38225 Medicaid reimbursement rate by state (2026)
Physician and practitioner services (fee schedule). Medicaid pays a median of $72.48 for 38225 across 16 states, from $29.93 in Rhode Island to $94.63 in Hawaii.
- States publishing
- 16
- National median
- $72.48units vary by state
- Lowest
- $29.93Rhode Island
- Highest
- $94.63Hawaii
What does Medicaid pay for 38225?
16 state Medicaid programs publish a fee-for-service rate for 38225. The national median is $72.48 (units differ between states). Hawaii pays the most, $94.63, and Rhode Island the least, $29.93, a 3.2x spread.
38225 rate by state: highest, middle and lowest
One like-for-like fee-for-service rate per state, ranked. The workspace lists all 16 states with every variant, modifier and effective date.
Frequently asked questions
What does Medicaid pay for 38225?
It depends on the state. Of the 16 states with a published fee-for-service rate, the median is $72.48. Hawaii pays the most ($94.63) and Rhode Island the least ($29.93).
Which state pays the highest Medicaid rate for 38225?
Hawaii, at $94.63, effective 2026-06-01.
Do managed-care plans pay the same rate for 38225?
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 workspace shows the rule for each state, cited to the contract or statute.