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37235 Medicaid reimbursement rates by state

Physician and practitioner services (fee schedule). 11 state Medicaid programs publish a fee-for-service rate for 37235 at the physician psychologist level. Rates run from $193.41 in Ohio to $5,217.03 in New Mexico, with a median of $2,860.56.

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

States publishing
11
Median rate
$2,860.56units vary by state
Highest
$5,217.03New Mexico
Medicare (non-facility)
—not on the physician fee schedule

37235 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 MexicoAny qualified provider (rate does not vary by provider) · New Mexico Medicaid (fee-for-service, HCA Medical Assistance Division)$5,217.03since 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)$3,706.10since 2013-07-01——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)$3,619.15since 2020-01-01——Plans negotiate; applies out of network—KY Medicaid Physician fee schedule (2020
ColoradoAny qualified provider (rate does not vary by provider) · Child Health Plan Plus (CHP+, Colorado's CHIP)$3,605.39since 2024-07-01——Plans negotiate; applies out of network—Child Health Plan Plus FY 2024-2025 Rate
LouisianaAny qualified provider (rate does not vary by provider) · Louisiana Medicaid (fee-for-service)$2,917.74since 2025-07-01——Plans must pay at least this—Louisiana Medicaid Professional Services
MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service)$2,860.56since 2025-02-01——Plans negotiate; applies out of network—MHCP Fee Schedule (Wayback capture 20250
MichiganAny qualified provider (rate does not vary by provider) · Michigan Medicaid (fee-for-service)$2,396.04since 2025-01-01——Plans negotiate; applies out of network—MDHHS Practitioner and Medical Clinic Fe
ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)$404.39since 2021-10-01——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)$364.35since 2017-01-01——Plans negotiate; applies out of network—OutPatient Max Allowed Site of Service F
MassachusettsAny qualified provider (rate does not vary by provider) · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations)$263.60since 2026-10-01——Plans negotiate; applies out of network—Emergency Adoption (date filed: Septembe
OhioAny qualified provider (rate does not vary by provider) · Ohio Medicaid (fee-for-service)$193.41since 2013-12-31——Plans negotiate; applies out of network—Appendix DD to OAC 5160-1-60 (Non-Instit

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 37235?

It depends on the state. Of the 11 states with a published fee-for-service rate, the median is $2,860.56. New Mexico pays the most ($5,217.03) and Ohio the least ($193.41).

Which state pays the highest Medicaid rate for 37235?

New Mexico, at $5,217.03, effective 2025-01-01.

Do managed-care plans pay the same rate for 37235?

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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