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15835 Medicaid reimbursement rates by state

Physician and practitioner services (fee schedule). 19 state Medicaid programs publish a fee-for-service rate for 15835 at the physician psychologist level. Rates run from $139.77 in Missouri to $848.11 in New York, with a median of $653.58.

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

States publishing
19
Median rate
$653.58units vary by state
Highest
$848.11New York
Medicare (non-facility)
—not on the physician fee schedule

15835 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
New YorkPhysician or licensed psychologist (incl. BCBA-D) · New York Medicaid (fee-for-service)$848.11since 2023-10-01unit—Plans negotiate; applies out of network—eMedNY Physician Fee Schedule Sect 5 (Su
IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service)$842.84since 2026-01-01unit—Plans must pay at least this—IHCP Professional Fee Schedule (Last Upd
ColoradoAny qualified provider (rate does not vary by provider) · Child Health Plan Plus (CHP+, Colorado's CHIP)$772.42since 2026-07-01——Plans negotiate; applies out of network—Child Health Plan Plus FY 2026-2027 Fee
WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees)$743.00since 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)$731.77since 2026-07-01——Plans negotiate; applies out of network—DMAS procedure fee file cptmedical1.csv
MarylandAny qualified provider (rate does not vary by provider) · Maryland Medicaid (fee-for-service, MDH)$731.64since 2026-01-01——Not classified—Maryland Medicaid Professional Services
MassachusettsAny qualified provider (rate does not vary by provider) · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations)$700.37since 2026-10-01——Plans negotiate; applies out of network—Emergency Adoption (date filed: Septembe
OregonAny qualified provider (rate does not vary by provider) · Oregon Health Plan (fee-for-service, OHA)$666.15since 2026-02-01——Plans negotiate; applies out of network—OHP FFS medical-dental fee schedule (fee
FloridaAny qualified provider (rate does not vary by provider) · Florida Medicaid (fee-for-service)$656.96since 2026-01-01——Plans negotiate; applies out of network—Practitioner Fee Schedule (2026-01-01)
IowaPhysician or licensed psychologist (incl. BCBA-D) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay)$653.58since 2013-07-01——Plans must pay at least this—Iowa Medicaid fee schedule #02 PHYSICIAN
North CarolinaAny qualified provider (rate does not vary by provider) · North Carolina Medicaid Direct (fee-for-service)$641.59since 2025-10-01——Plans must pay at least this—NC Medicaid fee schedule 'Nurse Practiti
IllinoisAny qualified provider (rate does not vary by provider) · Illinois Medicaid (HFS fee-for-service)$619.79since 2024-04-01——Plans negotiate; applies out of network—HFS Practitioner Fee Schedule (effective
GeorgiaAny qualified provider (rate does not vary by provider) · Georgia Medicaid (fee-for-service)$616.07since 2017-01-01——Plans negotiate; applies out of network—Physician Maximum Allowed Fee Schedule -
MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service)$615.71since 2026-02-01——Plans negotiate; applies out of network—MHCP Fee Schedule - Current Fee Schedule
ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP)$586.97since 2026-01-01——Not classified—CMAP fee schedule: Physician Surgical 04
KentuckyAny qualified provider (rate does not vary by provider) · Kentucky Medicaid (fee-for-service, DMS fee schedules)$539.59since 2020-01-01——Plans negotiate; applies out of network—KY Medicaid Physician fee schedule (2020
MichiganAny qualified provider (rate does not vary by provider) · Michigan Medicaid (fee-for-service)$538.68since 2026-01-01——Plans negotiate; applies out of network—MDHHS Practitioner and Medical Clinic Fe
NebraskaAny qualified provider (rate does not vary by provider) · Nebraska Medicaid (fee-for-service)$270.75since 2026-07-01——Plans negotiate; applies out of network—Nebraska Medicaid fee schedule 471-000-5
MissouriAny qualified provider (rate does not vary by provider) · Missouri MO HealthNet (fee-for-service)$139.77since 2022-07-01——Plans must pay at least this—MO HealthNet fee schedule: Practitioner

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 15835?

It depends on the state. Of the 19 states with a published fee-for-service rate, the median is $653.58. New York pays the most ($848.11 per unit) and Missouri the least ($139.77).

Which state pays the highest Medicaid rate for 15835?

New York, at $848.11 per unit, effective 2023-10-01.

Do managed-care plans pay the same rate for 15835?

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

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