Clinic
Group Healthplan INC
Group Healthplan INC was paid $15K by Medicaid between May 2021 and May 2022, across 3 billing codes. Its largest line is 99204, doctor's office visit, new patient (more involved) — 61% of everything it billed.
33Billing provider infoGROUP HEALTHPLAN INC
LAKE ELMO, MN 55042
LAKE ELMO, MN 55042
33aNPI1811288269assigned 04/20/2011
33bProvider typeDental Clinic/Center
28Total paid$15K
24GClaims101
24DCodes billed3
24AFirst – last monthMay 2021 – May 2022
Compared with peers
Next to other Dental Clinic/Center providers in Minnesota
Rank by total paid#95 of 148
Median peer was paid$70K
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.
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 | |
|---|---|---|---|
| 2021 | 89 | $13K | |
| 2022 | 12 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 61% | 72 | 72 | $9K |
| D7880 | 34% | 14 | 14 | $5K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 4.4% | 15 | 15 | $652.20 |
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 officialCERMAK, PENNY (CFO)