{
  "_meta": {
    "generated_at": "2026-05-01",
    "data_source": "GLP1 Clinics directory of NPI-verified GLP-1 providers",
    "formula_version": "1.1.0",
    "methodology": "Trust scores are computed from nine input factors (Google rating 35%, review count 25%, photos 10%, medications offered 8%, business hours populated 7%, verification 5%, ABOM-certified provider 4%, claimed listing 3%, BBB accreditation 3%) and rendered on a 0–100 scale, mapped to letter grades A+ through D. Clinics with fewer than five populated inputs are excluded from this report. State rollups exclude states with fewer than ten scoreable clinics. The national top-50 ranking breaks ties by data coverage, then by Google review count.",
    "license": "CC BY 4.0 — https://creativecommons.org/licenses/by/4.0/",
    "citation": "GLP1 Clinics. (2026). GLP-1 provider quality report by U.S. state, 2026. https://www.glp1clinics.org/research/glp1-provider-quality-2026"
  },
  "summary": {
    "total_active_clinics": 9699,
    "scored_clinics": 7093,
    "unscored_clinics": 2606,
    "states_covered": 47,
    "national_avg_trust_score": 64.5,
    "national_median_trust_score": 65,
    "national_p25_trust_score": 61,
    "national_p75_trust_score": 69,
    "share_grade_a_or_better": 0,
    "share_grade_b_or_better": 55.3,
    "highest_score": 74,
    "lowest_score": 20
  },
  "by_state": [
    {
      "state_code": "NV",
      "state_name": "Nevada",
      "state_slug": "nevada",
      "scored_clinics": 67,
      "avg_trust_score": 66.2,
      "median_trust_score": 67,
      "p25_trust_score": 63,
      "p75_trust_score": 71,
      "top_clinic": {
        "name": "Revival Health and Wellness",
        "slug": "revival-health-and-wellness-las-vegas-nv-ChIJB9rv",
        "city": "LAS VEGAS",
        "trust_score": 73,
        "trust_grade": "B"
      },
      "grade_distribution": {
        "B-": 21,
        "B": 23,
        "C+": 14,
        "C": 7,
        "C-": 2
      }
    },
    {
      "state_code": "AZ",
      "state_name": "Arizona",
      "state_slug": "arizona",
      "scored_clinics": 175,
      "avg_trust_score": 66.1,
      "median_trust_score": 67,
      "p25_trust_score": 62,
      "p75_trust_score": 70,
      "top_clinic": {
        "name": "Saguaro Medical Weight Control, Semaglutide, Phentermine",
        "slug": "saguaro-medical-weight-control-semaglutide-phentermine-mesa-az-ChIJtacN",
        "city": "MESA",
        "trust_score": 73,
        "trust_grade": "B"
      },
      "grade_distribution": {
        "C+": 37,
        "B": 57,
        "C": 10,
        "B-": 61,
        "C-": 10
      }
    },
    {
      "state_code": "FL",
      "state_name": "Florida",
      "state_slug": "florida",
      "scored_clinics": 613,
      "avg_trust_score": 65.8,
      "median_trust_score": 66,
      "p25_trust_score": 63,
      "p75_trust_score": 70,
      "top_clinic": {
        "name": "Medi-Weightloss Winter Park",
        "slug": "medi-weightloss-winter-park-winter-park-fl-ChIJc5v2",
        "city": "WINTER PARK",
        "trust_score": 74,
        "trust_grade": "B"
      },
      "grade_distribution": {
        "B": 180,
        "B-": 200,
        "C": 56,
        "C+": 159,
        "C-": 15,
        "D": 3
      }
    },
    {
      "state_code": "SC",
      "state_name": "South Carolina",
      "state_slug": "south-carolina",
      "scored_clinics": 166,
      "avg_trust_score": 65.8,
      "median_trust_score": 67,
      "p25_trust_score": 63,
      "p75_trust_score": 70,
      "top_clinic": {
        "name": "Restore Hyper Wellness",
        "slug": "restore-hyper-wellness-mount-pleasant-sc-ChIJqQ-n",
        "city": "MOUNT PLEASANT",
        "trust_score": 73,
        "trust_grade": "B"
      },
      "grade_distribution": {
        "B-": 55,
        "B": 52,
        "C+": 41,
        "C-": 6,
        "C": 9,
        "D": 3
      }
    },
    {
      "state_code": "TX",
      "state_name": "Texas",
      "state_slug": "texas",
      "scored_clinics": 767,
      "avg_trust_score": 65.5,
      "median_trust_score": 66,
      "p25_trust_score": 62,
      "p75_trust_score": 70,
      "top_clinic": {
        "name": "Vitality Hormones and IV Bar",
        "slug": "vitality-hormones-and-iv-bar-houston-tx-ChIJrxAa",
        "city": "HOUSTON",
        "trust_score": 73,
        "trust_grade": "B"
      },
      "grade_distribution": {
        "B-": 266,
        "C+": 177,
        "B": 219,
        "C": 76,
        "C-": 22,
        "D": 7
      }
    },
    {
      "state_code": "UT",
      "state_name": "Utah",
      "state_slug": "utah",
      "scored_clinics": 203,
      "avg_trust_score": 65.5,
      "median_trust_score": 67,
      "p25_trust_score": 62,
      "p75_trust_score": 70,
      "top_clinic": {
        "name": "Rise Rejuvenation Center",
        "slug": "rise-rejuvenation-center-murray-ut-ChIJyYLs",
        "city": "MURRAY",
        "trust_score": 73,
        "trust_grade": "B"
      },
      "grade_distribution": {
        "B-": 70,
        "C": 19,
        "B": 59,
        "C+": 45,
        "C-": 7,
        "D": 3
      }
    },
    {
      "state_code": "MT",
      "state_name": "Montana",
      "state_slug": "montana",
      "scored_clinics": 11,
      "avg_trust_score": 65.5,
      "median_trust_score": 68,
      "p25_trust_score": 61,
      "p75_trust_score": 69,
      "top_clinic": {
        "name": "Restore Hyper Wellness",
        "slug": "restore-hyper-wellness-bozeman-mt-ChIJW5mf",
        "city": "BOZEMAN",
        "trust_score": 73,
        "trust_grade": "B"
      },
      "grade_distribution": {
        "B-": 4,
        "B": 2,
        "C+": 3,
        "C": 2
      }
    },
    {
      "state_code": "SD",
      "state_name": "South Dakota",
      "state_slug": "south-dakota",
      "scored_clinics": 29,
      "avg_trust_score": 65.4,
      "median_trust_score": 66,
      "p25_trust_score": 62,
      "p75_trust_score": 69,
      "top_clinic": {
        "name": "Encompass Wellness & Aesthetics",
        "slug": "encompass-wellness-aesthetics-sioux-falls-sd-ChIJE9qD",
        "city": "SIOUX FALLS",
        "trust_score": 73,
        "trust_grade": "B"
      },
      "grade_distribution": {
        "B": 7,
        "D": 1,
        "B-": 12,
        "C": 2,
        "C+": 7
      }
    },
    {
      "state_code": "OK",
      "state_name": "Oklahoma",
      "state_slug": "oklahoma",
      "scored_clinics": 90,
      "avg_trust_score": 65,
      "median_trust_score": 66.5,
      "p25_trust_score": 61,
      "p75_trust_score": 70,
      "top_clinic": {
        "name": "Revitalize Medical Spa",
        "slug": "revitalize-medical-spa-broken-arrow-ok-ChIJW4gw",
        "city": "BROKEN ARROW",
        "trust_score": 73,
        "trust_grade": "B"
      },
      "grade_distribution": {
        "B-": 28,
        "C+": 24,
        "D": 1,
        "B": 23,
        "C": 11,
        "C-": 3
      }
    },
    {
      "state_code": "OH",
      "state_name": "Ohio",
      "state_slug": "ohio",
      "scored_clinics": 265,
      "avg_trust_score": 64.9,
      "median_trust_score": 65,
      "p25_trust_score": 62,
      "p75_trust_score": 70,
      "top_clinic": {
        "name": "Optimize U - Cincinnati | Hormone and Cryotherapy Clinic",
        "slug": "optimize-u-cincinnati-hormone-and-cryotherapy-clinic-blue-ash-oh-ChIJW8wS",
        "city": "BLUE ASH",
        "trust_score": 73,
        "trust_grade": "B"
      },
      "grade_distribution": {
        "C+": 74,
        "B-": 82,
        "B": 68,
        "C-": 10,
        "D": 4,
        "C": 27
      }
    },
    {
      "state_code": "VA",
      "state_name": "Virginia",
      "state_slug": "virginia",
      "scored_clinics": 258,
      "avg_trust_score": 64.8,
      "median_trust_score": 66,
      "p25_trust_score": 61,
      "p75_trust_score": 70,
      "top_clinic": {
        "name": "Virginia Plastic Surgery",
        "slug": "virginia-plastic-surgery-suffolk-va-ChIJFTPT",
        "city": "SUFFOLK",
        "trust_score": 73,
        "trust_grade": "B"
      },
      "grade_distribution": {
        "B": 70,
        "B-": 76,
        "C+": 61,
        "C-": 10,
        "C": 35,
        "D": 6
      }
    },
    {
      "state_code": "AL",
      "state_name": "Alabama",
      "state_slug": "alabama",
      "scored_clinics": 59,
      "avg_trust_score": 64.8,
      "median_trust_score": 66,
      "p25_trust_score": 61,
      "p75_trust_score": 70,
      "top_clinic": {
        "name": "Vital Force Therapy and Wellness",
        "slug": "vital-force-therapy-and-wellness-hoover-al-ChIJ8VJv",
        "city": "HOOVER",
        "trust_score": 73,
        "trust_grade": "B"
      },
      "grade_distribution": {
        "C": 11,
        "B": 15,
        "B-": 17,
        "C-": 1,
        "C+": 14,
        "D": 1
      }
    },
    {
      "state_code": "MO",
      "state_name": "Missouri",
      "state_slug": "missouri",
      "scored_clinics": 106,
      "avg_trust_score": 64.8,
      "median_trust_score": 66,
      "p25_trust_score": 60,
      "p75_trust_score": 70,
      "top_clinic": {
        "name": "IV Nutrition",
        "slug": "iv-nutrition-lee-s-summit-mo-ChIJK3tA",
        "city": "LEE'S SUMMIT",
        "trust_score": 73,
        "trust_grade": "B"
      },
      "grade_distribution": {
        "C-": 7,
        "C": 16,
        "B-": 37,
        "D": 2,
        "C+": 13,
        "B": 31
      }
    },
    {
      "state_code": "KS",
      "state_name": "Kansas",
      "state_slug": "kansas",
      "scored_clinics": 58,
      "avg_trust_score": 64.7,
      "median_trust_score": 65.5,
      "p25_trust_score": 62,
      "p75_trust_score": 70,
      "top_clinic": {
        "name": "Liquid Mobile IV - Clinic & Mobile (We Come to You)",
        "slug": "liquid-mobile-iv-clinic-mobile-we-come-to-you-overland-park-ks-ChIJP8W5",
        "city": "OVERLAND PARK",
        "trust_score": 73,
        "trust_grade": "B"
      },
      "grade_distribution": {
        "B": 15,
        "C+": 14,
        "B-": 19,
        "C": 5,
        "C-": 4,
        "D": 1
      }
    },
    {
      "state_code": "MA",
      "state_name": "Massachusetts",
      "state_slug": "massachusetts",
      "scored_clinics": 114,
      "avg_trust_score": 64.7,
      "median_trust_score": 65,
      "p25_trust_score": 61,
      "p75_trust_score": 70,
      "top_clinic": {
        "name": "RN Esthetics Newburyport",
        "slug": "rn-esthetics-newburyport-newburyport-ma-ChIJqcsG",
        "city": "NEWBURYPORT",
        "trust_score": 73,
        "trust_grade": "B"
      },
      "grade_distribution": {
        "C+": 33,
        "B-": 30,
        "C": 11,
        "B": 31,
        "C-": 6,
        "D": 3
      }
    },
    {
      "state_code": "GA",
      "state_name": "Georgia",
      "state_slug": "georgia",
      "scored_clinics": 209,
      "avg_trust_score": 64.6,
      "median_trust_score": 65,
      "p25_trust_score": 62,
      "p75_trust_score": 68,
      "top_clinic": {
        "name": "Kontour Medical Spa",
        "slug": "kontour-medical-spa-duluth-ga-ChIJ2R4S",
        "city": "DULUTH",
        "trust_score": 73,
        "trust_grade": "B"
      },
      "grade_distribution": {
        "B-": 83,
        "C": 23,
        "C+": 65,
        "B": 30,
        "C-": 7,
        "D": 1
      }
    },
    {
      "state_code": "ID",
      "state_name": "Idaho",
      "state_slug": "idaho",
      "scored_clinics": 42,
      "avg_trust_score": 64.5,
      "median_trust_score": 65,
      "p25_trust_score": 62,
      "p75_trust_score": 68,
      "top_clinic": {
        "name": "Renu Medispa",
        "slug": "renu-medispa-eagle-id-ChIJJT_q",
        "city": "EAGLE",
        "trust_score": 73,
        "trust_grade": "B"
      },
      "grade_distribution": {
        "C+": 12,
        "B-": 17,
        "C": 5,
        "B": 6,
        "C-": 2
      }
    },
    {
      "state_code": "NJ",
      "state_name": "New Jersey",
      "state_slug": "new-jersey",
      "scored_clinics": 202,
      "avg_trust_score": 64.5,
      "median_trust_score": 65,
      "p25_trust_score": 61,
      "p75_trust_score": 69,
      "top_clinic": {
        "name": "Ethos Aesthetics + Wellness",
        "slug": "ethos-aesthetics-wellness-sparta-nj-ChIJ_3vd",
        "city": "SPARTA",
        "trust_score": 73,
        "trust_grade": "B"
      },
      "grade_distribution": {
        "B-": 66,
        "C": 27,
        "B": 47,
        "C+": 50,
        "D": 4,
        "C-": 8
      }
    },
    {
      "state_code": "NC",
      "state_name": "North Carolina",
      "state_slug": "north-carolina",
      "scored_clinics": 267,
      "avg_trust_score": 64.4,
      "median_trust_score": 66,
      "p25_trust_score": 60,
      "p75_trust_score": 69,
      "top_clinic": {
        "name": "Carolina Health & Wellness",
        "slug": "carolina-health-wellness-asheville-nc-ChIJDci_",
        "city": "ASHEVILLE",
        "trust_score": 73,
        "trust_grade": "B"
      },
      "grade_distribution": {
        "B-": 97,
        "C+": 57,
        "B": 56,
        "C": 40,
        "C-": 12,
        "D": 5
      }
    },
    {
      "state_code": "NH",
      "state_name": "New Hampshire",
      "state_slug": "new-hampshire",
      "scored_clinics": 23,
      "avg_trust_score": 64.4,
      "median_trust_score": 63,
      "p25_trust_score": 60,
      "p75_trust_score": 70,
      "top_clinic": {
        "name": "Age-less Weigh-less",
        "slug": "age-less-weigh-less-dover-nh-ChIJq4CU",
        "city": "DOVER",
        "trust_score": 73,
        "trust_grade": "B"
      },
      "grade_distribution": {
        "B": 7,
        "C+": 9,
        "C": 4,
        "B-": 2,
        "C-": 1
      }
    },
    {
      "state_code": "CO",
      "state_name": "Colorado",
      "state_slug": "colorado",
      "scored_clinics": 163,
      "avg_trust_score": 64.3,
      "median_trust_score": 65,
      "p25_trust_score": 61,
      "p75_trust_score": 68,
      "top_clinic": {
        "name": "Invigorate Advanced Aesthetics",
        "slug": "invigorate-advanced-aesthetics-centennial-co-ChIJ9a1f",
        "city": "CENTENNIAL",
        "trust_score": 73,
        "trust_grade": "B"
      },
      "grade_distribution": {
        "C+": 42,
        "B-": 69,
        "B": 22,
        "C": 22,
        "D": 3,
        "C-": 5
      }
    },
    {
      "state_code": "MD",
      "state_name": "Maryland",
      "state_slug": "maryland",
      "scored_clinics": 190,
      "avg_trust_score": 64.3,
      "median_trust_score": 66,
      "p25_trust_score": 60,
      "p75_trust_score": 70,
      "top_clinic": {
        "name": "ProMD Health Bel Air",
        "slug": "promd-health-bel-air-bel-air-md-ChIJHc8D",
        "city": "BEL AIR",
        "trust_score": 73,
        "trust_grade": "B"
      },
      "grade_distribution": {
        "B-": 53,
        "C+": 45,
        "C": 29,
        "B": 50,
        "C-": 8,
        "D": 5
      }
    },
    {
      "state_code": "OR",
      "state_name": "Oregon",
      "state_slug": "oregon",
      "scored_clinics": 75,
      "avg_trust_score": 64.3,
      "median_trust_score": 65,
      "p25_trust_score": 60,
      "p75_trust_score": 69,
      "top_clinic": {
        "name": "Medical Rejuvenation",
        "slug": "medical-rejuvenation-gladstone-or-ChIJVVXp",
        "city": "GLADSTONE",
        "trust_score": 73,
        "trust_grade": "B"
      },
      "grade_distribution": {
        "C": 12,
        "B-": 20,
        "B": 18,
        "C+": 22,
        "C-": 3
      }
    },
    {
      "state_code": "CT",
      "state_name": "Connecticut",
      "state_slug": "connecticut",
      "scored_clinics": 109,
      "avg_trust_score": 64.2,
      "median_trust_score": 64,
      "p25_trust_score": 61,
      "p75_trust_score": 68,
      "top_clinic": {
        "name": "Gameday Men's Health Southington, CT",
        "slug": "gameday-men-s-health-southington-ct-southington-ct-ChIJKW1d",
        "city": "SOUTHINGTON",
        "trust_score": 73,
        "trust_grade": "B"
      },
      "grade_distribution": {
        "B": 21,
        "B-": 33,
        "C+": 35,
        "C": 16,
        "C-": 3,
        "D": 1
      }
    },
    {
      "state_code": "IA",
      "state_name": "Iowa",
      "state_slug": "iowa",
      "scored_clinics": 44,
      "avg_trust_score": 64.2,
      "median_trust_score": 67,
      "p25_trust_score": 60,
      "p75_trust_score": 69,
      "top_clinic": {
        "name": "Optimize Wellness & Aesthetics - West Des Moines",
        "slug": "optimize-wellness-aesthetics-west-des-moines-west-des-moines-ia-ChIJryfX",
        "city": "WEST DES MOINES",
        "trust_score": 73,
        "trust_grade": "B"
      },
      "grade_distribution": {
        "B": 10,
        "B-": 14,
        "C-": 4,
        "C+": 9,
        "C": 6,
        "D": 1
      }
    },
    {
      "state_code": "NY",
      "state_name": "New York",
      "state_slug": "new-york",
      "scored_clinics": 229,
      "avg_trust_score": 64.1,
      "median_trust_score": 65,
      "p25_trust_score": 60,
      "p75_trust_score": 69,
      "top_clinic": {
        "name": "Med Spa NYC: Beso Aesthetics",
        "slug": "med-spa-nyc-beso-aesthetics-new-york-ny-ChIJD9c-",
        "city": "NEW YORK",
        "trust_score": 74,
        "trust_grade": "B"
      },
      "grade_distribution": {
        "B": 48,
        "B-": 74,
        "C+": 57,
        "C": 34,
        "C-": 11,
        "D": 5
      }
    },
    {
      "state_code": "TN",
      "state_name": "Tennessee",
      "state_slug": "tennessee",
      "scored_clinics": 199,
      "avg_trust_score": 64.1,
      "median_trust_score": 64,
      "p25_trust_score": 61,
      "p75_trust_score": 69,
      "top_clinic": {
        "name": "Restoration Wellness and Medspa",
        "slug": "restoration-wellness-and-medspa-lebanon-tn-ChIJ35H9",
        "city": "LEBANON",
        "trust_score": 73,
        "trust_grade": "B"
      },
      "grade_distribution": {
        "C+": 64,
        "B-": 54,
        "B": 43,
        "C": 22,
        "C-": 13,
        "D": 3
      }
    },
    {
      "state_code": "WA",
      "state_name": "Washington",
      "state_slug": "washington",
      "scored_clinics": 157,
      "avg_trust_score": 64,
      "median_trust_score": 64,
      "p25_trust_score": 60,
      "p75_trust_score": 69,
      "top_clinic": {
        "name": "Gig Harbor Aesthetics & Wellness",
        "slug": "gig-harbor-aesthetics-wellness-gig-harbor-wa-ChIJ6Y-_",
        "city": "GIG HARBOR",
        "trust_score": 73,
        "trust_grade": "B"
      },
      "grade_distribution": {
        "B-": 49,
        "C+": 47,
        "C": 24,
        "B": 27,
        "D": 2,
        "C-": 8
      }
    },
    {
      "state_code": "RI",
      "state_name": "Rhode Island",
      "state_slug": "rhode-island",
      "scored_clinics": 44,
      "avg_trust_score": 64,
      "median_trust_score": 64,
      "p25_trust_score": 62,
      "p75_trust_score": 68,
      "top_clinic": {
        "name": "Skinsational Laser and Liposculpture Center by Dr. Luciano",
        "slug": "skinsational-laser-and-liposculpture-center-by-dr-luciano-providence-ri-ChIJXXJQ",
        "city": "PROVIDENCE",
        "trust_score": 71,
        "trust_grade": "B"
      },
      "grade_distribution": {
        "C": 5,
        "C+": 16,
        "B-": 16,
        "B": 5,
        "C-": 1,
        "D": 1
      }
    },
    {
      "state_code": "NM",
      "state_name": "New Mexico",
      "state_slug": "new-mexico",
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}