Clinic
Group Health Plan INC.
Group Health Plan INC. was paid $14.79M by Medicaid between Jan 2018 and Dec 2024, across 31 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 27% of everything it billed.
33Billing provider infoGROUP HEALTH PLAN INC.
MINNEAPOLIS, MN 55425
MINNEAPOLIS, MN 55425
33aNPI1275619389assigned 10/31/2006
33bProvider typeMulti-Specialty Clinic/Center
28Total paid$14.79M
24GClaims180,102
24DCodes billed31
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Multi-Specialty Clinic/Center providers in Minnesota
Rank by total paid#6 of 87
Median peer was paid$1.04M
This provider vs. median14×
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 | 32,211 | $482K | |
| 2019 | 30,130 | $3.00M | |
| 2020 | 32,789 | $3.16M | |
| 2021 | 35,609 | $3.68M | |
| 2022 | 22,947 | $2.11M | |
| 2023 | 14,388 | $1.33M | |
| 2024incomplete | 12,028 | $1.02M |
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 | 27% | 42,731 | 40,276 | $4.03M |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 18% | 42,386 | 28,620 | $2.62M |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 14% | 20,531 | 13,508 | $2.01M |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 12% | 19,726 | 3,357 | $1.77M |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 5.5% | 8,561 | 8,375 | $819K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 5.5% | 6,457 | 6,049 | $814K |
| 90792 | Psychiatric diagnostic evaluation with medical services | 4.5% | 4,670 | 4,516 | $659K |
| 99223 | Prolong inpt eval add15 m | 4.3% | 3,538 | 3,279 | $631K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 2.2% | 6,175 | 5,354 | $329K |
| 90847 | Family psychotherapy with the patient present, 50 minutes | 1.9% | 4,352 | 3,332 | $277K |
| 99239 | Hospital discharge day management, more than 30 minutes | 1.8% | 2,732 | 2,559 | $260K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.6% | 4,339 | 4,167 | $238K |
19 more codes
| T1013 | Sign language or oral interpretive services, per 15 minutes | <1% | 3,118 | $88K |
| 90785 | <1% | 5,069 | $54K | |
| 99417 | Prolong home eval add 15m | <1% | 655 | $45K |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 1,347 | $45K |
| 99205 | Prolong outpt/office vis | <1% | 312 | $32K |
| 90846 | Family psychotherapy without the patient present, 50 minutes | <1% | 305 | $25K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 420 | $21K |
| 96113 | <1% | 52 | $10K | |
| 96112 | <1% | 41 | $3K | |
| 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% | 1,843 | $2K |
| 99354 | <1% | 49 | $1K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 30 | $1K |
| 98967 | <1% | 27 | $487.70 | |
| 96138 | <1% | 13 | $433.54 | |
| 98968 | <1% | 157 | $262.96 | |
| 99443 | <1% | 39 | $62.42 | |
| 99442 | <1% | 70 | $26.45 | |
| 99441 | <1% | 24 | $18.34 | |
| Q3014 | Telehealth originating site facility fee | 0% | 333 | $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 | 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 | 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.