Average Medicaid Prescription Medications Payments in Albuquerque, NM: $113.98
Avg. Paid
$113.98
Range
$0.00 – $1,807
Total Claims
349,747
Providers
142
Typical Payment Range
Typical Medicaid Prescription Medications payments fall between $0.68 and $14.54 per claim (median: $2.87). The top 10% of payments exceed $78.92.
Based on per-provider averages across all Medicaid claims in this category.
Prescription drug costs and pharmacy services covered under Medicaid. Includes brand-name and generic medications across all therapeutic categories.
Understanding these costs
The amounts shown are Medicaid reimbursement rates — what state Medicaid programs paid providers per claim. Medicaid typically pays well below private insurance rates and out-of-pocket prices. Use this data to compare relative costs between providers, not as a price estimate for privately insured or self-pay patients.
Providers Offering Prescription Medications in Albuquerque, NM
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Unm Hospital
2211 Lomas Blvd., N.E. |
$59.44 | 111,136 | 95,544 |
|
Presbyterian Healthcare Services
1100 Central Se |
$8.17 | 62,292 | 52,811 |
|
Garfield D Ramdeen
2211 Lomas Blvd Ne |
$0.36 | 25,151 | 1,750 |
|
Bio-Medical Applications Of New Mexico, Inc.
11296 Lomas Blvd Ne |
$1.67 | 15,760 | 1,461 |
|
Lovelace Health System, Llc
4701 Montgomery Blvd Ne |
$1.96 | 13,097 | 12,159 |
|
Lovelace Health System Llc
601 Dr Martin Luther King Jr Ave Ne |
$1.52 | 11,785 | 10,128 |
|
Lovelace Health System, Llc
10501 Golf Course Rd Nw |
$1.79 | 9,869 | 9,278 |
|
Kader Tawfiq Abdelerahman
500 Walter St Ne |
$573.15 | 7,188 | 3,793 |
|
Albuquerque Westside, Llc
300 Unser Blvd Nw |
$2.07 | 6,977 | 665 |
|
Presbyterian Healthcare Services
4580 Paradise Blvd Nw |
$1,020 | 6,023 | 4,555 |
|
Darren W Schmidt
University Of New Mexico- Hsc Division Of Nephrology |
$0.00 | 5,490 | 473 |
|
Dialysis Clinic Inc.
1725 Isleta Blvd, Sw |
$9.38 | 4,929 | 749 |
|
Baljinder S Sandhu
Pmg Cedar Neurology |
$424.91 | 4,610 | 1,719 |
|
Samir Kassicieh
1010 Bridge Blvd Sw Ste A |
$2.80 | 3,827 | 3,576 |
|
John David Pitcher
5757 Harper Dr Ne |
$1,451 | 3,120 | 2,875 |
|
Bio-Medical Applications Of New Mexico, Inc.
5200 San Mateo Blvd Ne |
$1.40 | 3,024 | 289 |
|
First Choice Community Healthcare, Inc.
2001 El Centro Familiar Sw |
$17.02 | 3,003 | 2,990 |
|
Bio-Medical Applications Of New Mexico, Inc.
1600 Randolph Ct Se Ste 100 |
$2.22 | 2,968 | 297 |
|
Vanessa D Licona Sanjuan
500 Walter St Ne |
$485.35 | 2,721 | 1,397 |
|
Kamalesh J Ramaiya
5757 Harper Dr Ne |
$1,111 | 2,488 | 2,323 |
|
Uchenna Chukwurah
717 Encino Pl Ne Ste 3 |
$2.30 | 2,228 | 1,906 |
|
Michael F Malizzo
2901 Transport St Se |
$4.98 | 2,074 | 1,997 |
|
Ashok Kota Reddy
806 Dr Martin Luther King Jr Ave Ne |
$1,222 | 1,930 | 1,790 |
|
Michael L. Pylman
3820 Commons Ave Ne |
$5.79 | 1,838 | 1,590 |
|
Dialysis Clinic Inc.
905 Louisiana Blvd, Ne |
$20.22 | 1,757 | 465 |
|
Frank Willis Wyant
806 Dr. Mlk Jr. Ave., Ne |
$1,191 | 1,732 | 1,678 |
|
Craig Rumbaugh
3600 Coors Blvd Nw Ste 200 |
$0.54 | 1,597 | 1,391 |
|
Mark T. Chiu
806 Dr Martin Luther King Jr Ave Ne |
$957.42 | 1,373 | 1,258 |
|
Christopher Nathaniel Roybal
6401 Holly Ave Ne |
$1,030 | 1,316 | 1,223 |
|
Jayant Kumar
3821 Masthead St Ne |
$2.26 | 1,182 | 104 |
|
Iuri Stanislav Golubev
4411 The 25 Way Ne Ste 325 |
$1,085 | 1,110 | 970 |
|
Katherine Leigh Knauber-Ferriegel
1231 Candelaria Rd Nw |
$92.38 | 1,095 | 1,090 |
|
Dialysis Clinic Inc.
1500 Indian School Rd Ne |
$8.47 | 1,060 | 206 |
|
Timothy Craig Ownbey
2440 Louisiana Blvd Ne Ste 200 |
$686.73 | 1,026 | 717 |
|
Matthew Steven Bergsten
8501 Candelaria Rd Ne Ste E |
$0.58 | 981 | 863 |
|
Mark C Margiotta
700 Lomas Blvd Ne Bldg 1 |
$4.80 | 928 | 680 |
|
Ian Abban Thompson
4411 The 25 Way Ne Ste 325 |
$1,408 | 927 | 820 |
|
Alfred A. Van Baak
8300 Constitution Ave Ne Bldg D |
$259.51 | 786 | 466 |
|
Alexander B. Jenks
1300 Wyoming Blvd Ne |
$9.24 | 780 | 641 |
|
Angela Martin
2Nd Ambulatory Care Ctr |
$3.77 | 779 | 507 |
|
Karen Ann Finkelstein
5700 Harper Dr Ne Ste 410 |
$1.18 | 739 | 511 |
|
Douglas C Allen
201 Cedar St Se |
$12.62 | 705 | 686 |
|
Melissa A Merhege
500 Walter St Ne Ste 213 |
$7.71 | 625 | 601 |
|
Jose Avitia
4901 Lang Ave Ne |
$1.13 | 592 | 438 |
|
Amyn G Alidina
4901 Lang Ave Ne |
$1.18 | 560 | 422 |
|
Sofia Palacio Cardenas
4901 Lang Ave Ne |
$1.06 | 552 | 380 |
|
Shelby Edward Jarrell
201 Cedar St Se |
$10.73 | 538 | 519 |
|
James H Rice
3500 Comanche Rd Ne Ste G |
$8.06 | 536 | 527 |
|
David R Sotelo
8008 Menaul Blvd Ne |
$12.61 | 523 | 470 |
|
James Kirk Allman
4700 Jefferson St Ne Ste 800 |
$11.47 | 515 | 495 |
What to Expect: Prescription Medications
Medicaid covers most medically necessary prescription medications. Your copay is typically $0-3 for generic drugs and $0-5 for brand-name drugs. Some medications require prior authorization. Most prescriptions can be filled at any participating pharmacy. Mail-order pharmacy may be available for maintenance medications. 90-day supplies may be available for chronic conditions.
Cost Components
National average Medicaid payment per billing code. Individual rates vary by provider and state.
| Code | Description | Avg. Paid | Claims | Providers |
|---|---|---|---|---|
| J1100 | Dexamethasone sodium phos | $3.37 | 17,408,335 | 19,920 |
| J1270 | Injection, doxercalciferol | $16.67 | 15,455,545 | 1,785 |
| J0696 | Ceftriaxone sodium injection | $4.52 | 8,442,343 | 9,869 |
| J1170 | Hydromorphone injection | $3.20 | 6,069,586 | 3,002 |
| J1200 | Diphenhydramine hcl injectio | $3.10 | 5,922,771 | 3,790 |
| J0690 | Cefazolin sodium injection | $5.07 | 4,950,109 | 2,942 |
| J1050 | Medroxyprogesterone acetate | $38.04 | 2,722,661 | 5,740 |
| J0131 | Inj, acetaminophen (nos) | $15.79 | 2,017,135 | 1,612 |
| J1030 | Methylprednisolone 40 mg inj | $5.08 | 1,577,497 | 4,461 |
| J0882 | Darbepoetin alfa, esrd use | $63.10 | 1,115,197 | 646 |
| J1040 | Methylprednisolone 80 mg inj | $6.39 | 1,102,119 | 2,895 |
| J0585 | Injection,onabotulinumtoxina | $534.00 | 949,108 | 1,450 |
| J0702 | Betamethasone acet&sod phosp | $9.01 | 907,372 | 2,580 |
| J0780 | Prochlorperazine injection | $4.11 | 869,130 | 1,089 |
| J0178 | Aflibercept injection | $802.42 | 747,781 | 1,182 |
| J0171 | Adrenalin epinephrine inject | $5.61 | 533,091 | 956 |
| J0897 | Denosumab injection | $708.53 | 175,698 | 394 |
| J1071 | Inj testosterone cypionate | $3.01 | 121,666 | 206 |
| J0636 | Inj calcitriol per 0.1 mcg | $2.19 | 94,974 | 28 |
| J0885 | Epoetin alfa, non-esrd | $82.64 | 88,458 | 179 |
| J1020 | Methylprednisolone 20 mg inj | $3.48 | 88,065 | 344 |
| J0881 | Darbepoetin alfa, non-esrd | $149.52 | 63,199 | 108 |
| J0878 | Daptomycin injection | $167.80 | 55,762 | 36 |
| J1245 | Dipyridamole injection | $5.21 | 54,912 | 138 |
| J0592 | Buprenorphine hydrochloride | $15.56 | 48,440 | 32 |
| J0153 | Adenosine inj 1mg | $18.75 | 46,321 | 143 |
| J0670 | Inj mepivacaine hcl/10 ml | $0.91 | 37,668 | 90 |
| J0129 | Abatacept injection | $1,614 | 34,397 | 89 |
| J0735 | Clonidine hydrochloride | $6.85 | 32,191 | 92 |
| J0610 | Calcium glucon (fresenius) | $9.34 | 31,253 | 88 |
| J0135 | Adalimumab injection | $738.85 | 28,382 | 35 |
| J1094 | Inj dexamethasone acetate | $2.39 | 27,586 | 144 |
| J0717 | Certolizumab pegol inj 1mg | $2,072 | 22,279 | 41 |
| J0697 | Sterile cefuroxime injection | $0.94 | 18,132 | 47 |
| J0256 | Alpha 1 proteinase inhibitor | $2,389 | 16,156 | 1 |
| J1250 | Inj dobutamine hcl/250 mg | $6.92 | 14,579 | 60 |
| J0588 | Incobotulinumtoxin a | $295.98 | 10,950 | 18 |
| J1325 | Epoprostenol injection | $636.33 | 9,713 | 5 |
| J1240 | Dimenhydrinate injection | $0.02 | 8,738 | 12 |
| J1000 | Depo-estradiol cypionate inj | $11.84 | 1,738 | 11 |
| J1230 | Methadone injection | $4.00 | 1,439 | 2 |
| J1212 | Dimethyl sulfoxide 50% 50 ml | $175.32 | 1,145 | 5 |
| J1265 | Dopamine injection | $2.67 | 840 | 1 |
| J0132 | Acetylcysteine injection | $0.11 | 814 | 6 |
| J0834 | Inj., cosyntropin, 0.25 mg | $60.82 | 696 | 6 |
| J1120 | Acetazolamid sodium injectio | $8.30 | 446 | 4 |
| J0713 | Inj ceftazidime per 500 mg | $8.01 | 398 | 5 |
| J0698 | Cefotaxime sodium injection | $0.61 | 371 | 9 |
| J0775 | Collagenase, clost hist inj | $9,463 | 323 | 1 |
| J0207 | Amifostine | $23.74 | 42 | — |
| J0120 | Tetracyclin injection | — | — | — |
| J0133 | Acyclovir injection | — | — | — |
| J0202 | Injection, alemtuzumab | — | — | — |
| J0795 | Corticorelin ovine triflutal | — | — | — |
| J1160 | Digoxin injection | — | — | — |
| J1205 | Chlorothiazide sodium inj | — | — | — |
| J1260 | Dolasetron mesylate | — | — | — |
| J1290 | Ecallantide injection | — | — | — |
| J1300 | Eculizumab injection | — | — | — |
| J1301 | Injection, edaravone, 1 mg | — | — | — |
| J1303 | Inj., ravulizumab-cwvz 10 mg | — | — | — |
| J1305 | Inj, evinacumab-dgnb, 5mg | — | — | — |
| J1320 | Amitriptyline injection | — | — | — |
| J1322 | Elosulfase alfa, injection | — | — | — |
| J1327 | Eptifibatide injection | — | — | — |
These are national Medicaid averages for each billing code. Actual amounts vary by state, provider, and complexity.
Frequently Asked Questions
How much does a Prescription Medications cost in Albuquerque, NM?
Based on public Medicaid payment data, the average Medicaid reimbursement for Prescription Medications in Albuquerque, NM is $113.98 per claim, based on 349,747 claims from 142 providers. Typical payments fall between $0.68 and $14.54. Note: Medicaid rates are typically much lower than private insurance or self-pay prices.
How many providers offer Prescription Medications in Albuquerque, NM?
There are 142 Medicaid providers offering Prescription Medications related services in Albuquerque, NM according to public payment data.
What is the price range for Prescription Medications in Albuquerque, NM?
Medicaid reimbursement for Prescription Medications in Albuquerque, NM ranges from $0.00 to $1,807 per claim, with an average of $113.98. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Prescription Medications in Other Cities
Phoenix, AZ
Avg $16.15
844,810 claims · 235 providers
Milwaukee, WI
Avg $9.22
755,550 claims · 88 providers
Washington, DC
Avg $6.48
675,765 claims · 92 providers
Los Angeles, CA
Avg $61.23
617,979 claims · 282 providers
Louisville, KY
Avg $31.67
601,676 claims · 181 providers
New York, NY
Avg $40.26
587,024 claims · 195 providers
San Diego, CA
Avg $27.34
493,429 claims · 162 providers
Tucson, AZ
Avg $24.34
489,015 claims · 169 providers
Other Procedures in Albuquerque, NM
Home Health Visit
Avg $77.97
7,316,567 claims
Blood Work & Lab Tests
Avg $15.20
6,028,360 claims
Substance Abuse Treatment
Avg $34.24
5,929,577 claims
Office Visit
Avg $72.81
3,965,435 claims
Psychiatric Evaluation
Avg $90.10
2,021,597 claims
Emergency Room Visit
Avg $154.16
1,757,889 claims
Dental Cleaning & Exam
Avg $30.77
1,525,323 claims
Physical Therapy
Avg $47.20
1,452,324 claims