// US-based FastAPI developers · Healthcare
Free project plan & cost estimate in 48 hours.
Senior FastAPI developers for healthcare teams, based in the US
Engineers who treat patient data carefully, build with access logging and encryption, and understand how clinical and billing workflows actually run.
- Interview engineers before you pay anything
- 100% U.S.-based, working your hours
- No brief or spec needed to get started
First 5 Dev Hours Free
Project plan. Roadmap. Cost & ROI estimation.
Real engineers. Real conversations.
Talk to an engineer. Not a salesperson.
Free · No commitment · Project-focused call
Most teams interview matched engineers within a week
Not the right fit? We bring in a replacement
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// teams we've worked with
“NextGen scaled us from 2 to 7 dedicated engineers in under a quarter. Enterprise-grade capacity, zero agency drag.”
Sound familiar?
- Patient data sits in systems that don't talk to each other.
- Every feature carries privacy and security review overhead.
- EHR and billing integrations keep breaking.
- You need people you can trust with sensitive data, not a rotating offshore bench.
What our FastAPI engineers build for healthcare teams
Healthcare workflows
EHR integrations, intake, scheduling, and billing tools with access logging.
APIs & microservices
Typed FastAPI services with auto-generated docs.
AI & data back-ends
APIs serving models, search, and data pipelines.
Built for HIPAA-regulated work
- We sign a Business Associate Agreement (BAA) when the work touches patient data.
- Access logging, encryption, and least-privilege access as the default.
- Every engineer is US-based and signs an NDA and IP assignment.
How it works
- 01
Pick a time
Book a 30-minute project call directly in our calendar.
- 02
Talk through the problem
Tell us what needs building, what's stuck and what success looks like. No spec needed.
- 03
Your plan in 48 hours
Get your project plan, roadmap, cost and ROI estimates. The plan is yours to keep.
- 04
First 5 dev hours free
Agree the scope with our team. Decide whether to continue before any paid work begins.
Common questions
Will this turn into a sales pitch?
No. The call is about your project: what needs building, what's stuck, and whether we have the right engineers. If we're not a fit, we'll say so.
What do I get for free?
A project plan, roadmap, cost estimate and ROI estimate within 48 hours of your project call. Your first 5 development hours are free, too. We agree the scope and any paid work with you before proceeding.
Do I need a spec or brief?
No. Tell us the problem in plain words and we'll help shape the scope with you.
Are the engineers really in the U.S.?
Yes. Every engineer lives and works in the United States. No offshore hand-offs, and that's in the contract.
What our clients say
"NextGen scaled us from 2 to 7 dedicated engineers in under a quarter. Enterprise-grade capacity, zero agency drag."
"Their R&D tax credit workflow platform paid for itself in the first filing season."
"AI-native from day one. Our IRS transcript pipeline runs 24/7 without a human in the loop."
"Property tax appeals used to take weeks. Their comp analysis tooling turned it into hours."
"The AI intake agent handles our tier-1 patient calls with a hand-off cleaner than our old call center."
"POS, inventory, ordering — all unified. We finally have one source of truth across every location."
"The procurement platform paid for itself in the first quarter of use."
"They shipped our matching engine in 6 weeks. Our old team would've taken 6 months."
"Enterprise-grade delivery without the enterprise-agency price tag."
"Their team plugged into our sprint on day one. Zero ramp time."
"NextGen scaled us from 2 to 7 dedicated engineers in under a quarter. Enterprise-grade capacity, zero agency drag."
"Their R&D tax credit workflow platform paid for itself in the first filing season."
"AI-native from day one. Our IRS transcript pipeline runs 24/7 without a human in the loop."
"Property tax appeals used to take weeks. Their comp analysis tooling turned it into hours."
"The AI intake agent handles our tier-1 patient calls with a hand-off cleaner than our old call center."
"POS, inventory, ordering — all unified. We finally have one source of truth across every location."
"The procurement platform paid for itself in the first quarter of use."
"They shipped our matching engine in 6 weeks. Our old team would've taken 6 months."
"Enterprise-grade delivery without the enterprise-agency price tag."
"Their team plugged into our sprint on day one. Zero ramp time."
Hire US-based FastAPI developers for healthcare APIs, patient-facing workflows, and integrations with electronic health records. Python services using Pydantic v2 and PostgreSQL can support appointment coordination, intake processing, and FHIR R4 resource exchange. The difficult work includes mapping inconsistent clinical fields, enforcing patient-level access, and keeping protected health information out of application logs, traces, and exception reports.
For work that touches patient data, NextGen Coding Company signs a Business Associate Agreement before that work begins. An NDA and full IP assignment are signed before any code access. Our senior engineers are all US-based and join your standups during your working hours, making it easier to review SMART on FHIR authorization, integration failures, and changes to clinical workflows with your team.
Frequently asked questions
- Can FastAPI be used for healthcare applications that handle patient data?
- FastAPI can support healthcare applications, but a framework does not establish HIPAA compliance by itself. Your architecture needs appropriate access controls, encryption, auditability, and operational safeguards. We sign a BAA when work touches patient data. Technical planning should also cover backups, log redaction, and how developers access test environments.
- How do FastAPI services integrate with FHIR R4 and SMART on FHIR?
- A FastAPI service can expose application endpoints while using HTTPX to communicate with an EHR's FHIR R4 API. SMART on FHIR integration involves OAuth authorization, scopes, and launch context. Plan for vendor-specific resource support, pagination, token expiration, and OperationOutcome errors rather than assuming every EHR implements the same capabilities.
- How do you keep patient information out of FastAPI logs?
- Avoid recording request bodies, authorization headers, and patient identifiers by default. Review middleware, validation error handling, and observability exporters because each can expose sensitive fields. Use correlation identifiers for troubleshooting, restrict log access, and add tests that inspect emitted logs. Error responses should help callers without echoing clinical payloads.
- Can a FastAPI developer connect older HL7 v2 feeds to modern APIs?
- Yes, with a clear boundary between message transport and the HTTP API. An interface engine such as Mirth Connect can receive HL7 v2 messages, while Python services validate and map selected fields. Define acknowledgment behavior, duplicate detection, and replay procedures carefully, especially when ADT events update patient or encounter records.
- What should we prepare before hiring a FastAPI healthcare developer?
- Bring your EHR vendor details, FHIR implementation guide, authorization flow, and a description of where patient data travels. Synthetic sample payloads are useful for early discussions. Book a 15-minute call to discuss the role; most teams interview matched engineers within a week. All engineers live and work in the US.
- Are your developers really based in the US?
- Yes. Every engineer lives and works in the United States. No offshore subcontracting and no hand-offs to another team. That's written into the contract.
- How fast can someone start?
- Most teams interview matched engineers within a week of the first call. Start dates depend on your interview process.
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