Customer Story

How a pediatric practice went from constant billing headaches to just... doing pediatrics.

Dr. Pandey was spending more time on billing than he wanted to. Now he doesn't think about it.
"I was spending way too much mental energy on whether claims would get paid instead of just focusing on patients. That got old fast."

Dr. Rahul Pandey, MD
Founder, Opulent Pediatrics

Quick Background

Dr. Pandey runs a pediatric practice in Blacksburg. Single location. Sees mostly families from the area - mix of Medicaid, commercial insurance, some self-pay.

The practice was fine. Patients were happy. He liked the work.

But the billing side? Always felt like a low-grade headache that never quite went away.

Location

Virginia

Monthly Revenue

$100K

Collection Rate

96%+


Here's what was actually happening

Vaccine claims were hit or miss. Sometimes they'd pay. Sometimes they'd deny for reasons nobody could quite figure out. Had to appeal, wait, follow up. Annoying.

Well-child visits got denied randomly. Same codes, same process - one month they'd pay, next month denial. No consistency.

Medicaid took forever. Submit in January, maybe see payment in March. Or April. Who knows.

Collections were unpredictable. Some months looked good, some months were weirdly short. Hard to plan anything when you don't know what'll actually come in.

Always stuff to follow up on. "Did that claim ever get paid?" "Why did this deny?" "Can someone check on these?" It just never ended.Nothing dramatic. Just constant low-level friction that ate up time and mental space.

After Lavender Health

Metric

Before

After

Denial rate
18%
3.2%
Days in A/R
54 days
26 days
Monthly collections
~$70K
$100K+
Dr. Pandey's evenings
Aging reports
His kids
✅ Vaccine claims just work now
✅ Well-child visits get paid every time
✅ Medicaid pays in 25-30 days
✅ Collections are predictable month to month

Dr. Pandey is Pediatrics again

That's it. Sees patients. The billing happens in the background.

What we actually did

They handle everything that was taking up his time.

💉 Vaccine billing done right
They know all the product codes, admin codes, payer-specific rules. Vaccine denial rate went from 21% to under 2%.

🧸 Well-child visits coded correctly
Age-based E&M codes, preventive add-ons, all handled. Gets paid the first time now.

🏥 Medicaid claims submitted clean
Everything scrubbed before it goes out. Pays in 25-30 days instead of 60-90.

Real-time dashboard
Can see what's pending, what's paid, what needs attention. No more surprises.

🛡️ Denials handled automatically
If something gets denied (rare now), they're already working it. He just gets a quick update.

🔍 AI catches missing payments
Their system flagged $6,400 in vaccine admin codes that never got paid. Going back months. Got it all recovered.

Lavender Health gets 99% of your receivables paid within 30 days.

Know what's working. Understand what's not. Make better decisions, now.

Let's Talk