Average Medicaid Prescription Medications Payments in Visalia, CA: $14.80
Avg. Paid
$14.80
Range
$0.00 โ $146.92
Total Claims
74,400
Providers
41
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 Visalia, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Kaweah Delta Health Care District
400 W Mineral King Ave |
$3.56 | 30,504 | 27,945 |
|
Kaweah Delta Health Care District
5040 W Tulare Ave |
$5.12 | 18,872 | 2,108 |
|
David R. Bryson
5345 W Hillsdale Dr. |
$62.90 | 5,428 | 3,041 |
|
Dva Renal Healthcare Inc
5429 W Cypress Ave |
$1.22 | 4,851 | 352 |
|
Daniel Arthur Watrous
5315 W Hillsdale Ave |
$146.92 | 2,758 | 2,406 |
|
Barnes Dental Corporation Inc
2626 S. Mooney Blvd, Suite C |
$4.25 | 1,905 | 1,835 |
|
Hany Morcos Nasr
201 W Noble Ave |
$7.84 | 1,605 | 1,569 |
|
Kusai S Aziz
101 E Noble Ave |
$45.14 | 1,516 | 1,470 |
|
Jonathan Chin Hua Liu
2300 W Sunnyside Ave |
$6.90 | 1,282 | 1,098 |
|
Abiy Akalu Meshesha
220 S Akers St |
$8.33 | 1,228 | 1,178 |
|
Helmer Dialysis, Llc
1140 S Ben Maddox Way |
$0.03 | 1,182 | 147 |
|
Tyler P May
2914 W Main St |
$2.24 | 325 | 266 |
|
Derek James Florek
2914 W Main St |
$0.00 | 313 | 183 |
|
Ameneh Donya Kalani
202 W Willow Ave |
$9.96 | 288 | 287 |
|
Robert Allan Havard
4945 W Cypress Ave |
$1.12 | 287 | 140 |
|
Amitoj Singh Gill
4945 W Cypress Ave |
$0.03 | 238 | 65 |
|
Juan C Sabogal Tamayo
501 North Bridge Street |
$55.40 | 224 | 152 |
|
Sreedhar Reddy Adapa
233 E Caldwell Ave |
$39.43 | 194 | 104 |
|
Jonathan David Grossman
137 S Aspen St Ste A |
$6.80 | 159 | 159 |
|
Mohsen T Thomas
128 N Akers |
$40.41 | 135 | 106 |
|
Abiy Meshesha Md, Inc.
220 S Akers St |
$14.98 | 121 | 118 |
|
Nauman Qureshi
401 E School Ave |
$0.10 | 113 | 53 |
|
Seth Hall Criner
820 S Akers St |
$1.54 | 103 | 92 |
|
Lupita Noemi Alvarez
1910 N Park St |
$4.30 | 99 | 87 |
|
Calvon Voong
800 W Center Ave |
$5.68 | 90 | 60 |
|
Adeyimika Omololu
401 E School Ave |
$0.00 | 90 | 70 |
|
Bryson Cancer Care Inc
5345 W Hillsdale Dr. |
$4.96 | 78 | 49 |
|
Richard William Barnes
2626 S Mooney Blvd |
$2.74 | 64 | 64 |
|
Christopher Lee Seitz
31180 Road 72 |
$0.00 | 63 | 62 |
|
Integrated Care Systems Inc
7140 W. Pershing Ct. |
$0.00 | 42 | 12 |
|
Satish Kesavaramanujam
107 N Hall St |
$3.42 | 39 | 39 |
|
Luke Steven Bianco
505 N Church St |
$10.68 | 38 | 37 |
|
Hoang U Le
2611 N. Dinuba Blvd |
$0.00 | 27 | 27 |
|
Eva Hirwe
400 East Oak Street |
$0.00 | 25 | 25 |
|
David J. Borge
501 North Bridge Street |
$0.00 | 25 | 25 |
|
Guadalupe Angelina Neria
1410 S Mooney Blvd |
$0.00 | 18 | 16 |
|
Fausto J Castillo Mairena
5405 W Hillsdale Ave |
$0.00 | 16 | 15 |
|
Nathan Alan Loeffler
2626 S. Mooney Blvd. |
$3.71 | 15 | 15 |
|
Joseph Ford
5400 W Hillsdale Ave |
$8.93 | 14 | 14 |
|
Reygil Solis Trinidad
1633 S Court St |
$2.58 | 13 | 12 |
|
Visalia Cardiovascular And Medical Center, Inc
101 E Noble Ave |
$28.58 | 13 | 13 |
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 Visalia, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Prescription Medications in Visalia, CA is $14.80 per claim, based on 74,400 claims from 41 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 Visalia, CA?
There are 41 Medicaid providers offering Prescription Medications related services in Visalia, CA according to public payment data.
What is the price range for Prescription Medications in Visalia, CA?
Medicaid reimbursement for Prescription Medications in Visalia, CA ranges from $0.00 to $146.92 per claim, with an average of $14.80. 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 Visalia, CA
Office Visit
Avg $11.38
2,887,946 claims
Substance Abuse Treatment
Avg $24.52
968,925 claims
Blood Work & Lab Tests
Avg $12.53
724,693 claims
Physical Therapy
Avg $14.15
414,953 claims
Urinalysis & Urine Tests
Avg $1.59
412,660 claims
X-Ray
Avg $9.84
404,561 claims
Emergency Room Visit
Avg $50.70
373,478 claims
Behavioral & Mental Health Therapy
Avg $125.43
312,957 claims