99510 Medicaid reimbursement rates by state
Physician and practitioner services (fee schedule). 5 state Medicaid programs publish a fee-for-service rate for 99510 at the physician psychologist level. Rates run from $14.54 in Maine to $125.44 in Kentucky, with a median of $31.25.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 5
- Median rate
- $31.25units vary by state
- Highest
- $125.44Kentucky
- Medicare (non-facility)
- —not on the physician fee schedule
99510 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 |
|---|---|---|---|---|---|---|
| KentuckyAny qualified provider (rate does not vary by provider) · Kentucky Medicaid (fee-for-service, DMS fee schedules) | $125.44since 2021-01-01 | — | — | Plans negotiate; applies out of network | — | KY Medicaid Preventive fee schedule (202 |
| IowaAny qualified provider (rate does not vary by provider) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay) | $79.65since 2024-07-01 | — | — | Plans must pay at least this | — | Iowa Medicaid fee schedule #21 COMMUNITY |
| LouisianaPhysician or licensed psychologist (incl. BCBA-D) · Louisiana Residential Options Waiver (ROW, OCDD/OIDD 1915(c) waiver) | $31.25since 2025-11-18 | 15 min | $125.00 | Paid by the state, outside plans | — | Residential Options Waiver rate and proc |
| IllinoisAny qualified provider (rate does not vary by provider) · Illinois Medicaid (HFS fee-for-service) | $24.25since 2010-02-01 | — | — | Plans negotiate; applies out of network | — | HFS Practitioner Fee Schedule (effective |
| MaineAny qualified provider (rate does not vary by provider) · MaineCare (fee-for-service) | $14.54since 2026-07-01 | 1/4 Hour | — | Not classified | — | MaineCare Section 97 PNMI Appendix D Res |
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 99510?
It depends on the state. Of the 5 states with a published fee-for-service rate, the median is $31.25. Kentucky pays the most ($125.44) and Maine the least ($14.54 per 1/4 Hour).
Which state pays the highest Medicaid rate for 99510?
Kentucky, at $125.44, effective 2021-01-01.
Do managed-care plans pay the same rate for 99510?
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.