Average Medicaid Prescription Medications Payments in Encino, CA: $135.37
Avg. Paid
$135.37
Range
$0.00 – $2,909
Total Claims
10,899
Providers
19
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 Encino, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Sohail Shayfer
16055 Ventura Blvd Ste 444 |
$1.96 | 12 | 12 |
|
Samuel Auerbach
16030 Ventura Blvd |
$1.33 | 13 | 12 |
|
Jessica Lely Cao
16500 Ventura Blvd Ste 250 |
$623.20 | 24 | 24 |
|
Philip J. Morgan, M.D., Apc
16500 Ventura Blvd |
$10.86 | 38 | 26 |
|
Michael Richard Shapiro
17609 Ventura Blvd Ste 304 |
$0.00 | 58 | 56 |
|
Philip Morgan
16500 Ventura Blvd Ste 375 |
$8.08 | 87 | 44 |
|
Jeffrey Ward Spychalski
16311 Ventura Blvd Ste 1150 |
$0.17 | 114 | 110 |
|
Arash Jalil
18055 Ventura Blvd |
$2.67 | 128 | 127 |
|
Sara Haji Abdollahi
5400 Balboa Blvd |
$2,909 | 181 | 179 |
|
Exceptional Care Medical Group, Inc
16030 Ventura Blvd Ste 200 |
$9.94 | 182 | 167 |
|
Sohail Shayfer Md Inc
16055 Ventura Blvd Ste 444 |
$1.60 | 192 | 185 |
|
Darius Gharib
16133 Ventura Blvd |
$318.86 | 262 | 260 |
|
Prime Healthcare Services Encino Llc
16237 Ventura Blvd |
$5.54 | 481 | 366 |
|
Pejman Eli Shirazy
16952 Ventura Blvd |
$6.78 | 814 | 727 |
|
Hooman Kashani
16133 Ventura Blvd Ste 415 |
$5.09 | 1,320 | 102 |
|
Jonathan Oheb
5363 Balboa Blvd Ste 445 |
$4.26 | 1,368 | 1,299 |
|
The Retina Partners
16500 Ventura Blvd |
$547.53 | 1,421 | 1,378 |
|
Orthopedic Pain Management Center, A Medical Corporation
16952 Ventura Blvd |
$15.69 | 1,645 | 1,504 |
|
Total Renal Care Inc
17815 Ventura Blvd Ste 100 |
$8.65 | 2,559 | 395 |
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 Encino, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Prescription Medications in Encino, CA is $135.37 per claim, based on 10,899 claims from 19 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 Encino, CA?
There are 19 Medicaid providers offering Prescription Medications related services in Encino, CA according to public payment data.
What is the price range for Prescription Medications in Encino, CA?
Medicaid reimbursement for Prescription Medications in Encino, CA ranges from $0.00 to $2,909 per claim, with an average of $135.37. 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 Encino, CA
Office Visit
Avg $36.70
416,535 claims
Blood Work & Lab Tests
Avg $1.65
226,462 claims
Speech Therapy
Avg $43.27
225,951 claims
Behavioral & Mental Health Therapy
Avg $140.93
199,555 claims
Dental Cleaning & Exam
Avg $52.48
186,249 claims
Eye Exam
Avg $23.26
176,172 claims
Nursing Facility Care
Avg $13.94
134,655 claims
Vaccines & Immunizations
Avg $3.63
102,781 claims