Average Medicaid Prescription Medications Payments in Fort Wayne, IN: $45.09
Avg. Paid
$45.09
Range
$0.00 – $1,264
Total Claims
99,395
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 Fort Wayne, IN
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Irfan Munir
11104 Parkview Circle Dr |
$0.08 | 16,721 | 882 |
|
Badal Raval
11104 Parkview Circle Dr |
$0.12 | 15,244 | 914 |
|
Garima Gupta
11104 Parkview Circle Dr Ste 330 |
$0.26 | 13,129 | 736 |
|
Kanakapura Venkatakrishna
11104 Parkview Circle Dr |
$0.00 | 7,787 | 427 |
|
Firas M Kara
7615 W Jefferson Blvd |
$5.47 | 5,571 | 4,799 |
|
Adeel N Khan
11188 Diebold Rd |
$467.33 | 4,589 | 2,239 |
|
Thomas A. Straub
1721 Magnavox Way |
$2.09 | 3,901 | 2,872 |
|
Daniel Christopher Roth
1721 Magnavox Way |
$1.95 | 3,353 | 2,410 |
|
William Lee Smits
7222 Engle Road |
$3.62 | 2,937 | 2,528 |
|
Giridhar Rao Veerula
3919 W Jefferson Blvd |
$4.27 | 2,773 | 2,011 |
|
Jason T. Gaisford
1721 Magnavox Way |
$2.73 | 2,312 | 1,756 |
|
Mark Rumancik
11104 Parkview Circle Dr |
$0.18 | 2,300 | 105 |
|
Mohamed G Gendy
7802 W Jefferson Blvd Ste A |
$836.37 | 1,290 | 970 |
|
Ludmila Roebel
1717 S Calhoun St |
$0.37 | 1,266 | 960 |
|
Ward P Hamlet
5050 N Clinton St |
$11.76 | 1,214 | 1,063 |
|
Christopher W Lasalle
5050 N Clinton St |
$10.05 | 1,056 | 924 |
|
David S Stensland
7201 Engle Rd |
$4.99 | 1,045 | 881 |
|
Thomas L Lazoff
7956 W Jefferson Blvd |
$5.36 | 816 | 687 |
|
Anuradha Kollipara
7972 W Jefferson Blvd |
$5.47 | 801 | 623 |
|
Sarah Chapman
11123 Parkview Plaza Dr Ste 101 |
$41.84 | 696 | 594 |
|
James D Kim
7802 W Jefferson Blvd Ste A |
$615.85 | 678 | 365 |
|
Diane Lyn Howe
7950 W Jefferson Blvd |
$0.66 | 567 | 306 |
|
Billy Ray Preece
7900 W Jefferson Blvd Ste 306 |
$11.78 | 468 | 340 |
|
Sumona Kabir
7222 Engle Rd. |
$0.28 | 438 | 385 |
|
Matthew Ryan Bienz
5050 N Clinton St |
$15.28 | 345 | 315 |
|
Tracy D Mangan
10343 Dawsons Creek Blvd |
$0.65 | 341 | 160 |
|
Aaron Douglas Nelson
Northern Indiana Va Healthcare System |
$0.99 | 325 | 236 |
|
Charles L Coats
1330 N Coliseum Blvd |
$0.20 | 305 | 272 |
|
Ajay S Gupta
7956 W Jefferson Blvd |
$308.13 | 275 | 157 |
|
Alexander B Nehls
5050 N Clinton St |
$12.01 | 260 | 239 |
|
Nicholas Salvatore Costanza
4225 Frost Grass Dr |
$0.00 | 247 | 181 |
|
Maria Regina Valcarcel
7836 W Jefferson Blvd Ste 101 |
$1.68 | 245 | 12 |
|
John Anthony Buonocore
3005 E State Blvd |
$0.00 | 242 | 208 |
|
Madhav H Bhat
2510 E Dupont Rd Ste 226 |
$183.66 | 221 | 131 |
|
Heather A Roy
11143 Parkview Plaza Dr Ste 200 |
$1,264 | 211 | 157 |
|
Kelsea Kay Lerose
11123 Parkview Plaza Dr |
$33.80 | 208 | 161 |
|
Jared Coffman
1721 Magnavox Way |
$5.04 | 201 | 168 |
|
Jonathan Notelle
1721 Magnavox Way |
$3.24 | 199 | 170 |
|
Jon A Karl
5050 N Clinton St |
$3.13 | 173 | 134 |
|
Breanna Haglund
2512 E Dupont Rd Ste 200 |
$1.48 | 173 | 135 |
|
David Allen Smith
7613 W Jefferson Blvd Ste 200 |
$0.00 | 171 | 148 |
|
Scott C Richards
7747 W Jefferson Blvd |
$1,044 | 170 | 143 |
|
David J. Lutz
7956 W Jefferson Blvd |
$0.00 | 138 | 94 |
|
Paige Marie Lombard
7222 Engle Road |
$2.20 | 137 | 128 |
|
Adam D Hall
7601 W Jefferson Blvd |
$13.03 | 129 | 121 |
|
Nathan Kyle Allison
2200 Randallia Dr |
$0.00 | 126 | 105 |
|
Steven Robert Eddy
7601 W Jefferson Blvd |
$4.77 | 121 | 106 |
|
Parkview Hospital, Inc.
11109 Parkview Plaza Dr |
$0.03 | 119 | 65 |
|
Kevin John Leffers
7601 W Jefferson Blvd |
$4.84 | 117 | 108 |
|
Nicholas Leonowicz
10343 Dawsons Creek Blvd Ste A |
$0.00 | 114 | 91 |
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 Fort Wayne, IN?
Based on public Medicaid payment data, the average Medicaid reimbursement for Prescription Medications in Fort Wayne, IN is $45.09 per claim, based on 99,395 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 Fort Wayne, IN?
There are 142 Medicaid providers offering Prescription Medications related services in Fort Wayne, IN according to public payment data.
What is the price range for Prescription Medications in Fort Wayne, IN?
Medicaid reimbursement for Prescription Medications in Fort Wayne, IN ranges from $0.00 to $1,264 per claim, with an average of $45.09. 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 Fort Wayne, IN
Office Visit
Avg $58.43
2,675,831 claims
Blood Work & Lab Tests
Avg $7.81
1,332,302 claims
Emergency Room Visit
Avg $106.03
1,181,321 claims
Substance Abuse Treatment
Avg $88.84
999,164 claims
Psychiatric Evaluation
Avg $62.23
945,008 claims
Case Management Services
Avg $63.38
852,965 claims
Vaccines & Immunizations
Avg $8.10
731,731 claims
X-Ray
Avg $20.01
666,060 claims