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THE UPSTATE REVENUE FRAMEWORK™

We Build the Operational Infrastructure Behind Therapy Practices

The Upstate Revenue Framework is a structured system for building insurance-ready, operationally sound therapy practices that get paid correctly and consistently.

Medical billing and credentialing support for solo healthcare practices

Since I  started working together with Danielle I’ve tripled my income and can fully focus on patient care. Our monthly meetings help me grow the business while staying compliant, and Danielle is both incredibly encouraging and flexible, allowing me to pay for the services I need and manage the rest myself.If you need support with medical billing or eligibility, I highly recommend Upstate Healthcare Administration.

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Maggie Strode, OT Private Practice Owner

CHOOSE YOUR TRACK

Find Services Built for Your Specialty

Most of our clients fall into one of two categories. Find yours below and we will show you exactly how we can help.

MENTAL HEALTH PROVIDERS

LMHCs, LPCs, LCSWs, PMHNPs and More

Credentialing, billing infrastructure, platform exits from Headway and Alma, and insurance system setup designed specifically for mental health practices.

REHAB PROVIDERS

OTs, PTs, SLPs, Chiropractors and More

Operational systems, credentialing, workflow optimization, and revenue infrastructure built for the specific billing demands of rehab and therapy practices.

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CPES-Certified Expertise

Danielle Wagar is a Certified Provider Enrollment Specialist, one of the healthcare industry's newest and most specialized certifications in provider enrollment and payer credentialing, offered through NAMSS.

Industry's first and only provider enrollment certification through NAMSS

Advanced training in provider enrollment credentialing and payer operations

Committed to accuracy, compliance, and provider success

RESOURCES TO HELP YOU GROW

Read Before You Book

Everything you need to run a smoother, more profitable practice — all under one roof.

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Leaving Headway, Alma or Grow Therapy: How to Start Your Own Private Practice

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Aetna Is Cutting Rates for Alma Therapists in 2026
 

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Insurance Reimbursement Rates for Therapists in 2026: What CPT 90837, 90834 and 90832 Actually Pay

HOW WE CAN HELP

Services That Support Your Practice at Every Stage

Four core services designed to get your practice billing cleanly, credentialed correctly, and paid consistently.

Credentialing & Payer Enrollment

Get credentialed correctly the first time and stay enrolled without delays.

Billing Oversight and Reimbursement

Clean claims, fewer denials, and better reimbursement for the care you provide.

Practice Operations and Workflow

Build systems that save time, reduce stress, and help your practice run smoothly.

Consulting & Strategy Sessions

Get expert guidance for specific challenges or big-picture planning.

DIGITAL PRODUCTS

Coming Soon: Tools Built for Your Practice

Practical tools designed to make running your healthcare business simpler and smarter.

Coming Soon

OON Billing Calculator

A simple calculator to help therapy practices understand their out of network billing potential.

Coming Soon

Practice Estimate Template

A simple calculator to help therapy practices understand their out of network billing potential.

Coming Soon

Upstate Access

A credentialing and client portal for independent providers.

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Track enrollments, store documents, and manage your entire credentialing process in one place. Launching with DIY, Guided, and Concierge tiers so you get exactly the right level of support.

More tools and resources coming soon including a practice management app.

CLIENT SUCCESS STORIES

What Practice Owners Are Saying

Hear from the providers and business owners who've transformed their practices with our support.

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Healthcare practice owner testimonial about medical billing services

Google

Danielle has been an absolute asset to our practice. She’s efficient, knowledgeable, and always on top of our billing. She makes the insurance side of our business far less stressful, which allows us to focus on client care.

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Client review for healthcare administration and credentialing support

Google

I can’t recommend Danielle highly enough. I started my out-of-network occupational therapy practice in February 2025 with the goal of making my services accessible while prioritizing true one-on-one care. I hired Danielle in May to help with eligibility and out-of-network, Workers’ Compensation, and Medicare billing, and the results have been incredible.

Since working together, I’ve tripled my income and can fully focus on patient care. Our monthly meetings help me grow the business while staying compliant, and Danielle is both incredibly encouraging and flexible, allowing me to pay for the services I need and manage the rest myself.

If you need support with medical billing or eligibility, I highly recommend Upstate Healthcare Administration.

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Therapy practice success story from billing and credentialing services

Google

Upstate Healthcare Admin is a life saver! When billing, EHR navigation and admin work gets complicated Danielle swoops and saves the day. She is kind, thoughtful and thorough. So grateful for this resource.

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Ready to Build Operational Infrastructure That Actually Works

​Join the therapy practices already running on the Upstate Revenue Framework.

COMING SOON

Meet Upstate Access

The self-serve credentialing portal built for independent providers who want to stay organized, track their progress, and get expert help exactly when they need it.

Track Everything in Real Time

See exactly where every enrollment and credentialing application stands without chasing anyone for updates.

One Place for Every Document

Store licenses, applications, and payer correspondence in a single organized portal instead of scattered folders and email chains.

Expert Help When You Need It

Access Ask an Expert sessions starting at $49 or full Strategy Sessions at $199 directly inside the platform whenever you hit a wall.

DIY does not have to mean doing it alone.

Not Sure Where to Start?

​Tell me what you are working on, your specialty, where you are in your practice setup, and what is not working. I will respond personally and point you toward the right next step.

THE FRAMEWORK IS LED BY

Meet Danielle Wagar, CPES

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Danielle Wagar is a Certified Provider Enrollment Specialist and the expert behind the Upstate Revenue Framework™. With 15+ years of experience and one of the most specialized credentials in provider enrollment and payer credentialing, she builds the systems that help therapy practices get paid correctly and consistently.

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