Medicare prescription drug cost, prescriptions and prescribers, 2024
Medicare cost, 2024
$131.8M
-2.8% from 2023
Prescriptions
34K
$3,857.25 per claim
Patients
4,777
3,330 prescribers
Total spending
-
All plans
Medicare prescription drug plans paid $131.8M for Actemra in 2024, for 34,177 prescriptions and refills to 4,777 patients (down 2.8% from 2023). The average cost per claim was $3,857.25.
California had the highest Medicare cost for Actemra in 2024: $15.7M for 4,710 claims, followed by New York ($11.5M).
Naiara Alvarez, rheumatology in Harlingen, TX, had the highest Medicare cost for Actemra in 2024: 288 claims costing $772K.
Where the prescribers practice, 2024
By Medicare drug cost
| Prescriber | Type | Claims | Patients | Cost |
|---|---|---|---|---|
| Naiara Alvarez Harlingen, TX | Rheumatology | 288 | 24 | $772K |
| Elvin R Garcia McAllen, TX | Rheumatology | 310 | 31 | $769K |
| Shubhasree Banerjee Philadelphia, PA |
| Year | Prescribers | Claims | Patients | Cost |
|---|---|---|---|---|
| 2022 | 3,247 | 33,618 | 4,883 | $127.7M |
| 2023 | 3,206 | 33,899 | 4,566 | $135.6M |
| 2024 | 3,330 | 34,177 | 4,777 | $131.8M |
Amount reimbursed by state Medicaid programs, all states
More drugs: top Medicare drugs by cost and the Prescriptions tab.
Official US government data on Medicare prescription drug plans (Part D) and Medicaid drug use. Cost and spending are before the rebates drug makers pay. Prescribers with fewer than 11 claims of the drug are not published.
| Rheumatology |
| 129 |
| 16 |
| $588K |
| Eric Panahi Fountain Valley, CA | Internal Medicine | 220 | 22 | $540K |
| Ricardo J Garcia Alemany Hialeah, FL | Rheumatology | 135 | 18 | $506K |
| Gerald Y Ho La Palma, CA | Rheumatology | 217 | 20 | $442K |
| Michael Naarendorp New York, NY | Rheumatology | 120 | 13 | $427K |
| Srikanth Naramala Visalia, CA | Rheumatology | 127 | 21 | $405K |
| Mark Tan Smithtown, NY | Rheumatology | 90 | 13 | $397K |
| Hing-Sheung E Fung Waco, TX | Internal Medicine | 93 | 12 | $380K |
| Guillermo J Valenzuela Plantation, FL | Rheumatology | 142 | 17 | $375K |
| Amir B Agha Panama City, FL | Rheumatology | 107 | Under 11 | $369K |
| Roy C Sampson Lowell, AR | Rheumatology | 134 | 11 | $332K |
| Diana Vradii Brunswick, ME | Rheumatology | 96 | Under 11 | $324K |
| Brady P Nelson Peoria, AZ | Physician Assistant | 111 | Under 11 | $324K |
| Mazen N Nasrallah Boston, MA | Rheumatology | 62 | Under 11 | $300K |
| Cosmin Dascalu Babylon, NY | Rheumatology | 61 | Under 11 | $297K |
| Sarah Everakes Chicago, IL | Rheumatology | 69 | Under 11 | $294K |
| Kathleen J Cloutier Niagara Falls, NY | Nurse Practitioner | 69 | Under 11 | $283K |
| Nazanin Firooz Woodland Hills, CA | Rheumatology | 68 | Under 11 | $254K |
| Celine Ward Charleston, SC | Internal Medicine | 39 | Under 11 | $250K |
| Kinanah Yaseen Cleveland, OH | Internal Medicine | 53 | Under 11 | $248K |
| Inderprit Singh Ravenna, OH | Rheumatology | 43 | Under 11 | $243K |
| Maryanne Wysell Poughkeepsie, NY | Rheumatology | 36 | Under 11 | $239K |
| Arturo Diaz Boston, MA | Internal Medicine | 69 | Under 11 | $236K |