Children's advocacy center clinic visit (clinic-specific rate): Medicaid rates by state

A billing code alone doesn't make a fair comparison: states bill children's advocacy center clinic visit (clinic-specific rate) under different codes, units and provider types. This benchmark lines up one comparable rate per state.

• Provider level. States are compared at the same provider level wherever the schedule distinguishes one. Rates for other levels on file (any qualified provider) are kept separate, never mixed into this ranking.
• Unit. None of the 1 schedules prints a separate unit for their headline rate, so each amount is a flat payment for one service as the code defines it. The ranking uses the rate as published, so read the unit before comparing two states.
• Variants. 1 of the 1 states publish more than one rate for this service (by modifier, program, setting or provider type); the headline rate is the one that matches the comparison, and the workspace lists every variant.
• Depth. 15 rates for this service are on file across all states, versions and provider levels; this page shows one headline rate per state.

The highest-paying state, Kentucky, pays $3,289.43; the lowest, Kentucky, pays $3,289.43. 1 of the 1 states pay above the median of —. Common reasons rates for other services spread this way:

• Rate studies, settlements and targeted increases for workforce shortages move individual services out of step with the rest of a state's schedule.
• Each state sets its own fee schedule and updates it on its own budget cycle, so two states can price the same service from different base years.
• States pay different amounts by provider type, setting and program, and the published rate may already include or exclude add-ons that another state pays separately.

Billing notes

This service is billed in the unit the state's schedule defines.