Group Health Plan INC
Group Health Plan INC was paid $594K by Medicaid between Aug 2018 and Oct 2024, across 6 billing codes. Its largest line is T1030, Nursing care, in the home, by registered nurse, per diem — 50% of everything it billed.
BLOOMINGTON, MN 55425
Next to other Community Based Hospice Care Agency 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 | 510 | $35K | |
| 2019 | 1,358 | $143K | |
| 2020 | 818 | $91K | |
| 2021 | 847 | $91K | |
| 2022 | 900 | $97K | |
| 2023 | 847 | $79K | |
| 2024incomplete | 542 | $58K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1030 | Nursing care, in the home, by registered nurse, per diem | 50% | 2,763 | 2,480 | $295K |
| S9127 | Social work visit, in the home, per diem | 33% | 1,707 | 1,590 | $196K |
| S9126 | Hospice care, in the home, per diem | 15% | 883 | 767 | $90K |
| 99600 | Unlisted home visit service or procedure | 2.1% | 329 | 301 | $12K |
| G0155 | Services of clinical social worker in home health or hospice settings, each 15 minutes | 0% | 68 | 54 | $0.00 |
| G0299 | Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes | 0% | 72 | 55 | $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. | Saint Paul, MN | $779K |
| 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.