Group Health Plan, INC.
Group Health Plan, INC. was paid $779K by Medicaid between Jan 2018 and Dec 2024, across 18 billing codes. Its largest line is E0601, Continuous positive airway pressure (cpap) device — 30% of everything it billed.
SAINT PAUL, MN 55130
Next to other Durable Medical Equipment & Medical Supplies providers in Minnesota
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 6,528 | $128K | |
| 2019 | 5,591 | $186K | |
| 2020 | 4,927 | $124K | |
| 2021 | 3,713 | $100K | |
| 2022 | 2,315 | $56K | |
| 2023 | 3,769 | $101K | |
| 2024incomplete | 3,109 | $85K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| E0601 | Continuous positive airway pressure (cpap) device | 30% | 8,303 | 7,582 | $236K |
| A7030 | Full face mask used with positive airway pressure device, each | 12% | 1,225 | 1,146 | $93K |
| A4604 | Tubing with integrated heating element for use with positive airway pressure device | 11% | 2,807 | 2,656 | $89K |
| E0603 | Breast pump, electric (ac and/or dc), any type | 9.4% | 529 | 462 | $73K |
| E0570 | Nebulizer, with compressor | 9.1% | 2,804 | 2,492 | $71K |
| A7035 | Headgear used with positive airway pressure device | 7.8% | 3,451 | 3,228 | $61K |
| A7034 | Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap | 6.3% | 999 | 942 | $49K |
| E0562 | Humidifier, heated, used with positive airway pressure device | 5.0% | 1,347 | 1,262 | $39K |
| A7005 | Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable | 2.5% | 961 | 920 | $19K |
| A7031 | Face mask interface, replacement for full face mask, each | 2.3% | 527 | 502 | $18K |
| A7046 | Water chamber for humidifier, used with positive airway pressure device, replacement, each | 1.7% | 1,510 | 1,414 | $13K |
| A7038 | Filter, disposable, used with positive airway pressure device | 1.4% | 3,967 | 3,729 | $11K |
6 more codes
| A7032 | Cushion for use on nasal mask interface, replacement only, each | <1% | 128 | $4K |
| A7039 | Filter, non disposable, used with positive airway pressure device | <1% | 214 | $1K |
| E0470 | Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) | <1% | 14 | $421.92 |
| A7015 | Aerosol mask, used with dme nebulizer | <1% | 327 | $310.11 |
| A7003 | Administration set, with small volume nonfiltered pneumatic nebulizer, disposable | <1% | 826 | $157.32 |
| A9279 | Monitoring feature/device, stand-alone or integrated, any type, includes all accessories, components and electronics, not otherwise classified | 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.
Who's on the registration
| 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 | 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.