99375 Medicaid reimbursement rate by state (2026)
Physician and practitioner services (fee schedule). Medicaid pays a median of $72.14 for 99375 across 10 states, from $58.63 in Washington to $144.24 in New Mexico.
- States publishing
- 10
- National median
- $72.14units vary by state
- Lowest
- $58.63Washington
- Highest
- $144.24New Mexico
What does Medicaid pay for 99375?
10 state Medicaid programs publish a fee-for-service rate for 99375. The national median is $72.14 (units differ between states). New Mexico pays the most, $144.24, and Washington the least, $58.63, a 2.5x spread.
99375 rate by state: highest, middle and lowest
One like-for-like fee-for-service rate per state, ranked. The workspace lists all 10 states with every variant, modifier and effective date.
Frequently asked questions
What does Medicaid pay for 99375?
It depends on the state. Of the 10 states with a published fee-for-service rate, the median is $72.14. New Mexico pays the most ($144.24) and Washington the least ($58.63).
Which state pays the highest Medicaid rate for 99375?
New Mexico, at $144.24, effective 2025-01-01.
Do managed-care plans pay the same rate for 99375?
Not necessarily. Each state's plan contracts decide whether plans must pay at least the fee-for-service rate, pay a state-set rate, or negotiate their own. The workspace shows the rule for each state, cited to the contract or statute.