Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Wisconsin for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Wisconsin only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Wisconsin (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Lumicera Health Services, LLC (NPI 1073947636)

Field	Value
Entity Type	Organization
Organization	Lumicera Health Services, LLC
Address	310 Integrity Dr Ste 101
City	Madison
State	WI
ZIP	53717
Taxonomy	Specialty Pharmacy
NPI Enumerated	August 30, 2013

Payer Source	Total Paid
Medicaid	$9.4M
Medicare	$0

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

1 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
90378	Immunoglobulin is a very complex protein that is produced by certain cells in the body to protect it from various types of infections and produce passive immunity. RSV–IgIM (respiratory syncytial…	2,410	$3,890	$9.4M

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Wisconsin providers billing the same CPT/HCPCS codes.

Claims Volume vs. Wisconsin Distribution

Lumicera Health Services, LLC — 1 of 1 code billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Wisconsin

Full comparison — all codes billed, vs. Wisconsin median

1 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
90378	Immunoglobulin is a very complex protein that is produced by certain cells in the body to protect it from various types of infections and produce passive immunity. RSV–IgIM (respiratory syncytial…	1	10	1,270	$3,820	$4.8M

Nearby Providers

Other providers in the same ZIP code as Lumicera Health Services, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Janice Scholz	WI	Behavior Analyst	$0	$5.7M
Bright Dental Madison LLC	WI	Dental Clinic/Center	$0	$5.6M
Brittany Schumacher	WI	Behavior Analyst	$0	$2.8M
Erin Junemann	WI	Behavior Analyst	$0	$2.4M
Joseph Perron	WI	Clinical Psychologist	$0	$1.9M
Jodie Deruyter	WI	Behavior Analyst	$0	$1.9M
Crystal Held	WI	Behavior Analyst	$0	$1.7M
Michelle Sherman	WI	Social Worker	$0	$1.6M
Kimberly Knippel	WI	Behavior Analyst	$0	$1.4M
Britney Bries	WI	Pediatric Dentistry	$0	$1.4M

Lumicera Health Services, LLC — Billing Profile & Reimbursement Data

Sign up for Lumicera Health Services, LLC — Billing Profile & Reimbursement Data policy alerts

Lumicera Health Services, LLC — Billing Profile & Reimbursement Data

Sign up for Lumicera Health Services, LLC — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References