Average Medicaid Prescription Medications Payments in Bronx, NY: $18.05
Avg. Paid
$18.05
Range
$0.00 – $520.89
Total Claims
416,877
Providers
127
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 Bronx, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Sandra Patricia Garcia Dpm Pc
933 Southern Blvd |
$0.08 | 12 | 12 |
|
Jeremy Loloi
1400 Pelham Pkwy S |
$15.87 | 12 | 12 |
|
Azin Jannatifar
1650 Grand Concourse |
$0.62 | 12 | 12 |
|
Pavel Alexandrov
1400 Pelham Pkwy S |
$0.59 | 12 | 12 |
|
Brightpoint Health
1543-1545 Inwood Avenue |
$0.37 | 13 | 13 |
|
Claude Parola
1065 Southern Blvd |
$78.58 | 13 | 13 |
|
Linda Anne Shookster
625 E Fordham Rd |
$5.31 | 13 | 13 |
|
Ama B Degraft-Johnson
960 Southern Blvd |
$75.92 | 14 | 14 |
|
Marleny Erazo
70 W Burnside Ave |
$57.49 | 14 | 14 |
|
Jian Zhang
3250 Westchester Ave |
$6.98 | 16 | 14 |
|
Roopalekha Shenoy
1650 Grand Concourse |
$1.04 | 17 | 13 |
|
Shauna Seaman
234 E 149Th St |
$0.00 | 25 | 24 |
|
Tuluca Medical Pc
2114 Williamsbridge Rd |
$4.82 | 26 | 25 |
|
Sumankumar S Brahmbhatt
640 E 233Rd St |
$0.04 | 26 | 18 |
|
Arnold Brett Wilson
75 E Gun Hill Rd |
$6.52 | 27 | 27 |
|
Brett William Moerke
4422 3Rd Ave |
$3.84 | 27 | 26 |
|
Robert Cuthel
4422 3Rd Ave |
$0.00 | 27 | 24 |
|
Morris Heights Health Center, Inc.
85 W Burnside Ave |
$23.62 | 27 | 27 |
|
Henry Thomas Workman
4422 3Rd Ave |
$0.58 | 28 | 26 |
|
Jacalyn Bitterman
1065 Southern Blvd |
$90.87 | 29 | 29 |
|
Ariana Aquino
25 E 183Rd St |
$0.32 | 29 | 29 |
|
Anastasia Libovich
1065 Southern Blvd |
$84.92 | 30 | 30 |
|
Praveen Kumrah
2015 Grand Concourse |
$6.09 | 31 | 29 |
|
Core Health Medical, P.C.
3844 E Tremont Ave |
$0.00 | 32 | 26 |
|
Sarah E Warshaw
2015 Grand Concourse |
$38.17 | 38 | 38 |
|
Pradip Joshi
1749 Grand Concourse |
$0.11 | 38 | 32 |
|
Diana Vanessa Montoya
260 E 188Th St |
$81.89 | 40 | 40 |
|
Perveen Chattha
1250 Waters Pl |
$0.00 | 40 | 25 |
|
Sandra Patricia Garcia
933 Southern Blvd |
$0.11 | 43 | 40 |
|
Boleslav Kosharskyy
3400 Bainbridge Avenue Suite Ll400 |
$0.09 | 44 | 44 |
|
Sandeep Kaur Garcha
949 E Tremont Ave |
$9.64 | 44 | 39 |
|
Kerry-Ann Alecia Dacosta
1065 Southern Blvd |
$85.86 | 44 | 44 |
|
Arminderpal Singh
1250 Waters Pl |
$6.25 | 50 | 50 |
|
Safdar Ali Akbar
234 E 149Th St |
$0.00 | 61 | 54 |
|
Bharat Tiwari
1250 Waters Place Tower 1 10Th Floor |
$7.00 | 63 | 63 |
|
Perry Ave Family Medical Center Inc
3071 Perry Ave |
$0.00 | 65 | 63 |
|
Vanessa Charubhumi
111 E 210Th St |
$5.57 | 68 | 67 |
|
Cohen & Garcha Podiatry, Llp
949 E Tremont Ave |
$6.47 | 68 | 64 |
|
Khadra Ahmed Said
2015 Grand Concourse |
$80.63 | 71 | 71 |
|
Robert Harrison Brandon
470 E Fordham Rd |
$0.00 | 73 | 60 |
|
Tarek Elrafei
1200 Waters Pl |
$0.59 | 78 | 43 |
|
New York Foot Care Services Pllc
3201 Grand Concourse Apt 1N |
$2.18 | 88 | 80 |
|
Liberty Rc Inc
1940 Webster Ave |
$0.00 | 96 | 13 |
|
F Themistocle Md Pc
2445 Arthur Ave |
$9.90 | 102 | 101 |
|
Jennifer Ann Genuardi
890 Hunts Point Ave |
$64.65 | 109 | 109 |
|
Maria Coco
111 E 210Th St |
$14.84 | 110 | 12 |
|
Barry I. Finkelstein
2425 Eastchester Road |
$7.62 | 129 | 121 |
|
James Raymond Mcgaughan
2157 Tomlinson Ave |
$6.34 | 137 | 136 |
|
Sireen M Gopal
1250 Waters Pl Ste 710 |
$15.09 | 145 | 144 |
|
Khaled A Ahmed
887 Hunts Point Ave |
$7.51 | 154 | 143 |
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 Bronx, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Prescription Medications in Bronx, NY is $18.05 per claim, based on 416,877 claims from 127 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 Bronx, NY?
There are 127 Medicaid providers offering Prescription Medications related services in Bronx, NY according to public payment data.
What is the price range for Prescription Medications in Bronx, NY?
Medicaid reimbursement for Prescription Medications in Bronx, NY ranges from $0.00 to $520.89 per claim, with an average of $18.05. 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 Bronx, NY
Home Health Visit
Avg $150.53
23,767,796 claims
Office Visit
Avg $82.40
13,626,712 claims
Blood Work & Lab Tests
Avg $9.72
7,432,399 claims
Substance Abuse Treatment
Avg $38.59
6,144,578 claims
Non-Emergency Medical Transportation
Avg $52.94
4,662,523 claims
Physical Therapy
Avg $33.00
3,372,618 claims
Dental Cleaning & Exam
Avg $31.12
3,317,284 claims
Emergency Room Visit
Avg $138.65
3,278,500 claims