Group Health Plan INC

Group Health Plan INC was paid $80K by Medicaid between Jan 2018 and Aug 2024, across 7 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 62% of everything it billed.

33Billing provider infoGROUP HEALTH PLAN INC
SOMERSET, WI 54025

33aNPI1215305412assigned 09/04/2015

33bProvider typeFamily Medicine Physician

28Total paid$80K

24GClaims3,194

24DCodes billed7

24AFirst – last monthJan 2018 – Aug 2024

Compared with peers

Next to other Family Medicine Physician providers in Wisconsin

Rank by total paid#79 of 359

Median peer was paid$4K

This provider vs. median21×

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	922	$24K
2019	574	$15K
2020	286	$6K
2021	647	$8K
2022	327	$9K
2023	292	$10K
2024incomplete	146	$6K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	62%	2,057	1,726	$49K
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	37%	901	714	$29K
92551		<1%	49	46	$452.53
99173		<1%	47	44	$392.10
90686		<1%	28	26	$159.86
96127		<1%	35	32	$124.17
36415	Collection of venous blood by venipuncture	<1%	77	64	$6.42

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)

Same official

Other billing entities under BJORKMAN, LISA

Full network →

Provider	Location	Paid
Group Health Plan, INC.	Minneapolis, MN	$204.32M
Group Health Plan INC.	Minneapolis, MN	$14.79M
Group Health Plan INC	Andover, MN	$12.93M
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	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.