider, rebooking rate, average spend per visit, and revenue per service type — updated live. A DPC practice owner who wants to grow the panel or add a service line makes better decisions with current performance data than with a monthly report from a spreadsheet.
A cash-pay family practice measures its health differently from an insurance-billed practice. Revenue per member, panel retention rate, and average spend per visit are the numbers that tell the practice whether the model is working.
What percentage of DPC members are rebooking appointments and staying engaged with the practice. A DPC practice that charges monthly membership fees needs high panel retention to
sustain revenue. Rebooking rate tells the practice whether members are using and staying engaged with the service they are paying for.
Which providers in the practice are generating the most revenue from their panel and additional services. For a multi-physician DPC group, this informs panel size decisions, scheduling allocation, and whether the practice is ready to add a provider.
How much the average patient spends per appointment beyond their membership fee. For a DPC practice that offers additional services, supplements, or procedures beyond the membership, average spend per visit tracks whether those services are being used and generating revenue.
Which service categories — wellness visits, acute care, preventive screenings, or add-on procedures — generate the most revenue per occurrence. A cash-pay family practice looking to expand its service offering uses this data to choose which categories to develop.
A solo DPC physician and a three-provider family medicine group pay the same $99 per location. Adding a physician or a nurse coordinator to the panel does not change the software bill.
Per location
A cash-pay family practice does not need a claims workflow, a denial management queue, or a billing code library. Brooke does not include them — and that is the point. The platform is built for direct payment, not reimbursement cycles.
No setup fee. No credit card required.
We switched from Aesthetic Record and never looked back. My injectors actually enjoy using it. Setup took one afternoon.
The GFE documentation alone was worth switching. Everything is compliant, auditable, and takes half the time it used to.
$99 flat. Unlimited providers. Everything works. I don't know why anyone pays $400 a month for the same features wrapped in a terrible UI.
The best EMR for a DPC or cash-pay family practice is the one built for direct payment — not adapted from an insurance billing workflow. Book a 15-minute demo or start your free trial today.
