94799 Medicaid reimbursement rates by state
Physician and practitioner services (fee schedule). 7 state Medicaid programs publish a fee-for-service rate for 94799 at the physician psychologist level. Rates run from $0.00 in Arkansas to $89.06 in North Carolina, with a median of $21.60.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 7
- Median rate
- $21.60units vary by state
- Highest
- $89.06North Carolina
- Medicare (non-facility)
- —not on the physician fee schedule
94799 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.
| State | Medicaid rate | Unit | Per hour | Managed-care plans | % of Medicare | Source |
|---|---|---|---|---|---|---|
| North CarolinaAny qualified provider (rate does not vary by provider) · North Carolina Medicaid Direct (fee-for-service) | $89.06⚠ over 3× mediansince 2025-10-01 | — | — | Plans negotiate; applies out of network | — | NC Medicaid fee schedule 'Respiratory Th |
| FloridaAny qualified provider (rate does not vary by provider) · Florida Medicaid (fee-for-service) | $41.67since 2026-01-01 | — | — | Plans negotiate; applies out of network | — | Practitioner Fee Schedule (2026-01-01) |
| IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service) | $22.87since 2026-01-01 | unit | — | Plans must pay at least this | — | IHCP Professional Fee Schedule (Last Upd |
| LouisianaAny qualified provider (rate does not vary by provider) · Louisiana Medicaid (fee-for-service) | $21.60since 2000-07-01 | — | — | Plans must pay at least this | — | Louisiana Medicaid Professional Services |
| MarylandAny qualified provider (rate does not vary by provider) · Maryland Medicaid (fee-for-service, MDH) | $21.00since 2026-01-01 | — | — | Not classified | — | Maryland Medicaid Professional Services |
| WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Chronic Disease Program (adult cystic fibrosis, hemophilia home care, chronic renal disease; state-funded) | $8.40since 2006-10-01 | — | — | Not classified | — | ForwardHealth max fee schedule: Adult Cy |
| ArkansasPhysician or licensed psychologist (incl. BCBA-D) · Arkansas Medicaid (fee-for-service) | $0.00since 2025-06-13 | — | — | Not classified | — | Arkansas Medicaid Physician / CRNA / Fam |
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 94799?
It depends on the state. Of the 7 states with a published fee-for-service rate, the median is $21.60. North Carolina pays the most ($89.06) and Arkansas the least ($0.00).
Which state pays the highest Medicaid rate for 94799?
North Carolina, at $89.06, effective 2025-10-01.
Do managed-care plans pay the same rate for 94799?
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.