Medicaid Reimbursement Rates by State
Compare what Medicaid pays across all states for a specific procedure.
Procedure: 99213 — Office o/p est low 20 min
National Avg
$65.18
Highest State
$343.34
Alaska
Lowest State
$13.63
Puerto Rico
Variance Ratio
25.2x
highest / lowest
All States Ranked by Average Payment
54 states · 2024 data
| # | State | Avg / Claim | Median / Claim | Total Claims | Total Paid |
|---|---|---|---|---|---|
| 1 | Alaska | $343.34 | $135.37 | 229,618 | $78,837,955.47 |
| 2 | South Dakota | $167.24 | $51.73 | 257,030 | $42,985,816.51 |
| 3 | Kansas | $123.93 | $37.92 | 319,247 | $39,564,598.77 |
| 4 | Hawaii | $120.82 | $74.15 | 252,318 | $30,484,758.74 |
| 5 | North Dakota | $110.98 | $76.24 | 138,629 | $15,385,145.23 |
| 6 | New Mexico | $109.70 | $96.71 | 716,098 | $78,556,524.23 |
| 7 | Colorado | $100.33 | $64.70 | 949,980 | $95,308,986.92 |
| 8 | Maryland | $90.22 | $90.16 | 2,040,157 | $184,067,384.69 |
| 9 | District of Columbia | $89.22 | $68.47 | 172,142 | $15,358,331.89 |
| 10 | Minnesota | $88.11 | $60.84 | 1,001,489 | $88,236,869.54 |
| 11 | U.S. Virgin Islands | $85.67 | $78.56 | 10,988 | $941,359.23 |
| 12 | Utah | $83.25 | $55.98 | 304,043 | $25,312,532.31 |
| 13 | Oklahoma | $79.33 | $75.18 | 894,432 | $70,958,217.75 |
| 14 | Guam | $79.06 | $80.18 | 18,471 | $1,460,406.03 |
| 15 | Georgia | $77.07 | $65.68 | 505,524 | $38,960,420.48 |
| 16 | New York | $76.17 | $65.35 | 11,185,928 | $852,002,978.31 |
| 17 | South Carolina | $72.77 | $57.00 | 1,286,952 | $93,648,285.67 |
| 18 | Nebraska | $68.42 | $47.99 | 418,188 | $28,610,757.25 |
| 19 | Missouri | $66.80 | $69.59 | 1,110,224 | $74,168,025.49 |
| 20 | Virginia | $64.98 | $58.25 | 1,948,169 | $126,592,643.50 |
| 21 | Mississippi | $64.74 | $60.29 | 693,311 | $44,884,563.79 |
| 22 | Rhode Island | $62.73 | $54.98 | 344,165 | $21,588,962.43 |
| 23 | Indiana | $60.86 | $60.24 | 2,196,183 | $133,648,940.31 |
| 24 | Oregon | $58.84 | $61.17 | 818,281 | $48,147,017.45 |
| 25 | Michigan | $56.26 | $55.13 | 3,091,449 | $173,919,746.67 |
| 26 | Arizona | $55.90 | $50.58 | 1,967,467 | $109,989,122.04 |
| 27 | Wisconsin | $55.58 | $47.62 | 1,054,298 | $58,597,532.97 |
| 28 | Montana | $53.85 | $93.59 | 216,986 | $11,685,765.83 |
| 29 | Ohio | $52.79 | $35.82 | 4,362,435 | $230,314,164.86 |
| 30 | Washington | $50.50 | $51.10 | 1,418,769 | $71,643,575.08 |
| 31 | Nevada | $50.16 | $53.71 | 646,737 | $32,442,036.69 |
| 32 | Delaware | $49.60 | $50.93 | 231,032 | $11,459,144.04 |
| 33 | North Carolina | $48.53 | $48.18 | 2,738,979 | $132,910,089.90 |
| 34 | New Jersey | $48.43 | $40.34 | 3,115,436 | $150,882,769.22 |
| 35 | Idaho | $48.14 | $61.15 | 337,262 | $16,235,573.16 |
| 36 | Alabama | $46.50 | $48.06 | 968,568 | $45,033,816.02 |
| 37 | Texas | $42.64 | $36.39 | 6,404,354 | $273,077,578.72 |
| 38 | Pennsylvania | $42.40 | $38.07 | 2,734,255 | $115,938,327.90 |
| 39 | Florida | $41.37 | $32.15 | 2,701,602 | $111,766,565.85 |
| 40 | Massachusetts | $41.07 | $18.24 | 1,866,088 | $76,633,048.13 |
| 41 | New Hampshire | $38.42 | $38.42 | 182,771 | $7,022,025.93 |
| 42 | Tennessee | $38.33 | $37.17 | 2,471,364 | $94,729,451.85 |
| 43 | Connecticut | $33.74 | $32.02 | 1,672,060 | $56,414,605.27 |
| 44 | Kentucky | $33.15 | $31.23 | 3,876,177 | $128,506,367.40 |
| 45 | West Virginia | $33.12 | $5.04 | 1,270,729 | $42,087,422.95 |
| 46 | Illinois | $31.74 | $49.22 | 3,176,053 | $100,814,366.54 |
| 47 | Wyoming | $31.33 | $41.14 | 70,405 | $2,205,846.28 |
| 48 | Arkansas | $29.80 | $29.50 | 551,822 | $16,441,938.99 |
| 49 | Louisiana | $25.69 | $31.25 | 3,352,162 | $86,119,836.30 |
| 50 | Maine | $25.38 | $36.39 | 381,669 | $9,686,646.14 |
| 51 | Iowa | $23.18 | $31.68 | 936,205 | $21,703,550.52 |
| 52 | Vermont | $16.95 | $3.47 | 175,914 | $2,981,622.90 |
| 53 | California | $16.77 | $3.28 | 19,400,563 | $325,313,682.79 |
| 54 | Puerto Rico | $13.63 | $0.00 | 2,489,906 | $33,934,240.28 |
Frequently Asked Questions
Which state pays the most for Office o/p est low 20 min (99213)?
Alaska pays the most at $343.34 per claim, which is 25.2x the lowest-paying state.
Which state pays the least for Office o/p est low 20 min (99213)?
Puerto Rico pays the least at $13.63 per claim.
What is the national average Medicaid payment for Office o/p est low 20 min (99213)?
The national average Medicaid reimbursement is $65.18 per claim, based on data from 54 states in 2024.