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15825 Medicaid reimbursement rates by state

Physician and practitioner services (fee schedule). 11 state Medicaid programs publish a fee-for-service rate for 15825 at the physician psychologist level. Rates run from $105.04 in Nebraska to $932.69 in Texas, with a median of $502.07.

Data as of 2026-10-05. Every rate links to the official document it came from.

States publishing
11
Median rate
$502.07units vary by state
Highest
$932.69Texas
Medicare (non-facility)
—not on the physician fee schedule

15825 rate in every state

One like-for-like fee-for-service rate per state, highest first. Units can differ between states; the per-hour column converts time-based units.

StateMedicaid rateUnitPer hourManaged-care plans% of MedicareSource
TexasAny qualified provider (rate does not vary by provider) · Texas Medicaid (fee-for-service, TMHP)$932.69since 2025-03-01——Plans negotiate; applies out of network—TMHP Texas Medicaid Fee Schedule - Certi
ColoradoAny qualified provider (rate does not vary by provider) · Child Health Plan Plus (CHP+, Colorado's CHIP)$832.06since 2026-07-01——Plans negotiate; applies out of network—Child Health Plan Plus FY 2026-2027 Fee
KentuckyAny qualified provider (rate does not vary by provider) · Kentucky Medicaid (fee-for-service, DMS fee schedules)$735.05since 2020-01-01——Plans negotiate; applies out of network—KY Medicaid Physician fee schedule (2020
KansasAny qualified provider (rate does not vary by provider) · MediKan (Kansas state-funded medical program, KMAP fee schedule)$637.50since 1987-07-01——Paid by the state, outside plans—KMAP Fee Schedule MKN Medicaid (FeeSched
MaineAny qualified provider (rate does not vary by provider) · MaineCare (fee-for-service)$525.59since 2026-01-01——Not classified—MaineCare Fee Schedule (MaineCare UCR, H
WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees)$502.07since 2008-07-01——Plans negotiate; applies out of network—ForwardHealth max fee schedule: Medical-
VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS)$466.13since 2009-07-01——Plans negotiate; applies out of network—DMAS procedure fee file cptmedical1.csv
MichiganAny qualified provider (rate does not vary by provider) · Michigan Medicaid (fee-for-service)$464.77since 2026-01-01——Plans negotiate; applies out of network—MDHHS Practitioner and Medical Clinic Fe
New YorkPhysician or licensed psychologist (incl. BCBA-D) · New York Medicaid (fee-for-service)$300.33since 2023-01-01unit—Plans negotiate; applies out of network—eMedNY Physician Fee Schedule Sect 5 (Su
MarylandAny qualified provider (rate does not vary by provider) · Maryland Medicaid (fee-for-service, MDH)$205.00since 2026-01-01——Not classified—Maryland Medicaid Professional Services
NebraskaAny qualified provider (rate does not vary by provider) · Nebraska Medicaid (fee-for-service)$105.04since 2026-07-01——Plans negotiate; applies out of network—Nebraska Medicaid fee schedule 471-000-5

Rates are per the unit shown for each state; units can differ between states. Medicare amounts are computed from the CMS relative value file and locality cost indices with the CMS formula; states with several Medicare localities show a range. Confirm rates with the payer before billing.

Frequently asked questions

What does Medicaid pay for 15825?

It depends on the state. Of the 11 states with a published fee-for-service rate, the median is $502.07. Texas pays the most ($932.69) and Nebraska the least ($105.04).

Which state pays the highest Medicaid rate for 15825?

Texas, at $932.69, effective 2025-03-01.

Do managed-care plans pay the same rate for 15825?

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 table shows the rule for each state, cited to the contract or statute.

Related Physician & professional codes

Track 15825 in your statesYour codes on one rate card: every payer's rule, Medicare comparison, rank and rate changes.
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