What is Group Health Plan Inc.'s specialty?

Group Health Plan Inc. (NPI 1215048913) is a Medicare-billing provider whose primary specialty is Clinical Laboratory in Eden Prairie, MN.

Where does Group Health Plan Inc. practice?

Group Health Plan Inc. practices in Eden Prairie, MN, based on the location reported in the CMS Medicare provider datasets for NPI 1215048913.

How much does Medicare pay Group Health Plan Inc.?

Group Health Plan Inc. (NPI 1215048913) received approximately $2.6M in total Medicare Part B payments, serving 24,070 beneficiaries, per the CMS Medicare Physician & Other Practitioners dataset.

PROVIDER PROFILE · NPI 1215048913

Group Health Plan Inc.

Clinical LaboratoryEden Prairie, MNO

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

148,048

Unique beneficiaries

—

Total services

200,865

Distinct HCPCS

298

Medicare payment

$2.5M

PRESCRIBING · PART D · 2024

No data available for this provider in 2024.

QUALITY · MIPS · 2024

No data available for this provider in 2024.

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

No data available for this provider in 2024.

REFERRAL NETWORK

Where Group Health Plan Inc.'s patients come from & go

Directional shared-patient flow from Medicare claims — who sends patients to this provider (inbound) and where this provider's patients go next (outbound). 463 inbound referrers · 1,044 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
ALLINA HEALTH SYSTEM	319	924
FAIRVIEW HEALTH SERVICES	286	1,430
HEALTHEAST ST JOSEPHS HOSPITAL	244	991
REGIONS HOSPITAL	199	562
REGIONS HOSPITAL	192	432
Sou-Pan Wu Rheumatology · Woodbury, MN	187	2,357
TASHJIAN, JOSEPH	180	485
HEALTHEAST ST. JOHN'S HOSPITAL	175	518
Allina Health System Ambulance Service Provider · Saint Paul, MN	172	509
Hennepin Healthcare System, Inc Opioid Treatment Program · Minneapolis, MN	155	598
Douglas Olson Pathology · Saint Paul, MN	155	893
City Of St Paul Ambulance Service Provider · Saint Paul, MN	150	430

Refers patients to

Outbound — where patients go next

Physician	Patients	Visits
REGIONS HOSPITAL	2,510	11,989
Douglas Olson Pathology · Saint Paul, MN	491	2,345
ALLINA HEALTH SYSTEM	383	1,168
REGIONS HOSPITAL	350	731
FAIRVIEW HEALTH SERVICES	271	1,358
Azhar Ali Diagnostic Radiology · Roseville, MN	271	686
KANG, EDITH	232	590
REGIONS HOSPITAL	230	653
Dennis Zhu Clinical Cardiac Electrophysiology · Saint Paul, MN	223	1,133
HEALTHEAST ST JOSEPHS HOSPITAL	222	819
HARKCOM, THOMAS	212	1,162
AIZPURU, RICHARD	208	489

Source: CMS Physician Shared Patient Patterns (30-day window, Medicare FFS). Direction = a beneficiary seen by the first provider, then the second, within 30 days; a proxy for referral, not a documented referral. Pairs with fewer than 11 shared beneficiaries are suppressed.

CROSS-REFERENCE

Related data on other Healthparse brands

ProviderScore

OIG/SAM exclusion screening, sanctions history