How We Grade
Last updated February 27, 2026
Every clinic in our directory receives two scores: a Niche Grade (A through F) and a Composite Score (0 to 100). Both are calculated algorithmically using publicly available data. No clinic can pay for a higher grade or preferred placement.
Niche Grade (A–F)
The Niche Grade evaluates how well a clinic serves TRT patients specifically. It's built from six dimensions, each weighted to reflect what matters most when choosing a provider.
TRT Relevance
25 ptsHow focused is the clinic on testosterone replacement therapy? Dedicated TRT and hormone clinics score highest. General practices that offer TRT as a secondary service receive lower scores.
Website Quality
15 ptsDoes the clinic have an active, informative website? We evaluate whether the site is live, loads properly, and contains substantive content about their TRT services.
Description Quality
15 ptsDoes the clinic provide meaningful descriptions of their practice and approach? Detailed, informative business descriptions signal a clinic that takes patient education seriously.
Services
15 ptsDoes the clinic offer TRT-specific services? We look for explicit testosterone therapy services, hormone panels, and related treatments.
Reviews
15 ptsWhat do patients say? We consider both the average rating and the total number of reviews. A 4.8 from 200 reviews beats a 5.0 from 3 — volume matters for reliability.
Contact Completeness
15 ptsCan patients easily reach the clinic? We check for a working phone number, website, physical address, and online booking capability.
Grade Scale
80–100
60–79
40–59
20–39
Below 20
Top-tier TRT provider with strong specialization, reviews, and accessibility
Solid TRT provider with good overall quality
Adequate provider, may lack specialization or have gaps
Below average — limited TRT focus or significant gaps
Excluded from directory — insufficient TRT relevance
Composite Score (0–100)
The Composite Score provides a broader quality assessment across four weighted tiers.
How central is TRT to the clinic's practice? Dedicated hormone clinics and TRT specialists earn the most points here.
Patient reviews, website quality, and overall credibility indicators. Clinics with strong patient satisfaction and professional web presence score highest.
How complete is the clinic's public profile? Full contact info, service listings, business hours, and photos all contribute.
Bonus points for deep TRT expertise — relevant certifications, specialized services, or clinical affiliations.
No Pay-for-Placement
Both scores are calculated entirely from publicly available data using our algorithms. No clinic can pay for a higher ranking, and no advertising relationship influences grades. This is a core principle — see our Advertising Disclosure for more detail.
How Clinics Can Improve Their Grade
Since grades are data-driven, clinics improve by improving their public profile. The most impactful steps:
Clearly communicate TRT specialization on your website
Maintain complete contact information and booking options
Encourage patient reviews on Google and other platforms
List specific TRT services and treatment options offered
If you believe your clinic's data is incorrect, contact us for a review.