Six providers. Two locations in New York City. And a vaccine program that was costing more than it was bringing in.

About Premier Pediatrics

Dr. Julie Capiola runs Premier Pediatrics out of two locations in Manhattan and Brooklyn. It is a real multi-provider operation: six providers, independently owned, serving families across two of the most densely populated boroughs in the country. The practice administers more than 10,000 vaccines every year.

This is not a small practice struggling to get by. Premier Pediatrics is a successful, well-run organization with a strong patient base and a reputation for quality care. The practice was growing. The providers were busy. The families kept coming back.

The problem was specific: the vaccine program had become a drain. Nearly all of their patients, 98%, carry private insurance. That means every single vaccine involves purchasing inventory, documenting administration, submitting claims, and chasing reimbursement. At 10,000+ doses a year across two locations, the sheer volume of that work had created a cost structure that was quietly eating the practice from the inside.

The first thing that changed was the most expensive part: Canid took over vaccine purchasing entirely. Premier Pediatrics stopped buying vaccines. No upfront costs, no inventory risk, no capital tied up in refrigerators full of product that may or may not get used before it expires. That alone removed the single largest line item from their vaccine cost structure.

The second change was the one that the staff noticed immediately. Documentation that used to take 10 or more minutes per vaccine now took 30 seconds. One barcode scan at the point of care, and the entire record was captured. No more manual entry of lot numbers, expiration dates, administration sites, or payer details. The clinical team could actually focus on patients again instead of spending their days hunched over paperwork.

With 98% of the patient population on private insurance, Premier Pediatrics was dealing with a long list of payers, each with their own billing quirks, modifier requirements, and reimbursement timelines. Canid's dedicated billing team took all of that off the practice's plate. Claims, follow-ups, denials, appeals. The practice stopped thinking about vaccine billing entirely.

And both locations, Manhattan and Brooklyn, were integrated into one system. Instead of managing two separate workflows, two separate inventories, and two separate billing streams, the practice had a single view across everything. One partner handling it all.