Clinic
Group Health Plan, INC
Group Health Plan, INC was paid $3.65M by Medicaid between Jan 2018 and Dec 2024, across 96 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 36% of everything it billed.
33Billing provider infoGROUP HEALTH PLAN, INC
STILLWATER, MN 55082
STILLWATER, MN 55082
33aNPI1245608454assigned 09/03/2015
33bProvider typeUrgent Care Clinic/Center
28Total paid$3.65M
24GClaims132,368
24DCodes billed96
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Urgent Care Clinic/Center providers in Minnesota
Rank by total paid#5 of 44
Median peer was paid$996K
This provider vs. median3.7×
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 | 25,023 | $165K | |
| 2019 | 22,481 | $630K | |
| 2020 | 21,122 | $684K | |
| 2021 | 27,556 | $919K | |
| 2022 | 18,832 | $609K | |
| 2023 | 10,067 | $349K | |
| 2024incomplete | 7,287 | $297K |
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 | 36% | 31,345 | 27,777 | $1.33M |
| 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 | 27% | 16,440 | 14,656 | $970K |
| U0003 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r | 6.7% | 3,124 | 2,968 | $245K |
| S0302 | Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) | 4.8% | 5,481 | 5,351 | $177K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.2% | 1,365 | 1,288 | $80K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 2.2% | 7,676 | 7,436 | $79K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 1.9% | 4,829 | 4,478 | $69K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.7% | 1,069 | 1,043 | $61K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.5% | 1,043 | 950 | $54K |
| X5622 | 1.4% | 2,484 | 2,130 | $52K | |
| U0005 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 | 1.2% | 1,936 | 1,845 | $45K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.0% | 653 | 633 | $38K |
84 more codes
| 36415 | Collection of venous blood by venipuncture | 1.0% | 14,470 | $37K |
| 91320 | <1% | 288 | $30K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 2,288 | $29K |
| J0585 | Injection, onabotulinumtoxina, 1 unit | <1% | 62 | $25K |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | <1% | 981 | $21K |
| 90686 | <1% | 3,361 | $20K | |
| 92551 | <1% | 2,962 | $18K | |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 519 | $17K |
| 93793 | <1% | 4,769 | $16K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 173 | $15K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 498 | $14K |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 1,029 | $13K |
| 90480 | <1% | 407 | $13K | |
| 96127 | <1% | 3,584 | $12K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 197 | $12K |
| 80061 | Lipid panel | <1% | 997 | $11K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 108 | $11K |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 1,706 | $11K |
| 99188 | <1% | 1,729 | $10K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 1,079 | $8K |
| 0004A | <1% | 290 | $8K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 898 | $8K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 91 | $8K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 1,327 | $7K |
| 85027 | <1% | 1,365 | $7K | |
| 99173 | <1% | 2,706 | $5K | |
| 0124A | <1% | 139 | $5K | |
| 80053 | Comprehensive metabolic panel | <1% | 469 | $5K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 777 | $5K |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | <1% | 227 | $4K |
| 0002A | <1% | 88 | $4K | |
| 0071A | <1% | 88 | $3K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 55 | $3K |
| 0072A | <1% | 84 | $3K | |
| 77067 | Screening mammography, bilateral, including computer-aided detection | <1% | 51 | $3K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 199 | $3K |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | <1% | 78 | $3K |
| 90670 | <1% | 461 | $2K | |
| 81001 | <1% | 854 | $2K | |
| 87081 | <1% | 562 | $2K | |
| 0001A | <1% | 50 | $2K | |
| 90674 | <1% | 96 | $1K | |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | <1% | 41 | $1K |
| 90651 | <1% | 101 | $1K | |
| 90661 | <1% | 70 | $1K | |
| 0054A | <1% | 29 | $1K | |
| 90473 | <1% | 90 | $998.51 | |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 133 | $919.73 |
| 97161 | <1% | 12 | $876.82 | |
| 90474 | <1% | 135 | $788.01 | |
| 64615 | <1% | 20 | $688.42 | |
| 80076 | <1% | 157 | $682.11 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 12 | $677.52 |
| 90715 | <1% | 97 | $640.44 | |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 12 | $574.73 |
| 93000 | <1% | 57 | $533.48 | |
| 97535 | Self-care/home management training, each 15 minutes | <1% | 29 | $515.01 |
| 82248 | <1% | 104 | $491.43 | |
| 87389 | Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies | <1% | 13 | $304.33 |
| G0008 | Administration of influenza virus vaccine | <1% | 222 | $279.88 |
| 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% | 203 | $220.32 |
| 82728 | <1% | 28 | $195.90 | |
| 86803 | <1% | 14 | $161.52 | |
| 84439 | <1% | 28 | $143.39 | |
| 90734 | <1% | 93 | $124.77 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 40 | $116.35 |
| 90672 | <1% | 118 | $95.00 | |
| 96161 | <1% | 102 | $88.39 | |
| 87210 | <1% | 13 | $71.37 | |
| 82570 | <1% | 14 | $70.04 | |
| 82043 | <1% | 12 | $67.16 | |
| 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% | 12 | $36.85 |
| 85018 | <1% | 16 | $36.78 | |
| 99441 | <1% | 36 | $27.36 | |
| 90647 | <1% | 141 | $24.25 | |
| 90633 | 0% | 126 | $0.00 | |
| 90685 | 0% | 12 | $0.00 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 57 | $0.00 |
| 99442 | 0% | 20 | $0.00 | |
| 85610 | 0% | 28 | $0.00 | |
| 90723 | 0% | 168 | $0.00 | |
| 90680 | 0% | 106 | $0.00 | |
| 85652 | 0% | 27 | $0.00 | |
| 86140 | 0% | 13 | $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 | 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 | 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.