Average Medicaid Prescription Medications Payments in Lumberton, NC: $1.39
Avg. Paid
$1.39
Range
$0.00 – $17.22
Total Claims
22,885
Providers
43
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 Lumberton, NC
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
David Roger Allen
404 Hatfield Ct |
$0.19 | 12,820 | 6,575 |
|
Matthew Scott Davis
4901 Dawn Dr |
$3.84 | 2,441 | 1,954 |
|
Sunil Sharma
300 W 27Th St |
$2.70 | 1,929 | 1,672 |
|
Barry Gerard Graham
2934 N Elm St |
$0.56 | 1,144 | 733 |
|
Jody Lakey
300 W 27Th St |
$7.59 | 1,038 | 768 |
|
Shannon Leslie Hershberger
2901 N Elm St |
$0.75 | 905 | 684 |
|
Maleka Z Ahmed
1200 Pine Run Dr |
$2.72 | 357 | 226 |
|
Brooke Howie Grooms
5070 Fayetteville Rd |
$0.58 | 242 | 119 |
|
Randal Mclean
5080 Kahn Dr |
$0.00 | 239 | 124 |
|
Michael John Maggitti
4901 Dawn Dr Ste 2300 |
$1.55 | 230 | 184 |
|
John Reed
300 W 27Th St |
$2.99 | 198 | 161 |
|
Donald Randolph Mckinley
4901 Dawn Dr Ste 3200 |
$3.22 | 174 | 162 |
|
Scott Edward Cordell
4901 Dawn Dr Ste 2300 |
$3.56 | 111 | 90 |
|
Douglas Nederostek
300 W 27Th St |
$2.71 | 101 | 93 |
|
Constance Marie Mulroy
4901 Dawn Dr Ste 3200 |
$0.72 | 96 | 93 |
|
Amy Lacrest Locklear
4308 Ludgate St |
$0.34 | 69 | 53 |
|
Eric Adam Breitbart
4901 Dawn Dr |
$3.43 | 66 | 55 |
|
Jasmine Elizabeth Gaston
300 W 27Th St |
$0.42 | 63 | 52 |
|
Karen Elizabeth Carlisle
2934 N Elm St Ste B |
$1.27 | 59 | 54 |
|
Phoenix Locklear
300 W 27Th St |
$0.58 | 55 | 48 |
|
Shane Xiong
300 W 27Th St |
$17.22 | 52 | 49 |
|
Eddy Wayne Akers
400 Liberty Hill Rd |
$0.71 | 51 | 45 |
|
Riyaz H Jinnah
4901 Dawn Dr |
$2.53 | 47 | 38 |
|
Victoria Locklear
3001 N Elm St |
$2.42 | 41 | 12 |
|
Elaine Stearney
300 W. 27H Street |
$4.09 | 39 | 27 |
|
Arbus E. Locklear
309 N Roberts Ave |
$0.04 | 34 | 28 |
|
Cynthia Anne Clark
2934 N Elm St Ste B |
$0.33 | 29 | 25 |
|
Bruce S. Whitman
300 W 27Th St |
$0.00 | 25 | 25 |
|
Jessica Nicole Fairfax
400 Liberty Hill Rd |
$0.77 | 20 | 19 |
|
Gabrielle Gallagher
300 W 27Th St |
$3.15 | 19 | 12 |
|
Donald R. Whaley
760 Oakridge Blvd |
$0.64 | 18 | 14 |
|
Joseph Earl Roberts
3005 N Elm St |
$0.04 | 18 | 14 |
|
Field Davis
300 W 27Th St |
$7.01 | 16 | 15 |
|
Courtney Nicole Enos
300 W 27Th St |
$2.82 | 16 | 13 |
|
Karl Michael Duerr
300 W 27Th St |
$0.00 | 15 | 13 |
|
Judith Ann Locklear
4901 Dawn Dr Ste 3200 |
$0.00 | 15 | 14 |
|
Joel M Hart
3005 N Elm St |
$1.52 | 15 | 13 |
|
Ifad U Rahman
2936 N Elm St Ste 102 |
$1.86 | 15 | 13 |
|
Connie Lee Canady
4901 Dawn Dr Ste 3200 |
$1.67 | 14 | 12 |
|
Jenna Santiago-Wickey
300 W 27Th St |
$6.09 | 13 | 13 |
|
Beth Waiyego Gachuki
800 Martin Luther King Jr Dr |
$1.07 | 12 | 12 |
|
Brianna Crosby
300 W 27Th St |
$10.21 | 12 | 12 |
|
Michael Yvan Streahle
400 Liberty Hill Rd |
$0.83 | 12 | 12 |
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 Lumberton, NC?
Based on public Medicaid payment data, the average Medicaid reimbursement for Prescription Medications in Lumberton, NC is $1.39 per claim, based on 22,885 claims from 43 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 Lumberton, NC?
There are 43 Medicaid providers offering Prescription Medications related services in Lumberton, NC according to public payment data.
What is the price range for Prescription Medications in Lumberton, NC?
Medicaid reimbursement for Prescription Medications in Lumberton, NC ranges from $0.00 to $17.22 per claim, with an average of $1.39. 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 Lumberton, NC
Office Visit
Avg $51.56
820,249 claims
Substance Abuse Treatment
Avg $90.17
486,602 claims
Speech Therapy
Avg $64.14
484,137 claims
Personal Care Services
Avg $106.40
400,382 claims
Blood Work & Lab Tests
Avg $11.16
357,539 claims
Vaccines & Immunizations
Avg $14.27
342,183 claims
Emergency Room Visit
Avg $99.51
225,559 claims
Urinalysis & Urine Tests
Avg $3.77
141,788 claims