MedicaidRateStart free trial

22512 Medicaid reimbursement rates by state

Physician and practitioner services (fee schedule). 40 state Medicaid programs publish a fee-for-service rate for 22512 at the physician psychologist level. Rates run from $90.92 in New Jersey to $4,420.19 in Connecticut, with a median of $406.39.

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

States publishing
40
Median rate
$406.39units vary by state
Highest
$4,420.19Connecticut
Medicare (non-facility)
$645.61–$1,001.802026 physician fee schedule

22512 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
ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP)$4,420.19⚠ over 3× mediansince 2026-01-01——Not classified—CMAP fee schedule: Physician Surgical 04
MontanaAny qualified provider (rate does not vary by provider) · Montana Medicaid and HMK Plus (fee-for-service)$1,039.90since 2026-07-01——Not classified—Montana Healthcare Programs fee schedule
New MexicoAny qualified provider (rate does not vary by provider) · New Mexico Medicaid (fee-for-service, HCA Medical Assistance Division)$993.39since 2025-01-01——Plans must pay at least this—New Mexico Medicaid Fee for Service CPT
IowaPhysician or licensed psychologist (incl. BCBA-D) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay)$844.69since 2015-01-01——Plans must pay at least this—Iowa Medicaid fee schedule #02 PHYSICIAN
KentuckyAny qualified provider (rate does not vary by provider) · Kentucky Medicaid (fee-for-service, DMS fee schedules)$734.83since 2020-01-01——Plans negotiate; applies out of network—KY Medicaid Physician fee schedule (2020
MarylandAny qualified provider (rate does not vary by provider) · Maryland Medicaid (fee-for-service, MDH)$732.85since 2026-01-01——Not classified—Maryland Medicaid Professional Services
AlabamaAny qualified provider (rate does not vary by provider) · Alabama Medicaid (fee-for-service, Alabama Medicaid Agency fee schedules)$698.72since 2026-08-25——Not classified—Physician Fee Schedule (REF-0129-Q)
New YorkPhysician or licensed psychologist (incl. BCBA-D) · New York Medicaid (fee-for-service)$690.49since 2023-10-01unit—Plans negotiate; applies out of network—eMedNY Physician Fee Schedule Sect 5 (Su
WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees)$669.10since 2015-01-01——Plans negotiate; applies out of network—ForwardHealth max fee schedule: Medical-
OklahomaAny qualified provider (rate does not vary by provider) · Oklahoma SoonerCare (fee-for-service, OHCA)$629.02since 2026-07-01——Plans must pay at least this—SoonerCare Title XIX Fee Schedule
LouisianaAny qualified provider (rate does not vary by provider) · Louisiana Medicaid (fee-for-service)$628.11since 2026-01-01——Plans must pay at least this—Louisiana Medicaid Enhanced Professional
VermontAny qualified provider (rate does not vary by provider) · Vermont Medicaid (fee-for-service, DVHA)$617.25since 2026-01-01——Not classified—Vermont Medicaid Fee Schedule - CPT Code
OregonAny qualified provider (rate does not vary by provider) · Oregon Health Plan (fee-for-service, OHA)$597.13since 2026-02-01——Plans negotiate; applies out of network—OHP FFS medical-dental fee schedule (fee
IdahoAny qualified provider (rate does not vary by provider) · Idaho Medicaid (fee-for-service, Division of Medicaid / Gainwell)$587.79since 2026-07-01——Not classified—Idaho Medicaid Numerical Fee Schedule Ju
MississippiAny qualified provider (rate does not vary by provider) · Mississippi Medicaid (fee-for-service)$587.21since 2026-07-01——Plans must pay at least this—DOM Comprehensive Fee Schedule, Septembe
MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service)$569.91since 2026-02-01——Plans negotiate; applies out of network—MHCP Fee Schedule - Current Fee Schedule
MaineAny qualified provider (rate does not vary by provider) · MaineCare (fee-for-service)$495.14since 2026-01-01——Not classified—MaineCare Fee Schedule (MaineCare UCR, H
West VirginiaAny qualified provider (rate does not vary by provider) · West Virginia Medicaid (fee-for-service, Bureau for Medical Services)$489.95since 2026-04-01——Plans negotiate; applies out of network—BMS RBRVS 2026 Effective 4/1/26 - 3/31/2
MichiganAny qualified provider (rate does not vary by provider) · Michigan Medicaid (fee-for-service)$471.80since 2026-01-01——Plans negotiate; applies out of network—MDHHS Practitioner and Medical Clinic Fe
KansasAny qualified provider (rate does not vary by provider) · MediKan (Kansas state-funded medical program, KMAP fee schedule)$420.06since 2024-08-01——Paid by the state, outside plans—KMAP Fee Schedule MKN Medicaid (FeeSched
NebraskaAny qualified provider (rate does not vary by provider) · Nebraska Medicaid (fee-for-service)$392.72since 2026-07-01——Plans negotiate; applies out of network—Nebraska Medicaid fee schedule 471-000-5
South CarolinaAny qualified provider (rate does not vary by provider) · South Carolina Healthy Connections Medicaid (fee-for-service)$373.03since 2024-07-01——Plans negotiate; applies out of network—SCDHHS Nurse Midwives Fee Schedule (sche
NevadaPhysician or licensed psychologist (incl. BCBA-D) · Nevada Medicaid (fee-for-service provider-type reimbursement schedules)$211.08since 2024-01-01——Plans must pay at least this—Provider Type 20 Physician, MD., Osteopa
ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)$187.67since 2026-10-01——Plans negotiate; applies out of network—AHCCCS Arizona Health Care Cost Containm
GeorgiaAny qualified provider (rate does not vary by provider) · Georgia Medicaid (fee-for-service)$184.37since 2017-01-01——Plans negotiate; applies out of network—OutPatient Max Allowed Site of Service F
IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service)$183.77since 2026-01-01unit—Plans must pay at least this—IHCP Professional Fee Schedule (Last Upd
CaliforniaAny qualified provider (rate does not vary by provider) · California Medi-Cal (fee-for-service)$181.68since 2026-10-01——Plans negotiate; applies out of network—Medi-Cal Rates (Rates files zip: rates_d
North CarolinaPhysician or licensed psychologist (incl. BCBA-D) · North Carolina Medicaid Direct (fee-for-service)$172.96since 2025-10-01——Plans must pay at least this—NC Medicaid fee schedule 'Physician Serv
TexasPhysician or licensed psychologist (incl. BCBA-D) · Texas Medicaid (fee-for-service, TMHP)$172.89since 2026-03-01——Plans negotiate; applies out of network—TMHP Texas Medicaid Fee Schedule - Physi
PennsylvaniaPhysician or licensed psychologist (incl. BCBA-D) · Pennsylvania Medical Assistance (fee-for-service)$171.78since 2015-09-01——Plans negotiate; applies out of network—PA DHS PROMISe Outpatient Fee Schedule (
ArkansasAny qualified provider (rate does not vary by provider) · Arkansas Medicaid (fee-for-service)$171.42since 2025-06-13——Not classified—Arkansas Medicaid Physician / CRNA / Fam
OhioAny qualified provider (rate does not vary by provider) · Ohio Medicaid (fee-for-service)$162.25since 2015-01-01——Plans negotiate; applies out of network—Appendix DD to OAC 5160-1-60 (Non-Instit
ColoradoAny qualified provider (rate does not vary by provider) · Child Health Plan Plus (CHP+, Colorado's CHIP)$161.11since 2026-07-01——Plans negotiate; applies out of network—Child Health Plan Plus FY 2026-2027 Fee
VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS)$157.12since 2026-07-01——Plans negotiate; applies out of network—DMAS procedure fee file cptmedical1.csv
MassachusettsAny qualified provider (rate does not vary by provider) · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations)$149.90since 2026-10-01——Plans negotiate; applies out of network—Emergency Adoption (date filed: Septembe
FloridaAny qualified provider (rate does not vary by provider) · Florida Medicaid (fee-for-service)$141.55since 2026-01-01——Plans negotiate; applies out of network—Practitioner Fee Schedule (2026-01-01)
IllinoisAny qualified provider (rate does not vary by provider) · Illinois Medicaid (HFS fee-for-service)$140.06since 2024-04-01——Plans negotiate; applies out of network—HFS Practitioner Fee Schedule (effective
New HampshireAny qualified provider (rate does not vary by provider) · New Hampshire Medicaid (fee-for-service, DHHS / NH MMIS)$136.73since 2023-07-01——Plans negotiate; applies out of network—2026 Fee Schedule - Covered Procedures R
MissouriAny qualified provider (rate does not vary by provider) · Missouri MO HealthNet (fee-for-service)$114.41since 2022-07-01——Plans must pay at least this—MO HealthNet fee schedule: Practitioner
New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service)$90.92since 2026-07-01——Not classified—NJMMIS Procedure Master Listing CPTHCPCS

Rates marked ⚠ are more than three times the median for the same unit; they are published as shown but often reflect an office (non-facility) fee or a different scope of service. 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 22512?

It depends on the state. Of the 40 states with a published fee-for-service rate, the median is $406.39. Connecticut pays the most ($4,420.19) and New Jersey the least ($90.92).

Which state pays the highest Medicaid rate for 22512?

Connecticut, at $4,420.19, effective 2026-01-01.

Do managed-care plans pay the same rate for 22512?

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

10005Physician and practitioner services (fee schedule) · 42 states10006Physician and practitioner services (fee schedule) · 42 states10007Physician and practitioner services (fee schedule) · 42 states10008Physician and practitioner services (fee schedule) · 42 states10009Physician and practitioner services (fee schedule) · 42 states10010Physician and practitioner services (fee schedule) · 42 states10021Physician and practitioner services (fee schedule) · 42 states10030Physician and practitioner services (fee schedule) · 42 states10060Physician and practitioner services (fee schedule) · 42 states10061Physician and practitioner services (fee schedule) · 42 states10080Physician and practitioner services (fee schedule) · 42 states10081Physician and practitioner services (fee schedule) · 42 states
Track 22512 in your statesYour codes on one rate card: every payer's rule, Medicare comparison, rank and rate changes.
Start free trialPricing
Medicaid rates by state
AlabamaArizonaArkansasCaliforniaColoradoConnecticutFloridaGeorgiaIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaOhioOklahomaOregonPennsylvaniaSouth CarolinaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsin