Exemplar, INC
Exemplar, INC was paid $235K by Medicaid between Jan 2018 and Dec 2024, across 9 billing codes. Its largest line is 95165, Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials — 63% of everything it billed.
33Billing provider infoEXEMPLAR, INC
BRIDGEPORT, WV 26330
BRIDGEPORT, WV 26330
33aNPI1396845236assigned 09/22/2006
33bProvider typeSpecialist
28Total paid$235K
24GClaims5,655
24DCodes billed9
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Specialist providers in West Virginia
Rank by total paid#34 of 71
Median peer was paid$232K
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 | |
|---|---|---|---|
| 2018 | 1,586 | $75K | |
| 2019 | 299 | $19K | |
| 2020 | 520 | $35K | |
| 2021 | 534 | $13K | |
| 2022 | 1,057 | $34K | |
| 2023 | 1,036 | $35K | |
| 2024incomplete | 623 | $24K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 95165 | Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials | 63% | 1,943 | 1,528 | $147K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 19% | 1,082 | 793 | $45K |
| 95117 | 5.1% | 1,710 | 580 | $12K | |
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | 4.8% | 71 | 58 | $11K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 3.1% | 90 | 79 | $7K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 3.0% | 49 | 42 | $7K |
| 95115 | 1.2% | 583 | 190 | $3K | |
| 94010 | <1% | 77 | 53 | $2K | |
| 99072 | 0% | 50 | 20 | $0.00 |
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.
From NPPES
Who's on the registration
Authorized officialBOGART, AMY (ADMIN. ASSIST/CREDENTIALING SPECIAL)