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A solo pediatrician in Queens. 2,000 vaccines a year. And a billing system that couldn't keep up.

How Dr. Indranil Gupta went from chasing payments for months to getting paid in 30 days, without adding a single staff member.

Dr. Indranil Gupta, owner of PediatricPlus in Astoria, Queens
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One doctor. One practice. A neighborhood full of families who depend on him.

Dr. Indranil Gupta owns and operates PediatricPlus in Astoria, Queens. He runs it solo: his practice, his patients, his reputation on the line every day.

He administers over 2,000 vaccines a year. That's a lot for any practice. For a solo provider, it means vaccines are one of the biggest parts of the operation and one of the biggest financial exposures. Sixty percent of his patients are covered through the Vaccines for Children program, which means most of the families walking through the door are on Medicaid. The other 40% are privately insured. It's a mix that demands precision: different rules, different billing codes, different compliance requirements depending on who's paying.

PediatricPlus is a small practice with a tight budget. Every dollar matters. And for years, the way vaccines were billed was making that budget harder to manage than it needed to be.

Solo Provider Astoria, Queens 2,000+ Vaccines/Year 60% VFC / 40% Private Independently Owned
Before Canid

What they were dealing with

When a child got vaccinated at PediatricPlus, the billing process that followed was almost entirely manual. Staff would hand-code each claim, matching the right CPT codes to the right payer for the right patient. With a 60/40 VFC-to-private split, that meant toggling between two completely different sets of rules for nearly every session. And when you're doing that by hand, mistakes happen.

The billing error rate was running at about 5%. That might sound small, but on 2,000-plus vaccines a year, it added up fast. Denied claims. Resubmissions. Hours spent chasing down what went wrong and fixing it. Each error was time and money that a one-provider practice couldn't afford to lose.

Then there was the waiting. Once a claim did go out, it could take 60 to 90 days to get paid. That's two to three months of revenue just sitting in limbo. For a solo provider who's also purchasing vaccines upfront out of his own budget, that gap between spending and getting reimbursed created real cash flow pressure. Dr. Gupta was essentially financing his own vaccine program with no guarantee of when, or sometimes whether, insurance would pay.

On top of all that, VFC compliance documentation fell on one person. The state has strict requirements for how VFC vaccines are stored, tracked, and reported. Getting it wrong can mean losing eligibility for the program entirely. Dr. Gupta's staff was managing this alongside everything else, and the margin for error was thin.

The picture was clear: a practice doing important work for its community, stretched thin by a billing and compliance system that was built around manual effort and uncertainty.

With Canid

What changed

When Canid came on board, the first thing that shifted was the financial risk. Dr. Gupta stopped purchasing vaccines out of pocket. Canid took over the buying, which meant the practice no longer had tens of thousands of dollars tied up in inventory with no guarantee of timely reimbursement. The upfront cost went to zero.

The manual coding stopped too. Instead of staff hand-entering billing codes for every vaccine across two different payer types, scanning replaced the old workflow. The right codes, the right payer rules, the right documentation, handled automatically. The work that used to consume hours of staff time each week simply went away.

VFC compliance, which had been one more thing on one person's plate, became a team effort. Canid's operations team took ownership of the tracking, storage documentation, and reporting requirements. For a solo practice where compliance used to depend on a single staff member remembering every detail, that was a meaningful shift. The program went from something the practice worried about to something that was fully managed.

And the claims started moving faster. What had been a 60-to-90-day wait for payment compressed down to 30 days. Clean claims, submitted correctly the first time, paid on a predictable cycle. Revenue that used to take a quarter to arrive was now showing up within a month.

Where they are now
The people at Canid are very helpful, they are actually looking out for the practices the best way ever.

Dr. Indranil Gupta, PediatricPlus

Today, PediatricPlus gets paid 66% faster than before. Claims that used to sit for two to three months now resolve in 30 days. The billing error rate dropped by 80%, from 5% down to under 1%. Dr. Gupta's staff spends zero hours on vaccine billing. And the practice maintains 100% VFC compliance, handled entirely by Canid's team.

None of this required new hires, new software training, or a disruptive transition. It just required handing off the parts of vaccine management that were dragging the practice down and letting a team that specializes in exactly this take over.

Dr. Gupta didn't get into pediatrics to manage billing codes and compliance paperwork. Now he doesn't have to. The practice runs the way it should: patients come in, vaccines go out, and the business side takes care of itself.

See how Canid works for practices like yours

Whether you're a solo provider or a multi-site group, Canid handles vaccine purchasing, billing, and compliance so your team can focus on patients.

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