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64596 Medicaid reimbursement rates by state

Physician and practitioner services (fee schedule). 9 state Medicaid programs publish a fee-for-service rate for 64596 at the physician psychologist level. Rates run from $236.03 in Texas to $1,974.73 in Arizona, with a median of $882.63.

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

States publishing
9
Median rate
$882.63units vary by state
Highest
$1,974.73Arizona
Medicare (non-facility)
—not on the physician fee schedule

64596 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
ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)$1,974.73since 2026-10-01——Plans negotiate; applies out of network—AHCCCS Arizona Health Care Cost Containm
New YorkPhysician or licensed psychologist (incl. BCBA-D) · New York Medicaid (fee-for-service)$1,838.25since 2024-04-01unit—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)$1,811.63since 2026-01-01——Not classified—Maryland Medicaid Professional Services
LouisianaAny qualified provider (rate does not vary by provider) · Louisiana Medicaid (fee-for-service)$1,418.86since 2024-01-01——Plans must pay at least this—Louisiana Medicaid Professional Services
New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service)$882.63since 2025-01-01——Not classified—NJMMIS Procedure Master Listing CPTHCPCS
North CarolinaAny qualified provider (rate does not vary by provider) · North Carolina Medicaid Direct (fee-for-service)$417.48since 2025-10-01——Plans must pay at least this—NC Medicaid fee schedule 'Clinical Pharm
ColoradoAny qualified provider (rate does not vary by provider) · Health First Colorado (Colorado Medicaid, fee-for-service)$365.52since 2026-07-01——Not classified—Health First Colorado Physician Fee Sche
GeorgiaAny qualified provider (rate does not vary by provider) · Georgia Medicaid (fee-for-service)$246.66since 2024-01-01——Plans negotiate; applies out of network—Max Allow Payment_OutP Site of Service J
TexasPhysician or licensed psychologist (incl. BCBA-D) · Texas Medicaid (fee-for-service, TMHP)$236.03since 2025-03-01——Plans negotiate; applies out of network—TMHP Texas Medicaid Fee Schedule - Physi

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 64596?

It depends on the state. Of the 9 states with a published fee-for-service rate, the median is $882.63. Arizona pays the most ($1,974.73) and Texas the least ($236.03).

Which state pays the highest Medicaid rate for 64596?

Arizona, at $1,974.73, effective 2026-10-01.

Do managed-care plans pay the same rate for 64596?

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 64596 in your statesYour codes on one rate card: every payer's rule, Medicare comparison, rank and rate changes.
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