Upadhaya, Manisha
Upadhaya, Manisha was paid $12K by Medicaid between May 2023 and Nov 2024, across 3 billing codes. Its largest line is 99309, Subsequent nursing facility care, per day, low to moderate complexity — 74% of everything it billed.
33Billing provider infoUPADHAYA, MANISHA
CANONSBURG, PA 15317
CANONSBURG, PA 15317
33aNPI1750033809assigned 01/20/2022
33bProvider typeRegistered Nurse
28Total paid$12K
24GClaims858
24DCodes billed3
24AFirst – last monthMay 2023 – Nov 2024
Compared with peers
Next to other Registered Nurse providers in Pennsylvania
Rank by total paid#69 of 137
Median peer was paid$12K
This provider vs. median1.0×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2023 | 290 | $2K | |
| 2024incomplete | 568 | $10K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 74% | 678 | 380 | $9K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 19% | 115 | 60 | $2K |
| 99491 | Ccm add 20min | 6.5% | 65 | 65 | $778.30 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.