Clinic
Group Health Plan INC
Group Health Plan INC was paid $12.93M by Medicaid between Jan 2018 and Dec 2024, across 171 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 22% of everything it billed.
33Billing provider infoGROUP HEALTH PLAN INC
ANDOVER, MN 55304
ANDOVER, MN 55304
33aNPI1194051151assigned 10/27/2009
33bProvider typeMulti-Specialty Clinic/Center
28Total paid$12.93M
24GClaims456,002
24DCodes billed171
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Multi-Specialty Clinic/Center providers in Minnesota
Rank by total paid#8 of 87
Median peer was paid$1.04M
This provider vs. median12×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official BJORKMAN, LISA controls 18+ related entities in our dataset. Read more
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 | 86,817 | $616K | |
| 2019 | 74,199 | $2.23M | |
| 2020 | 63,256 | $2.05M | |
| 2021 | 86,679 | $3.13M | |
| 2022 | 66,671 | $2.29M | |
| 2023 | 43,295 | $1.46M | |
| 2024incomplete | 35,085 | $1.15M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 22% | 38,984 | 35,722 | $2.87M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 21% | 51,691 | 47,613 | $2.67M |
| S0302 | Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) | 6.2% | 27,603 | 27,052 | $806K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 4.2% | 8,161 | 7,930 | $548K |
| X5622 | 4.0% | 11,313 | 10,193 | $522K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 3.5% | 16,474 | 16,154 | $447K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 3.3% | 12,381 | 12,057 | $429K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 3.1% | 6,926 | 6,459 | $404K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.1% | 6,228 | 5,892 | $398K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 2.4% | 3,157 | 2,978 | $307K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.0% | 3,741 | 3,633 | $260K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.5% | 2,896 | 2,726 | $197K |
159 more codes
| 99204 | Doctor's office visit, new patient (more involved) | 1.5% | 1,738 | $192K |
| 36415 | Collection of venous blood by venipuncture | 1.4% | 48,737 | $186K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.3% | 12,163 | $166K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 1.0% | 1,867 | $131K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 1,494 | $120K |
| 99188 | <1% | 12,802 | $108K | |
| 76830 | Ultrasound, transvaginal | <1% | 1,388 | $108K |
| 92551 | <1% | 16,824 | $103K | |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | <1% | 1,282 | $93K |
| 77067 | Screening mammography, bilateral, including computer-aided detection | <1% | 1,056 | $89K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 1,261 | $88K |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 1,178 | $87K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 2,450 | $74K |
| 96127 | <1% | 19,868 | $72K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 1,690 | $71K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 11,051 | $69K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 3,265 | $54K |
| 90686 | <1% | 10,504 | $54K | |
| 76819 | Fetal biophysical profile; without non-stress testing | <1% | 882 | $52K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 6,595 | $50K |
| 87480 | <1% | 2,503 | $50K | |
| 87660 | <1% | 2,496 | $50K | |
| 87510 | <1% | 2,495 | $50K | |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | <1% | 303 | $45K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 508 | $43K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 2,301 | $42K |
| G0500 | Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate) | <1% | 1,124 | $39K |
| 0001A | <1% | 809 | $36K | |
| 90715 | <1% | 2,309 | $35K | |
| 90651 | <1% | 1,825 | $32K | |
| 85027 | <1% | 4,696 | $31K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 1,909 | $29K |
| 0002A | <1% | 594 | $26K | |
| 91320 | <1% | 209 | $25K | |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | <1% | 97 | $24K |
| 99385 | <1% | 250 | $23K | |
| 99173 | <1% | 16,061 | $23K | |
| 0071A | <1% | 566 | $22K | |
| 17110 | <1% | 316 | $22K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 2,315 | $22K |
| 0004A | <1% | 558 | $21K | |
| 76700 | Ultrasound, abdominal, real time with image documentation; complete | <1% | 206 | $18K |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 117 | $17K |
| 0072A | <1% | 420 | $17K | |
| 81025 | <1% | 2,217 | $17K | |
| 76801 | <1% | 177 | $17K | |
| 99384 | <1% | 172 | $15K | |
| 80050 | General health panel | <1% | 266 | $15K |
| 99383 | <1% | 166 | $13K | |
| 90480 | <1% | 387 | $13K | |
| 90670 | <1% | 4,132 | $12K | |
| 77063 | Screening digital breast tomosynthesis, bilateral | <1% | 296 | $12K |
| 90677 | <1% | 160 | $12K | |
| 81001 | <1% | 3,705 | $10K | |
| 85018 | <1% | 4,123 | $10K | |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 74 | $9K |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 135 | $9K |
| 93000 | <1% | 930 | $9K | |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | <1% | 344 | $9K |
| 90461 | <1% | 1,832 | $8K | |
| T1013 | Sign language or oral interpretive services, per 15 minutes | <1% | 263 | $7K |
| 73630 | <1% | 342 | $7K | |
| 0124A | <1% | 166 | $6K | |
| 99460 | <1% | 152 | $6K | |
| 36416 | <1% | 2,720 | $6K | |
| 90746 | <1% | 141 | $6K | |
| 90674 | <1% | 811 | $6K | |
| 0054A | <1% | 129 | $5K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 137 | $5K |
| S0281 | Medical home program, comprehensive care coordination and planning, maintenance of plan | <1% | 2,183 | $5K |
| 96161 | <1% | 3,136 | $5K | |
| 81003 | <1% | 2,453 | $5K | |
| 76813 | <1% | 54 | $5K | |
| 0064A | <1% | 102 | $4K | |
| 90716 | <1% | 993 | $4K | |
| 87624 | Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types | <1% | 383 | $4K |
| 90750 | <1% | 30 | $4K | |
| 85049 | <1% | 822 | $4K | |
| 95117 | <1% | 518 | $4K | |
| 88142 | <1% | 525 | $4K | |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | <1% | 27 | $4K |
| G0008 | Administration of influenza virus vaccine | <1% | 215 | $3K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 109 | $3K |
| 90732 | <1% | 61 | $3K | |
| 90661 | <1% | 562 | $3K | |
| 90734 | <1% | 1,704 | $3K | |
| G0179 | Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care | <1% | 109 | $3K |
| 0051A | <1% | 71 | $3K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,215 | $3K |
| 86780 | <1% | 571 | $3K | |
| 99381 | <1% | 28 | $3K | |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 735 | $2K |
| 90694 | <1% | 131 | $2K | |
| 90707 | <1% | 846 | $2K | |
| 74019 | <1% | 142 | $2K | |
| 96160 | <1% | 858 | $2K | |
| 99386 | <1% | 14 | $2K | |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 26 | $2K |
| 0012A | <1% | 34 | $2K | |
| 85610 | <1% | 463 | $1K | |
| G0108 | Diabetes outpatient self-management training services, individual, per 30 minutes | <1% | 27 | $1K |
| 87088 | <1% | 337 | $1K | |
| 76536 | <1% | 14 | $1K | |
| 0134A | <1% | 28 | $1K | |
| 90473 | <1% | 92 | $1K | |
| 0011A | <1% | 24 | $1K | |
| G0659 | Drug test(s), definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem), excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase), performed without method or drug-specific calibration, without matrix-matched quality control material, or without use of stable isotope or other universally recognized internal standard(s) for each drug, drug metabolite or drug class per specimen; qualitative or quantitative, all sources, includes specimen validity testing, per day, any number of drug classes | <1% | 56 | $1K |
| J3010 | Injection, fentanyl citrate, 0.1 mg | <1% | 1,248 | $1K |
| 86480 | <1% | 74 | $924.24 | |
| 87077 | <1% | 305 | $903.08 | |
| 87070 | <1% | 247 | $781.83 | |
| 72100 | <1% | 26 | $761.54 | |
| 94010 | <1% | 55 | $760.49 | |
| 58300 | <1% | 12 | $726.36 | |
| 73610 | <1% | 29 | $667.96 | |
| 87186 | <1% | 211 | $659.56 | |
| 90672 | <1% | 753 | $646.00 | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 484 | $623.87 |
| J2250 | Injection, midazolam hydrochloride, per 1 mg | <1% | 1,609 | $603.69 |
| 86762 | <1% | 85 | $572.40 | |
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | <1% | 12 | $570.33 |
| 90662 | <1% | 72 | $528.06 | |
| 0052A | <1% | 12 | $525.22 | |
| 0154A | <1% | 12 | $492.44 | |
| 98941 | Chiropractic manipulative treatment; spinal, 3-4 regions | <1% | 20 | $490.46 |
| 86850 | <1% | 97 | $454.52 | |
| 73140 | <1% | 26 | $415.69 | |
| 90474 | <1% | 37 | $387.56 | |
| 99153 | Mod sedat endo service >5yrs | <1% | 94 | $272.93 |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 13 | $232.83 |
| 90710 | <1% | 702 | $194.58 | |
| 96381 | <1% | 13 | $188.62 | |
| 90633 | <1% | 2,432 | $144.98 | |
| 86900 | <1% | 58 | $114.03 | |
| 86901 | <1% | 57 | $109.90 | |
| 90680 | <1% | 2,231 | $68.99 | |
| 80051 | <1% | 13 | $61.52 | |
| 90723 | <1% | 2,912 | $56.05 | |
| 90647 | <1% | 2,882 | $48.50 | |
| 82565 | <1% | 13 | $45.21 | |
| 90696 | <1% | 783 | $39.48 | |
| 99441 | <1% | 56 | $38.63 | |
| 99443 | <1% | 20 | $27.23 | |
| 99442 | <1% | 85 | $23.29 | |
| J1200 | Injection, diphenhydramine hcl, up to 50 mg | <1% | 15 | $19.67 |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 14 | $13.52 |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 28 | $0.78 |
| 87205 | 0% | 12 | $0.00 | |
| 91319 | 0% | 12 | $0.00 | |
| 82962 | 0% | 50 | $0.00 | |
| 87081 | 0% | 608 | $0.00 | |
| 90660 | 0% | 14 | $0.00 | |
| 90700 | 0% | 783 | $0.00 | |
| 87210 | 0% | 121 | $0.00 | |
| 74018 | 0% | 12 | $0.00 | |
| 86618 | 0% | 15 | $0.00 | |
| 90685 | 0% | 178 | $0.00 | |
| 90713 | 0% | 16 | $0.00 | |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | 0% | 22 | $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 officialBJORKMAN, LISA (DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Group Health Plan, INC. | Minneapolis, MN | $204.32M |
| Group Health Plan INC. | Minneapolis, MN | $14.79M |
| Group Health Plan INC. | Eden Prairie, MN | $11.52M |
| Group Health Plan INC | Saint Paul, MN | $5.57M |
| Group Health Plan, INC | Stillwater, MN | $3.65M |
| Group Health Plan INC | Saint Paul, MN | $3.61M |
| Group Health Plan INC | Saint Paul, MN | $1.16M |
| Physicians Neck & Back Clinics | Roseville, MN | $859K |
| Group Health Plan INC | Minneapolis, MN | $828K |
| Group Health Plan, INC. | Saint Paul, MN | $779K |
| Group Health Plan INC | Bloomington, MN | $594K |
| Lakeview Memorial Hospital Association INC | Stillwater, MN | $159K |
| Group Health Plan, INC. | Anoka, MN | $84K |
| Group Health Plan INC | Somerset, WI | $80K |
| Group Health Plan INC | Hudson, WI | $53K |
| Group Health Plan, INC | Stillwater, MN | $50K |
| Group Health Plan, INC | Maplewood, MN | $17K |
| Group Health Plan INC | Saint Paul, MN | $1K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.