Average Medicaid Prescription Medications Payments in Richmond, VA: $24.15
Avg. Paid
$24.15
Range
$0.00 – $1,110
Total Claims
476,311
Providers
71
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 Richmond, VA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
William Ernest Nordt
7650 E Parham Rd |
$13.58 | 12 | 12 |
|
Mir Namath Ali
9020 Stony Point Pkwy Ste 140 |
$0.48 | 13 | 13 |
|
Lynn Sofia Wolf
4108 E Parham Rd Ste 100 |
$55.71 | 14 | 13 |
|
Anthony Joseph Shaia
7650 E Parham Rd |
$14.89 | 14 | 13 |
|
Usama Samaan
1770 N Parham Rd Ste 100 |
$1.79 | 15 | 14 |
|
Samantha Dawn Twyman
9109 Stony Point Dr |
$75.35 | 16 | 16 |
|
Will Rowland Voelzke
1401 Johnston Willis Dr |
$0.55 | 17 | 12 |
|
Vikram Singh Brar
1250 E Marshall St |
$873.69 | 18 | 12 |
|
Cyrus S Kump
7858 Shrader Rd |
$11.95 | 19 | 17 |
|
Norman Douglas Boardman
Mcv/Vcu Department Of Orthopaedics |
$3.60 | 20 | 14 |
|
Elke K Friedman
8007 Discovery Dr Ste A |
$0.60 | 21 | 13 |
|
Julious Perry Smith
5899 Bremo Rd |
$10.50 | 30 | 28 |
|
Victoria Davis
7601 Forest Ave |
$0.01 | 30 | 27 |
|
Paul E Caldwell
1501 Maple Ave |
$10.13 | 30 | 25 |
|
Niraj Vijay Kalore
1250 E Marshall St |
$5.47 | 35 | 28 |
|
Alison Kingcade
1001 E Leigh St |
$75.73 | 35 | 31 |
|
Harry Joseph Shaia
7650 E Parham Rd |
$12.16 | 36 | 25 |
|
Karen Julia Sterner
1122 N 25Th St |
$82.50 | 37 | 36 |
|
Sandra Ellen Lewis
10800 Midlothian Tpke |
$18.49 | 40 | 40 |
|
Veronica Taylor
7159 Jahnke Rd |
$78.76 | 40 | 39 |
|
Sonya C. Faircloth
9766 Midlothian Tpke |
$0.44 | 42 | 39 |
|
Ara-South Laburnum Dialysis Llc
4817 S Laburnum Ave |
$0.00 | 50 | 12 |
|
Kenneth R Zaslav
7858 Shrader Rd |
$5.56 | 53 | 52 |
|
Sanjay Shashikant Desai
7650 E Parham Rd |
$13.51 | 58 | 55 |
|
Anuradha Naidu-Mccown
7101 Jahnke Rd |
$7.89 | 64 | 32 |
|
Yaoming Gu
1630 Wilkes Ridge Pkwy Ste 203 |
$1.18 | 71 | 56 |
|
Daniel Chrisopher Martin
7650 E Parham Rd |
$1.45 | 73 | 64 |
|
Thomas Lee Jenkins
8720 Stony Point Pkwy Ste 105 |
$1,110 | 78 | 50 |
|
Randal John West
9101 Stony Point Dr Ste 3300 |
$1.14 | 88 | 38 |
|
Dustin Chase Dyer
1501 Maple Ave Ste 200 |
$13.79 | 97 | 91 |
|
Lockett Wootton Garnett
5899 Bremo Rd |
$12.14 | 119 | 111 |
|
Erin Wisman
201 N Hamilton St |
$71.61 | 126 | 118 |
|
Byron Scott Ladd
7301 Forest Ave |
$1,012 | 149 | 117 |
|
Clifford T Hepper
5899 Bremo Rd |
$10.02 | 163 | 159 |
|
Gordon Vincent Dalton
5899 Bremo Rd |
$12.93 | 193 | 169 |
|
James Lewis Combs
7301 Forest Ave |
$827.38 | 198 | 144 |
|
Marlena Simpson Halstead
7101 Jahnke Rd |
$70.29 | 241 | 222 |
|
Nicolas Maxymiv
1250 E. Marshall St. |
$1.26 | 251 | 239 |
|
Jessica Leigh Tucker
6900 Forest Ave |
$0.11 | 278 | 212 |
|
Catherine Brannon Ham
11958 W Broad St |
$215.42 | 315 | 116 |
|
Crippled Children'S Hospital
2924 Brook Rd |
$0.02 | 328 | 307 |
|
Ryan F Deasy
400 Westhampton Sta |
$861.53 | 337 | 286 |
|
Julie Purisima
7101 Jahnke Rd Ste 1054 |
$77.92 | 358 | 336 |
|
Candice Parkins
1400 N Laburnum Ave |
$67.38 | 405 | 359 |
|
Rodney Harry Cowans
719 N 25Th St |
$1.81 | 443 | 390 |
|
Westhampton Regional Dialysis Center Llc
500 E Laburnum Ave |
$3.02 | 455 | 90 |
|
James S Cook
2105 E Parham Rd |
$0.28 | 535 | 453 |
|
Rupal M Patel
1250 E Marshall St |
$11.99 | 613 | 552 |
|
Ara-Richmond Dialysis Llc
5320 Patterson Ave |
$9.77 | 701 | 174 |
|
Bryan Schwent
8720 Stony Point Pkwy Ste 105 |
$631.04 | 864 | 515 |
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 Richmond, VA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Prescription Medications in Richmond, VA is $24.15 per claim, based on 476,311 claims from 71 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 Richmond, VA?
There are 71 Medicaid providers offering Prescription Medications related services in Richmond, VA according to public payment data.
What is the price range for Prescription Medications in Richmond, VA?
Medicaid reimbursement for Prescription Medications in Richmond, VA ranges from $0.00 to $1,110 per claim, with an average of $24.15. 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 Richmond, VA
Blood Work & Lab Tests
Avg $4.30
4,017,522 claims
Non-Emergency Medical Transportation
Avg $26.22
2,907,745 claims
Office Visit
Avg $68.82
2,636,996 claims
Substance Abuse Treatment
Avg $53.32
2,490,009 claims
Behavioral & Mental Health Therapy
Avg $179.96
2,168,703 claims
Emergency Room Visit
Avg $137.78
2,065,177 claims
X-Ray
Avg $7.41
1,597,204 claims
Physical Therapy
Avg $84.50
1,259,338 claims