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Billing code 99384 · Physician & professional

99384 Medicaid reimbursement rate by state (2026)

Physician and practitioner services (fee schedule). Medicaid pays a median of $105.77 for 99384 across 50 states, from $32.15 in Illinois to $397.00 in Pennsylvania.

Data as of Oct 5, 202650 statesEvery rate links to its official source

States publishing
50
National median
$105.77units vary by state
Lowest
$32.15Illinois
Highest
$397.00Pennsylvania
Answer

What does Medicaid pay for 99384?

50 state Medicaid programs publish a fee-for-service rate for 99384. The national median is $105.77 (units differ between states). Pennsylvania pays the most, $397.00, and Illinois the least, $32.15, a 12.3x spread.

State ranking

99384 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 50 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Pennsylvania Source · since 2005-10-01$397.00——Plans negotiate; applies out of network—
2Alaska Source · since 2026-07-01$236.00——Not classified—
3Montana Source · since 2026-07-01$194.84——Not classified—
25Louisiana Source · since 2025-07-01$106.28——Plans must pay at least this—
26Iowa Source · since 2024-01-01$105.26——Plans must pay at least this—
27Kentucky Source · since 2020-01-01$101.22——Plans negotiate; applies out of network—
49Kansas Source · since 2024-08-01$38.15——Plans must pay at least this—
50Illinois Source · since 2025-01-01$32.15——Plans negotiate; applies out of network—
See all 50 states for 99384 — start free

42 more states, with every modifier and provider-type variant, rate history and the plan rule in each state. 14-day free trial, no credit card.

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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; states with several Medicare localities show a range. Confirm rates with the payer before billing.

Track 99384 in your states. Get an alert when any state changes it, with every variant and the managed-care rule.
FAQ

Frequently asked questions

What does Medicaid pay for 99384?

It depends on the state. Of the 50 states with a published fee-for-service rate, the median is $105.77. Pennsylvania pays the most ($397.00) and Illinois the least ($32.15).

Which state pays the highest Medicaid rate for 99384?

Pennsylvania, at $397.00, effective 2005-10-01.

Do managed-care plans pay the same rate for 99384?

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.