Supplier
Lumicera Health Services, LLC
Lumicera Health Services, LLC was paid $9.38M by Medicaid between Nov 2019 and Mar 2024, across 1 billing code. Its largest line is 90378, — 100% of everything it billed.
33Billing provider infoLUMICERA HEALTH SERVICES, LLC
MADISON, WI 53717
MADISON, WI 53717
33aNPI1073947636assigned 08/30/2013
33bProvider typePharmacy
28Total paid$9.38M
24GClaims2,409
24DCodes billed1
24AFirst – last monthNov 2019 – Mar 2024
Compared with peers
Next to other Pharmacy providers in Wisconsin
Rank by total paid#2 of 98
Median peer was paid$4K
This provider vs. median2,669×
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.
Single-Code Concentration100% of spending on code 90378 with only 1 total codes billed. Highly concentrated billing profile.
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 | |
|---|---|---|---|
| 2019 | 119 | $421K | |
| 2020 | 373 | $1.36M | |
| 2021 | 706 | $2.68M | |
| 2022 | 589 | $2.23M | |
| 2023 | 493 | $2.05M | |
| 2024incomplete | 129 | $647K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90378 | 100% | 2,409 | 2,117 | $9.38M |
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 officialFAUST, SHARON (CHIEF PHARMACY OFFICER)