Group Health Plan INC

Group Health Plan INC was paid $53K by Medicaid between Dec 2018 and Dec 2024, across 7 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 62% of everything it billed.

33Billing provider infoGROUP HEALTH PLAN INC
HUDSON, WI 54016

33aNPI1427420181assigned 10/21/2015

33bProvider typeMulti-Specialty Clinic/Center

28Total paid$53K

24GClaims1,647

24DCodes billed7

24AFirst – last monthDec 2018 – Dec 2024

Compared with peers

Next to other Multi-Specialty Clinic/Center providers in Wisconsin

Rank by total paid#31 of 40

Median peer was paid$333K

This provider vs. median0.2×

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	18	$127.84
2019	44	$904.81
2020	39	$569.30
2021	280	$16K
2022	103	$4K
2023	658	$17K
2024incomplete	505	$14K

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	62%	596	516	$33K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	25%	277	258	$13K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	4.9%	45	43	$3K
36415	Collection of venous blood by venipuncture	3.4%	650	590	$2K
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	2.2%	13	12	$1K
99309	Subsequent nursing facility care, per day, low to moderate complexity	2.0%	35	29	$1K
99310	Prolong nursin fac eval 15m	0%	31	25	$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)

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	Somerset, WI	$80K
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.