Average Medicaid Prescription Medications Payments in New York, NY: $40.26
Avg. Paid
$40.26
Range
$0.00 – $1,393
Total Claims
587,024
Providers
195
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 New York, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Philip Lewis Whitman
220 East 63Rd Street |
$18.63 | 12 | 12 |
|
Oryan Baruch
80 Maiden Ln |
$6.66 | 12 | 12 |
|
Scott Han Huh
525 E 68Th St |
$0.25 | 12 | 12 |
|
Jacqueline Chan
139 Centre St |
$0.83 | 12 | 12 |
|
Michael C. Liou
139 Centre St |
$0.00 | 12 | 12 |
|
Cristiana Geny Pieroni
20 W 13Th St |
$528.85 | 13 | 12 |
|
Carrie Eng-Mazur
139 Centre St Ph 120 |
$39.46 | 13 | 13 |
|
Theresa Ryan
160 E 34Th St |
$0.75 | 13 | 12 |
|
Kirk A Campbell
301 E 17Th St |
$4.53 | 13 | 13 |
|
Randi B Nelson
248 W 35Th St Fl 7 |
$6.35 | 13 | 13 |
|
Garrett William Moss
5 E 98Th St |
$6.21 | 13 | 13 |
|
Fred D Cushner
535 E 70Th St |
$8.16 | 13 | 13 |
|
Kevin J Guo
70 Bowery |
$0.00 | 14 | 13 |
|
Jonathan Yahav
1000 10Th Ave |
$0.00 | 15 | 12 |
|
The New York And Presbyterian Hospital
622 W 168Th St |
$1.23 | 15 | 15 |
|
Mona Marie Aboulnaja
211 E 80Th St Fl 2 |
$3.49 | 15 | 12 |
|
Jonathan A. Feistmann, Md Pc
112 E 19Th St |
$1,391 | 15 | 12 |
|
David Eric Begleiter
100 E 77Th St |
$0.00 | 15 | 14 |
|
Michael James Falk
1111 Amsterdam Ave |
$3.49 | 16 | 16 |
|
Joseph Fraiman
420 E 70Th St |
$18.44 | 16 | 13 |
|
Nicholas Debellis
1000 10Th Ave |
$6.02 | 17 | 16 |
|
Ny Be Well Medical Pc
20 E 46Th St Fl 9 |
$4.64 | 17 | 13 |
|
Nana Sarpong
622 W 168Th St Ph 11-1149 |
$6.35 | 17 | 17 |
|
Madeleine Drummond
75 Varick St Fl 5 |
$0.57 | 18 | 13 |
|
Chandler Hutchinson
622 W 168Th St Ste Vc260 |
$0.15 | 18 | 14 |
|
Boris Leybel
225 Broadway |
$0.24 | 21 | 17 |
|
Sakinah Batool Sabadia
222 E 41St St |
$422.28 | 23 | 12 |
|
Gary Starkman
1035 Park Ave |
$152.16 | 25 | 25 |
|
Nina H Kim
240 E 38Th St |
$58.19 | 26 | 26 |
|
Jessica Ryan Scott
139 Centre St Ph 120 |
$69.60 | 26 | 26 |
|
Patricia Stephens
356 W 18Th St |
$0.53 | 27 | 27 |
|
Gabriel Wilson
1000 10Th Ave |
$2.64 | 27 | 26 |
|
The Door - A Center Of Alternatives, Inc.
121 Avenue Of The Americas |
$17.01 | 27 | 27 |
|
Tanuj P Palvia
281 Broadway |
$9.81 | 28 | 28 |
|
Quickmed Medical P.C.
175 E 96Th St |
$11.13 | 29 | 29 |
|
Carl Terence Mickman
1 Gustave L Levy Pl |
$2.24 | 30 | 28 |
|
Jason Deutsch
90 Broad St |
$1.03 | 31 | 24 |
|
Faika Khan
535 8Th Ave Fl 6 |
$0.40 | 31 | 31 |
|
Jian Wei Zhang
139 Centre St Ste 709 |
$0.00 | 37 | 37 |
|
Gramercy Cardiac Diagnostic Services, P.C.
131 W 35Th St |
$10.14 | 40 | 40 |
|
Lon Allen Sproles
175 W 12Th St Apt 4D |
$2.77 | 42 | 37 |
|
Gaurav M. Chandra
114 E 27Th St |
$326.54 | 43 | 38 |
|
Roland Theodore Smith
635 W 165Th St |
$124.73 | 43 | 14 |
|
Maricela Garcia
279 E 3Rd St |
$41.45 | 43 | 33 |
|
Elizabeth Youngewirth
4915 Broadway |
$0.13 | 44 | 41 |
|
Shaun Denise Biggers
2315 Broadway |
$0.00 | 52 | 50 |
|
Tessa Pieklik
40 Pinehurst Ave Ste Cfb |
$46.89 | 53 | 53 |
|
Alyson Renee Salling
110 W 97Th St |
$4.43 | 53 | 36 |
|
Beomseok Oh
1St Ave At 16Th St |
$3.43 | 53 | 49 |
|
Christopher Armen Derderian
560 1St Ave |
$27.97 | 61 | 48 |
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 New York, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Prescription Medications in New York, NY is $40.26 per claim, based on 587,024 claims from 195 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 New York, NY?
There are 195 Medicaid providers offering Prescription Medications related services in New York, NY according to public payment data.
What is the price range for Prescription Medications in New York, NY?
Medicaid reimbursement for Prescription Medications in New York, NY ranges from $0.00 to $1,393 per claim, with an average of $40.26. 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
San Diego, CA
Avg $27.34
493,429 claims · 162 providers
Tucson, AZ
Avg $24.34
489,015 claims · 169 providers
Richmond, VA
Avg $24.15
476,311 claims · 71 providers
Other Procedures in New York, NY
Home Health Visit
Avg $167.81
48,743,027 claims
Office Visit
Avg $81.86
23,551,154 claims
Blood Work & Lab Tests
Avg $8.39
10,014,709 claims
Psychiatric Evaluation
Avg $116.70
6,547,727 claims
Physical Therapy
Avg $39.29
5,089,280 claims
Emergency Room Visit
Avg $130.02
3,905,512 claims
Case Management Services
Avg $322.62
3,682,218 claims
Eye Exam
Avg $50.07
3,393,865 claims