How to Run a Community Vaccine Clinic Without Billing Insurance | Direct Primary Care + Pharmacist

How do physicians and pharmacists run a community vaccine clinic without billing insurance? At Big Trees MD, a rural Direct Primary Care (DPC) practice in Arnold, California, Dr. Maryal Concepcion and independent pharmacist Urvish Italia gave 84 vaccines in one day, on a weekend, and billed $0 to insurance. FREE playbook (lite): https://payhip.com/b/LDVzi Join the My DPC Story Community waitlist: https://bit.ly/mydpcstorycommunity Read the full write-up: https://www.mydpcstory.com/post/direc... Recorded live in clinic, so you will hear real life in the background. In this episode, Urvish Italia, PharmD, explains how a physician prescribes, the pharmacy dispenses and bills the vaccine without an administration fee, and the physician gives it at the clinic or in the patient's home. For pharmacists, he covers how much notice you need, how to order for walk-ups, and how billing sorts by Medi-Cal (Medicaid), Medicare Part B and commercial coverage. For physicians, he shares what to bring when you approach a pharmacist. We also cover the Medicare Part D late enrollment penalty, how two other Direct Primary Care practices talk Medicare with patients, and why 2027 Medi-Cal work rules make community clinics matter more. CHAPTERS 0:00 Welcome to My DPC Story 0:53 84 vaccines in one day, $0 billed to insurance 1:47 What a community vaccine clinic can deliver 2:42 Why a practice that doesn't take insurance runs a vaccine clinic 2:57 Vaccine access in rural California 3:51 Medi-Cal changes coming in 2027 4:43 Meet pharmacist Urvish Italia: chain vs independent pharmacy 7:08 How physicians should approach a pharmacist about vaccines 8:54 What a community vaccine clinic day looks like 10:43 Ordering, timing and billing when your practice is out of network 12:44 Vaccines for kids under 3 and small orders 13:42 Urvish's advice for physicians 14:50 7 steps to run your first community vaccine clinic 16:13 Why a pharmacist got an insurance license 17:40 Medicare Part D late enrollment penalty explained 18:23 Not billing Medicare, but patients still have insurance 20:00 How two DPC practices talk Medicare with patients 21:29 Run the numbers: free business plan template 22:39 Free resources and how to reach me RESOURCES MENTIONED The Toolkit (Medicare, Medicaid, IHS and TRICARE, free to read): https://toolkit.mydpcstory.com Free vaccine quiz from Big Trees MD: https://www.bigtreesmd.com/vaccinequiz Free handout, Your Medicare letter, explained: https://payhip.com/mydpcstory CDC needle gauge and length chart: https://www.cdc.gov/vaccines/hcp/admi... CDC vaccine transport guidance: https://www.cdc.gov/vaccines/hcp/stor... Medicare Part D late enrollment penalty: https://www.medicare.gov/part-d/costs... Medi-Cal changes for 2027 (DHCS): https://www.dhcs.ca.gov/Medi-Cal/Page... Halcyon Health DPC episode: https://www.mydpcstory.com/post/episo... Find a DPC practice: https://caringdirectly.com Leave a voice message for the show: https://www.mydpcstory.com/contact ABOUT MY DPC STORY My DPC Story is the Direct Primary Care podcast hosted by Maryal Concepcion, MD, FAAFP, a rural family physician and co-owner of Big Trees MD. New to DPC, planning your practice or already open? Start at https://www.mydpcstory.com Educational content only. Not legal, billing, tax or clinical advice for your practice. Follow current CDC guidance, your state immunization program and each vaccine's package insert. #DirectPrimaryCare #VaccineClinic #Pharmacist