Average Medicaid Prescription Medications Payments in Lima, OH: $10.83
Avg. Paid
$10.83
Range
$0.00 โ $777.95
Total Claims
39,881
Providers
53
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 โ 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 Lima, OH
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Nathan T Hensley
801 Medical Dr |
$0.00 | 12 | 12 |
|
Jennifer Fern Niesen
1005 Bellefontaine Ave |
$32.29 | 12 | 12 |
|
Jason D. Bowersock
830 W High St |
$0.00 | 12 | 12 |
|
Samir M Patel
801 Medical Dr |
$0.00 | 12 | 12 |
|
Fadi Abbass
1220 E Elm St Ste 106 |
$0.00 | 12 | 12 |
|
Jared Rigali
801 Medical Dr |
$8.78 | 13 | 12 |
|
Elizabeth Read Rumschlag
830 W High St Ste 101 |
$83.24 | 13 | 13 |
|
Jo Ann Mc Dorman
1005 Bellefontaine Ave Ste 100 |
$1.77 | 14 | 13 |
|
Jeremy James Heffner
1003 Bellefontaine Ave |
$0.00 | 15 | 13 |
|
Jordan Lehman
801 Medical Dr Ste A |
$9.91 | 15 | 12 |
|
Sarah E. Kreider
830 W High St Ste 101 |
$90.72 | 15 | 14 |
|
Abigail Leigh Anspach
750 W High St |
$9.46 | 16 | 15 |
|
Jessica M Schierloh
1001 Bellefontaine Ave |
$0.00 | 16 | 16 |
|
Jamil Khan
730 W Market St |
$0.00 | 17 | 12 |
|
Courtney E. Baller
329 N West St |
$6.32 | 19 | 13 |
|
Tammy A Parker
1001 Bellefontaine Ave |
$0.00 | 26 | 26 |
|
Kevin David Erhart
801 Medical Dr Ste A |
$13.57 | 26 | 14 |
|
Maurice K Chung
310 S Cable Rd |
$0.07 | 29 | 25 |
|
Troy Warnecke
801 Medical Dr |
$11.41 | 31 | 28 |
|
Matthew Thomas Owens
770 W High St Ste 160 |
$749.33 | 31 | 26 |
|
Kyle Anderson
801 Medical Dr |
$0.00 | 36 | 33 |
|
Allison Marie Douglas
830 W High St Ste 101 |
$85.91 | 42 | 39 |
|
Nathan Travis Vermillion
1001 Bellefontaine Ave |
$0.00 | 43 | 42 |
|
Sarah Elizabeth Kavalauskas
2335 Baton Rouge |
$0.19 | 43 | 24 |
|
Todd J Hixenbaugh
658 W Market St Ste 201 |
$0.08 | 46 | 40 |
|
Sampath Medepalli
730 W Market St |
$0.01 | 46 | 44 |
|
Kara Marie Kahle
441 E 8Th St |
$48.59 | 54 | 25 |
|
Craig Alan Nicholson
2751 Fort Amanda Rd |
$0.04 | 56 | 53 |
|
Michelle Coates
1005 Bellefontaine Ave Ste 175 |
$20.20 | 58 | 57 |
|
Gerald Szelagowski
801 Medical Dr Ste B |
$0.15 | 68 | 66 |
|
Health Partners Of Western Ohio
1550 N Main St |
$0.00 | 76 | 46 |
|
Yaser Hamwi
730 W Market St |
$0.00 | 78 | 39 |
|
Stephanie Nicole Casey
730 W Market St |
$0.10 | 79 | 72 |
|
Health Partners Of Western Ohio
441 E 8Th St |
$0.00 | 83 | 56 |
|
Tyra Louise Meyer
2969 Blue Jacket Court |
$0.00 | 96 | 91 |
|
Rhonda J Medina
1220 E Elm St Ste 101 |
$85.10 | 97 | 93 |
|
Anuj M Shah
801 Medical Dr Ste A |
$2.37 | 113 | 88 |
|
Mark G Mcdonald
801 Medical Dr |
$0.00 | 118 | 110 |
|
Kayla Herrera
1 Spartan Way |
$0.15 | 124 | 68 |
|
Kurt Alan Kuhlman
939 W Market St |
$777.95 | 125 | 114 |
|
Andrea Renee Leopold Brinkman
2969 Blue Jacket Court |
$0.00 | 160 | 149 |
|
Kimberly Lee Brocklehurst
2195 Allentown Rd |
$13.28 | 161 | 78 |
|
Christopher M Davis
730 W Market St |
$0.04 | 177 | 167 |
|
Brittany Horvath
1001 Bellefontaine Ave |
$0.03 | 202 | 189 |
|
Courtney Fike
830 W High St Ste 101 |
$79.68 | 228 | 207 |
|
Derik Scribner
770 W High St Ste 160 |
$452.82 | 314 | 121 |
|
Warren Calvin Morris
441 E 8Th St |
$34.23 | 335 | 152 |
|
Meredith Warnecke
830 W High St Ste 101 |
$68.40 | 568 | 525 |
|
Aleksey A Prok
1003 Bellefontaine Ave Ste 100 |
$3.13 | 1,009 | 957 |
|
John P Lapurga
801 Medical Drive |
$0.78 | 1,356 | 1,071 |
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 | โ |
| J0120 | Tetracyclin injection | โ | โ | โ |
| J0133 | Acyclovir injection | โ | โ | โ |
| J0202 | Injection, alemtuzumab | โ | โ | โ |
| J0795 | Corticorelin ovine triflutal | โ | โ | โ |
| J1160 | Digoxin injection | โ | โ | โ |
| J1205 | Chlorothiazide sodium inj | โ | โ | โ |
| J1260 | Dolasetron mesylate | โ | โ | โ |
| J1290 | Ecallantide injection | โ | โ | โ |
| J1300 | Eculizumab injection | โ | โ | โ |
| J1301 | Injection, edaravone, 1 mg | โ | โ | โ |
| J1303 | Inj., ravulizumab-cwvz 10 mg | โ | โ | โ |
| J1305 | Inj, evinacumab-dgnb, 5mg | โ | โ | โ |
| J1320 | Amitriptyline injection | โ | โ | โ |
| J1322 | Elosulfase alfa, injection | โ | โ | โ |
| J1327 | Eptifibatide injection | โ | โ | โ |
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 Lima, OH?
Based on public Medicaid payment data, the average Medicaid reimbursement for Prescription Medications in Lima, OH is $10.83 per claim, based on 39,881 claims from 53 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 Lima, OH?
There are 53 Medicaid providers offering Prescription Medications related services in Lima, OH according to public payment data.
What is the price range for Prescription Medications in Lima, OH?
Medicaid reimbursement for Prescription Medications in Lima, OH ranges from $0.00 to $777.95 per claim, with an average of $10.83. 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 ยท 235 providers
Milwaukee, WI
Avg $9.22
755,550 claims ยท 88 providers
Washington, DC
Avg $6.48
675,765 claims ยท 92 providers
Los Angeles, CA
Avg $61.23
617,979 claims ยท 282 providers
Louisville, KY
Avg $31.67
601,676 claims ยท 181 providers
New York, NY
Avg $40.26
587,024 claims ยท 195 providers
San Diego, CA
Avg $27.34
493,429 claims ยท 162 providers
Tucson, AZ
Avg $24.34
489,015 claims ยท 169 providers
Other Procedures in Lima, OH
Office Visit
Avg $37.97
1,104,248 claims
Blood Work & Lab Tests
Avg $4.95
627,203 claims
Home Health Visit
Avg $43.26
488,523 claims
Emergency Room Visit
Avg $86.27
360,245 claims
Psychiatric Evaluation
Avg $44.82
315,369 claims
Dental Cleaning & Exam
Avg $17.77
283,150 claims
Substance Abuse Treatment
Avg $85.46
248,726 claims
EKG / ECG (Electrocardiogram)
Avg $6.53
204,022 claims