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64999 Medicaid reimbursement rates by state

Physician and practitioner services (fee schedule). 7 state Medicaid programs publish a fee-for-service rate for 64999 at the physician psychologist level. Rates run from $0.00 in Arkansas to $3,640.00 in Kentucky, with a median of $621.90.

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

States publishing
7
Median rate
$621.90units vary by state
Highest
$3,640.00Kentucky
Medicare (non-facility)
—not on the physician fee schedule

64999 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
KentuckyAny qualified provider (rate does not vary by provider) · Kentucky Medicaid (fee-for-service, DMS fee schedules)$3,640.00⚠ over 3× mediansince 2020-01-01——Plans negotiate; applies out of network—KY Medicaid Physician fee schedule (2020
HawaiiAny qualified provider (rate does not vary by provider) · Hawaii Medicaid (Med-QUEST) fee-for-service$932.99since 2024-03-04——Plans must pay at least this—Medicaid Fee-For-Service (FFS) Fee Sched
MontanaAny qualified provider (rate does not vary by provider) · Montana Medicaid and HMK Plus (fee-for-service)$721.69since 2025-07-01——Not classified—Montana Healthcare Programs fee schedule
IdahoAny qualified provider (rate does not vary by provider) · Idaho Medicaid (fee-for-service, Division of Medicaid / Gainwell)$621.90since 2025-09-01——Not classified—Idaho Medicaid Numerical Fee Schedule Ju
MaineAny qualified provider (rate does not vary by provider) · MaineCare (fee-for-service)$176.00since 2026-01-01——Not classified—MaineCare Fee Schedule (MaineCare UCR, H
IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service)$20.00since 2020-10-15percent of billed charges—Plans must pay at least this—IHCP Professional Fee Schedule (Last Upd
ArkansasAny qualified provider (rate does not vary by provider) · Arkansas Medicaid (fee-for-service)$0.00since 2025-05-15——Not classified—Arkansas Medicaid Oral Surgeon Fee Sched

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 64999?

It depends on the state. Of the 7 states with a published fee-for-service rate, the median is $621.90. Kentucky pays the most ($3,640.00) and Arkansas the least ($0.00).

Which state pays the highest Medicaid rate for 64999?

Kentucky, at $3,640.00, effective 2020-01-01.

Do managed-care plans pay the same rate for 64999?

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 64999 in your statesYour codes on one rate card: every payer's rule, Medicare comparison, rank and rate changes.
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