99201 Medicaid reimbursement rates by state
Physician and practitioner services (fee schedule). 7 state Medicaid programs publish a fee-for-service rate for 99201 at the physician psychologist level. Rates run from $14.86 in Michigan to $60.24 in North Carolina, with a median of $36.36.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 7
- Median rate
- $36.36units vary by state
- Highest
- $60.24North Carolina
- Medicare (non-facility)
- —not on the physician fee schedule
99201 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) | $60.24since 2025-10-01 | — | — | Paid by the state, outside plans | — | NC Medicaid fee schedule 'Children Devel |
| GeorgiaPhysician or licensed psychologist (incl. BCBA-D) · Georgia Medicaid (fee-for-service) | $41.71since 2020-08-14 | — | — | Plans negotiate; applies out of network | — | Max Allow Pymt Physician Enhanced Rate C |
| AlabamaAny qualified provider (rate does not vary by provider) · Alabama Medicaid (fee-for-service, Alabama Medicaid Agency fee schedules) | $40.04since 2016-10-01 | — | — | Not classified | — | Physician Alabama Primary Care Enhanced |
| New YorkPhysician or licensed psychologist (incl. BCBA-D) · New York Medicaid HIV Enhanced Fees for Physicians Program | $36.36since 2022-04-01 | unit | — | Not classified | — | eMedNY Physician Enhanced Program Fee Sc |
| PennsylvaniaAny qualified provider (rate does not vary by provider) · Pennsylvania Medical Assistance (fee-for-service) | $32.84since 2016-12-01 | — | — | Plans negotiate; applies out of network | — | 46 Pa.B. 7486 Medical Assistance Program |
| IllinoisAny qualified provider (rate does not vary by provider) · Illinois Medicaid (HFS fee-for-service) | $27.20since 2019-09-11 | — | — | Plans negotiate; applies out of network | — | HFS Podiatrist Fee Schedule (effective 2 |
| MichiganAny qualified provider (rate does not vary by provider) · Michigan Medicaid (fee-for-service) | $14.86since 2020-01-01 | — | — | Plans negotiate; applies out of network | — | MDHHS Telemedicine, January 2020 |
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 99201?
It depends on the state. Of the 7 states with a published fee-for-service rate, the median is $36.36. North Carolina pays the most ($60.24) and Michigan the least ($14.86).
Which state pays the highest Medicaid rate for 99201?
North Carolina, at $60.24, effective 2025-10-01.
Do managed-care plans pay the same rate for 99201?
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.