Medicaid Reimbursement Rates by State
Compare what Medicaid pays across all states for a specific procedure.
Procedure: 99199 — Unlisted special svc px/rprt
National Avg
$273.74
Highest State
$7,522.54
Vermont
Lowest State
$0.00
Puerto Rico
Variance Ratio
—x
highest / lowest
Average Payment by State
| State | Value |
|---|---|
| Vermont | $7,522.54 |
| Massachusetts | $782.07 |
| Ohio | $381.43 |
| New York | $241.73 |
| Oregon | $70.07 |
| Wisconsin | $66.41 |
| California | $54.98 |
| Minnesota | $48.40 |
| Hawaii | $42.23 |
| Washington | $19.43 |
| Montana | $14.00 |
| Pennsylvania | $10.00 |
| Indiana | $6.83 |
| North Carolina | $5.91 |
| Georgia | $5.58 |
| Nevada | $5.52 |
| New Jersey | $5.46 |
| Colorado | $5.34 |
| South Carolina | $4.66 |
| Maryland | $4.15 |
| Virginia | $3.94 |
| Arizona | $3.49 |
| Texas | $2.47 |
| Tennessee | $0.65 |
| Alabama | $0.00 |
| Delaware | $0.00 |
| Florida | $0.00 |
| Iowa | $0.00 |
| Kentucky | $0.00 |
| Louisiana | $0.00 |
| Michigan | $0.00 |
| New Hampshire | $0.00 |
| New Mexico | $0.00 |
| Puerto Rico | $0.00 |
Top 15 States by Average Payment
| Name | Avg / Claim |
|---|---|
| VT | $7,522.54 |
| MA | $782.07 |
| OH | $381.43 |
| NY | $241.73 |
| OR | $70.07 |
| WI | $66.41 |
| CA | $54.98 |
| MN | $48.40 |
| HI | $42.23 |
| WA | $19.43 |
| MT | $14.00 |
| PA | $10.00 |
| IN | $6.83 |
| NC | $5.91 |
| GA | $5.58 |
All States Ranked by Average Payment
34 states · 2024 data
| # | State | Avg / Claim | Median / Claim | Total Claims | Total Paid |
|---|---|---|---|---|---|
| 1 | Vermont | $7,522.54 | $7,593.38 | 30,910 | $232,521,704.00 |
| 2 | Massachusetts | $782.07 | $900.00 | 169 | $132,170.00 |
| 3 | Ohio | $381.43 | $0.00 | 287 | $109,469.69 |
| 4 | New York | $241.73 | $229.21 | 37,584 | $9,085,194.44 |
| 5 | Oregon | $70.07 | $0.00 | 394 | $27,607.32 |
| 6 | Wisconsin | $66.41 | $56.77 | 456,098 | $30,288,157.96 |
| 7 | California | $54.98 | $39.90 | 73,000 | $4,013,548.89 |
| 8 | Minnesota | $48.40 | $35.30 | 101 | $4,888.13 |
| 9 | Hawaii | $42.23 | $43.93 | 65 | $2,745.00 |
| 10 | Washington | $19.43 | $43.13 | 6,441 | $125,137.80 |
| 11 | Montana | $14.00 | $14.00 | 15 | $210.00 |
| 12 | Pennsylvania | $10.00 | $3.90 | 524 | $5,241.74 |
| 13 | Indiana | $6.83 | $2.94 | 437,559 | $2,987,160.05 |
| 14 | North Carolina | $5.91 | $4.95 | 54,559,358 | $322,285,695.40 |
| 15 | Georgia | $5.58 | $2.98 | 12,129 | $67,714.76 |
| 16 | Nevada | $5.52 | $5.25 | 2,003 | $11,055.00 |
| 17 | New Jersey | $5.46 | $0.05 | 1,911 | $10,432.61 |
| 18 | Colorado | $5.34 | $0.00 | 68 | $363.33 |
| 19 | South Carolina | $4.66 | $2.61 | 109,438 | $510,435.96 |
| 20 | Maryland | $4.15 | $1.47 | 6,658 | $27,620.25 |
| 21 | Virginia | $3.94 | $2.78 | 38,718 | $152,465.12 |
| 22 | Arizona | $3.49 | $3.01 | 451 | $1,573.60 |
| 23 | Texas | $2.47 | $1.71 | 2,748 | $6,795.65 |
| 24 | Tennessee | $0.65 | $0.00 | 4,416 | $2,886.42 |
| 25 | Alabama | $0.00 | $0.00 | 14 | $0.00 |
| 26 | Delaware | $0.00 | $0.00 | 113 | $0.00 |
| 27 | Florida | $0.00 | $0.00 | 4,840 | $0.00 |
| 28 | Iowa | $0.00 | $0.00 | 14,101 | $0.00 |
| 29 | Kentucky | $0.00 | $0.00 | 509 | $0.00 |
| 30 | Louisiana | $0.00 | $0.00 | 219 | $0.00 |
| 31 | Michigan | $0.00 | $0.00 | 534 | $0.00 |
| 32 | New Hampshire | $0.00 | $0.00 | 13 | $0.00 |
| 33 | New Mexico | $0.00 | $0.00 | 329 | $0.55 |
| 34 | Puerto Rico | $0.00 | $0.00 | 40 | $0.00 |
Frequently Asked Questions
Which state pays the most for Unlisted special svc px/rprt (99199)?
Vermont pays the most at $7,522.54 per claim, which is —x the lowest-paying state.
Which state pays the least for Unlisted special svc px/rprt (99199)?
Puerto Rico pays the least at $0.00 per claim.
What is the national average Medicaid payment for Unlisted special svc px/rprt (99199)?
The national average Medicaid reimbursement is $273.74 per claim, based on data from 34 states in 2024.