Average Medicaid Prescription Medications Payments in Providence, RI: $167.82
Avg. Paid
$167.82
Range
$0.22 – $1,124
Total Claims
10,176
Providers
40
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 Providence, RI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Altug Koymen
40 Candace St |
$55.48 | 1,437 | 1,400 |
|
Anne L. Murray
1 Warren Way |
$56.33 | 1,284 | 1,259 |
|
Gabriel Abella
455 Douglas Ave |
$0.98 | 1,206 | 1,090 |
|
Scott Greenberg
101 Plain St Ste 101 |
$930.09 | 803 | 649 |
|
Emily M. White
355 Prairie Ave |
$55.96 | 770 | 753 |
|
Jennifer R. Sunderland
1 Warren Way |
$51.10 | 542 | 528 |
|
Rhode Island Hospital
593 Eddy St |
$30.34 | 532 | 439 |
|
Stephanie J Avila
355 Prairie Ave |
$55.01 | 444 | 433 |
|
Libertad T Flores
239 Cranston St |
$53.15 | 344 | 336 |
|
Altin Pani
101 Plain St Ste 101 |
$1,124 | 320 | 261 |
|
Jenny R David
40 Candace St |
$54.72 | 279 | 277 |
|
Jenny B Quilty
2 Dudley St |
$63.81 | 250 | 242 |
|
Tanya Sutcliffe
593 Eddy St |
$0.22 | 241 | 199 |
|
Ines A. Riera
175 Broad St |
$47.66 | 237 | 187 |
|
Gaurav Gupta
150 E Manning St |
$724.24 | 197 | 137 |
|
Jessica Wilder
111 Point Street |
$69.43 | 171 | 166 |
|
Anh-Tai V. Dang
355 Prairie Ave |
$52.31 | 140 | 134 |
|
Meghan H Henry
101 Dudley St |
$56.44 | 139 | 124 |
|
Lisa Lapachelle Donahue
100 Butler Dr |
$9.61 | 133 | 121 |
|
Kristina Lynn Lambert
175 Broad St |
$51.87 | 95 | 93 |
|
Jelissa Neal
175 Broad St |
$47.82 | 78 | 75 |
|
Syed Asghar Hassan Rizvi
593 Eddy St |
$564.35 | 73 | 64 |
|
Shawn Anthony Howland
758 Eddy St Ste 300 |
$3.99 | 67 | 12 |
|
Claudia Ann Wheeler
765 Allens Ave |
$319.82 | 66 | 53 |
|
Beth Cronin
101 Dudley St |
$50.68 | 61 | 59 |
|
Eric Ferguson Walsh
285 Promenade St |
$5.13 | 30 | 13 |
|
Mary Reedy
17 University Ave |
$24.69 | 29 | 29 |
|
Elyse V. Trinh
31 Atwood St |
$51.53 | 25 | 24 |
|
Su Gym Kim
593 Eddy St |
$594.36 | 20 | 12 |
|
Martin M. Miner
164 Summit Ave |
$3.60 | 20 | 14 |
|
Joshua Michael Smith
765 Allens Ave Ste 110 |
$387.66 | 17 | 17 |
|
The Providence Community Health Centers, Inc.
375 Allens Ave |
$77.21 | 17 | 17 |
|
Philip Mcandrew
148 W River St |
$0.46 | 15 | 13 |
|
Mason Alexander Bragg
593 Eddy St |
$5.03 | 15 | 14 |
|
Brian Thomas Savoie
120 Dudley St Ste 303 |
$450.46 | 14 | 14 |
|
Loree K Kalliainen
235 Plain St Ste 203 |
$3.23 | 14 | 12 |
|
Grace Lee
593 Eddy St |
$0.33 | 14 | 12 |
|
Edith P. Mcconaughey
101 Dudley St |
$51.18 | 13 | 13 |
|
Keegan Strzempko
175 Broad St |
$43.16 | 12 | 12 |
|
Jennifer Hosmer
40 Candace St |
$59.92 | 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 Providence, RI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Prescription Medications in Providence, RI is $167.82 per claim, based on 10,176 claims from 40 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 Providence, RI?
There are 40 Medicaid providers offering Prescription Medications related services in Providence, RI according to public payment data.
What is the price range for Prescription Medications in Providence, RI?
Medicaid reimbursement for Prescription Medications in Providence, RI ranges from $0.22 to $1,124 per claim, with an average of $167.82. 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 Providence, RI
Personal Care Services
Avg $125.03
2,057,051 claims
Office Visit
Avg $73.05
1,843,254 claims
Emergency Room Visit
Avg $92.98
754,000 claims
Behavioral & Mental Health Therapy
Avg $129.47
740,415 claims
Dental Cleaning & Exam
Avg $30.60
677,431 claims
Case Management Services
Avg $18.33
599,589 claims
Psychiatric Evaluation
Avg $71.24
531,502 claims
Substance Abuse Treatment
Avg $47.48
496,940 claims