Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

GROUP HEALTH PLAN INC.

NPI: 1275619389 · MINNEAPOLIS, MN 55425 · Multi-Specialty Clinic/Center · NPI assigned 10/31/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official BJORKMAN, LISA controls 18+ related entities in our dataset. Read more

$14.79M
Total Medicaid Paid
180,102
Total Claims
134,878
Beneficiaries
31
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialBJORKMAN, LISA (DIRECTOR)
NPI Enumeration Date10/31/2006

Related Entities

Other providers sharing the same authorized official: BJORKMAN, LISA

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 12,028 $1.02M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 42,731 40,276 $4.03M
90834 Psychotherapy, 45 minutes with patient 42,386 28,620 $2.62M
90837 Psychotherapy, 53 minutes with patient 20,531 13,508 $2.01M
99233 Prolong inpt eval add15 m 19,726 3,357 $1.77M
90791 Psychiatric diagnostic evaluation 8,561 8,375 $819K
99215 Prolong outpt/office vis 6,457 6,049 $814K
90792 Psychiatric diagnostic evaluation with medical services 4,670 4,516 $659K
99223 Prolong inpt eval add15 m 3,538 3,279 $631K
90832 Psychotherapy, 30 minutes with patient 6,175 5,354 $329K
90847 Family psychotherapy with the patient present, 50 minutes 4,352 3,332 $277K
99239 Hospital discharge day management, more than 30 minutes 2,732 2,559 $260K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4,339 4,167 $238K
T1013 Sign language or oral interpretive services, per 15 minutes 3,118 2,786 $88K
90785 5,069 4,177 $54K
99417 Prolong home eval add 15m 655 625 $45K
99232 Subsequent hospital care, per day, moderate complexity 1,347 410 $45K
99205 Prolong outpt/office vis 312 292 $32K
90846 Family psychotherapy without the patient present, 50 minutes 305 280 $25K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 420 399 $21K
96113 52 39 $10K
96112 41 39 $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) 1,843 1,772 $2K
99354 49 45 $1K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 30 30 $1K
98967 27 25 $487.70
96138 13 13 $433.54
98968 157 151 $262.96
99443 39 39 $62.42
99442 70 70 $26.45
99441 24 24 $18.34
Q3014 Telehealth originating site facility fee 333 270 $0.00