New Mexico Medicaid reimbursement rates
31,727 current fee-for-service and managed-care rates from New Mexico Medicaid, across 140 services and 9 programs, normalized by code, provider level and unit. Each links to one of 49 official source documents.
Last retrieved 2026-10-05. History back to 2005-01-01.
- Current rates
- 31,727
- Services
- 140
- Programs
- 9
- Lines with a plan rule
- 22of 22 service lines
By industry
Applied behavior analysis (ABA)New Mexico rates, labor costs and changesBehavioral healthNew Mexico rates, labor costs and changesHome healthNew Mexico rates, labor costs and changesHome care & personal careNew Mexico rates, labor costs and changesPrivate duty nursingNew Mexico rates, labor costs and changesSkilled nursing facilitiesNew Mexico rates, labor costs and changesHospiceNew Mexico rates, labor costs and changesIntellectual & developmental disabilitiesNew Mexico rates, labor costs and changesOutpatient therapy (PT, OT, speech)New Mexico rates, labor costs and changes
New Mexico rates by service
The median current rate for each service, like-for-like by unit. Follow a service to compare it with every other state.
Most-compared billing codes in New Mexico
Where New Mexico ranks among states for codes published widely. Rank 1 = highest rate.
| Code | Service | New Mexico | All-state median | Rank |
|---|---|---|---|---|
| 10005 | Physician and practitioner services (fee schedule) | $156.95 | $85.55 | 4 of 48 |
| 10006 | Physician and practitioner services (fee schedule) | $70.73 | $45.64 | 5 of 48 |
| 10007 | Physician and practitioner services (fee schedule) | $279.77 | $186.96 | 8 of 48 |
| 10008 | Physician and practitioner services (fee schedule) | $146.75 | $92.51 | 5 of 48 |
| 10009 | Physician and practitioner services (fee schedule) | $441.30 | $273.41 | 4 of 48 |
| 10010 | Physician and practitioner services (fee schedule) | $255.16 | $153.30 | 5 of 48 |
| 10021 | Physician and practitioner services (fee schedule) | $142.05 | $71.68 | 3 of 48 |
| 10030 | Physician and practitioner services (fee schedule) | $863.35 | $382.62 | 3 of 48 |
| 10060 | Physician and practitioner services (fee schedule) | $178.01 | $88.74 | 3 of 48 |
| 10061 | Physician and practitioner services (fee schedule) | $303.77 | $153.30 | 4 of 48 |
| 10080 | Physician and practitioner services (fee schedule) | $344.37 | $129.47 | 3 of 48 |
| 10081 | Physician and practitioner services (fee schedule) | $478.98 | $200.51 | 3 of 48 |
| 10120 | Physician and practitioner services (fee schedule) | $212.16 | $98.41 | 4 of 48 |
| 10121 | Physician and practitioner services (fee schedule) | $373.01 | $171.22 | 4 of 48 |
| 10140 | Physician and practitioner services (fee schedule) | $238.20 | $109.79 | 4 of 48 |
| 10160 | Physician and practitioner services (fee schedule) | $182.10 | $86.10 | 4 of 48 |
| 10180 | Physician and practitioner services (fee schedule) | $370.22 | $181.20 | 3 of 48 |
| 11000 | Physician and practitioner services (fee schedule) | $82.74 | $37.55 | 3 of 48 |
| 11001 | Physician and practitioner services (fee schedule) | $38.31 | $17.78 | 3 of 48 |
| 11004 | Physician and practitioner services (fee schedule) | $826.80 | $437.24 | 3 of 48 |
| 11005 | Physician and practitioner services (fee schedule) | $1,132.21 | $593.30 | 3 of 48 |
| 11006 | Physician and practitioner services (fee schedule) | $1,021.61 | $545.22 | 3 of 48 |
| 11008 | Physician and practitioner services (fee schedule) | $398.89 | $210.47 | 3 of 48 |
| 11010 | Physician and practitioner services (fee schedule) | $627.92 | $279.22 | 4 of 48 |
| 11011 | Physician and practitioner services (fee schedule) | $704.31 | $321.34 | 4 of 48 |
| 11012 | Physician and practitioner services (fee schedule) | $919.86 | $431.82 | 4 of 48 |
| 11042 | Physician and practitioner services (fee schedule) | $180.18 | $82.72 | 3 of 48 |
| 11043 | Physician and practitioner services (fee schedule) | $329.12 | $165.09 | 4 of 48 |
| 11044 | Physician and practitioner services (fee schedule) | $444.07 | $227.02 | 4 of 48 |
| 11055 | Physician and practitioner services (fee schedule) | $97.41 | $38.32 | 3 of 48 |
| 11056 | Physician and practitioner services (fee schedule) | $113.38 | $45.25 | 3 of 48 |
| 11057 | Physician and practitioner services (fee schedule) | $124.44 | $50.83 | 3 of 48 |
| 11102 | Physician and practitioner services (fee schedule) | $138.57 | $70.00 | 3 of 48 |
| 11103 | Physician and practitioner services (fee schedule) | $69.58 | $36.04 | 3 of 48 |
| 11104 | Physician and practitioner services (fee schedule) | $172.73 | $82.45 | 3 of 48 |
| 11105 | Physician and practitioner services (fee schedule) | $82.64 | $42.01 | 4 of 48 |
| 11106 | Physician and practitioner services (fee schedule) | $214.52 | $100.59 | 3 of 48 |
| 11107 | Physician and practitioner services (fee schedule) | $98.79 | $48.97 | 4 of 48 |
| 11300 | Physician and practitioner services (fee schedule) | $138.30 | $49.39 | 3 of 48 |
| 11301 | Physician and practitioner services (fee schedule) | $168.14 | $63.36 | 3 of 48 |
Managed care in New Mexico
5 plans on record, 53 state-directed payment records.
Who sets the rate, line by line →Recent rate changes and notices
Frequently asked questions
Where does New Mexico publish its Medicaid fee schedules?
New Mexico publishes rates across 49 official documents (fee schedules, rate notices and bulletins). Every rate on this page links to its source document.
How many Medicaid rates does New Mexico publish?
31,727 rates are current across 140 services and 9 programs, with 32,249 versions on record since 2005-01-01.
Do New Mexico Medicaid managed-care plans pay the fee schedule?
For 22 of 22 service lines, plan contracts or state law set a rule plans must follow (a floor, a state-set rate or a required pass-through). For the rest, plans negotiate. See the managed-care page for each line's rule and citation.
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Your New Mexico rate cardYour codes, what New Mexico pays, what plans must pay, and every change in 2026.