NASHVILLE, TENNESSEE EST. 2023
Case study · No. 04 · VOAFit

A concierge medical practice shipped what others quoted at twelve months.

Dr. Ian Ellis needed a patient app for medication tracking, weight tracking, and inventory. We delivered the MVP in under three months, with 35,000 lines of application code and 25,000 lines of test code.

Client
Dr. Ian Justl Ellis, M.D., Founder & CEO
Company
VOAFit
Industry
Medical · Concierge practice (GLP-1, hormone, peptide therapies)
Location
Arlington, Texas
Engagement
Custom software + app development · Jun 2025 – Ongoing
The client

A concierge medical practice in advanced therapeutics.

VOAFit is a concierge medical practice specializing in GLP-1 weight loss, hormone, and advanced peptide therapies. Dr. Ian Ellis founded and runs the practice. Patients are on complex, ongoing treatment regimens that require careful tracking of medication levels, dosing, weight, and inventory.

The problem

A patient app, fast, with the depth medical software actually needs.

VOAFit needed a patient-facing app that could handle advanced measurement of medication levels, medication tracking, weight tracking, and medication inventory tracking. Other agencies quoted Dr. Ellis at timelines that didn’t fit the practice’s growth curve. He needed something usable in months, not a year.

The approach

A senior US team, in-person and on call, building fast without cutting corners.

We took the engagement on with our standard model: a senior US developer dropped into the project, with the rest of the team available behind them as supporting resources. Communication was a mix of in-person meetings, virtual calls, and async messaging, whatever fit the moment.

Speed didn’t mean shortcuts. We held the test code coverage close to one-to-one with application code throughout the build, so the system would behave reliably under real patient load.

The solution

35,000 lines of application code. 25,000 lines of tests.

The MVP shipped in under three months. It handles advanced measurement of medication levels, ongoing medication tracking, weight tracking, and inventory tracking for the practice’s patient population. Test coverage was kept tight: 25,000 lines of test code against 35,000 lines of application code.

The outcome

Shipped in three months. Quoted by others at nine to twelve.

VOAFit went from kickoff to a working patient app MVP in under three months, against quotes from other agencies that ran two to three times that timeline. The app is in active use and the engagement is ongoing.

“Pilot West has exceeded expectations. We’re very happy with the quality and timeliness of their work. Couldn’t have done it without them.”

— Dr. Ian Ellis, Founder & CEO · VOAFit
What’s next

The app keeps growing with the practice.

VOAFit is on the ongoing engagement model. The app continues to expand as the practice’s therapy mix and patient base grow. New tracking, integrations, and patient-experience improvements roll out month over month.

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