Medicaid Reimbursement Rates by State
Compare what Medicaid pays across all states for a specific procedure.
Procedure: 99214 — Office o/p est mod 30 min
National Avg
$74.58
Highest State
$210.81
Alaska
Lowest State
$34.12
Vermont
Variance Ratio
6.2x
highest / lowest
All States Ranked by Average Payment
54 states · 2024 data
| # | State | Avg / Claim | Median / Claim | Total Claims | Total Paid |
|---|---|---|---|---|---|
| 1 | Alaska | $210.81 | $151.11 | 185,793 | $39,167,928.56 |
| 2 | Hawaii | $130.11 | $88.38 | 237,433 | $30,892,806.23 |
| 3 | New Mexico | $123.09 | $126.62 | 739,988 | $91,086,371.31 |
| 4 | North Dakota | $120.55 | $100.37 | 105,065 | $12,665,801.03 |
| 5 | U.S. Virgin Islands | $114.56 | $112.80 | 14,037 | $1,608,049.67 |
| 6 | District of Columbia | $109.06 | $98.01 | 244,347 | $26,648,212.78 |
| 7 | South Dakota | $108.39 | $64.24 | 148,239 | $16,068,262.45 |
| 8 | Maryland | $105.56 | $121.28 | 2,231,961 | $235,596,124.79 |
| 9 | Minnesota | $103.68 | $86.92 | 1,024,033 | $106,175,839.29 |
| 10 | Oklahoma | $102.19 | $101.45 | 960,824 | $98,187,827.44 |
| 11 | Guam | $100.28 | $98.78 | 11,811 | $1,184,375.72 |
| 12 | Colorado | $95.07 | $86.37 | 1,070,868 | $101,810,369.91 |
| 13 | New York | $88.73 | $83.13 | 5,338,021 | $473,645,441.17 |
| 14 | Utah | $83.65 | $71.91 | 374,290 | $31,307,886.41 |
| 15 | Montana | $82.61 | $119.31 | 205,322 | $16,961,780.62 |
| 16 | Michigan | $80.31 | $74.92 | 2,767,167 | $222,221,014.35 |
| 17 | Virginia | $80.08 | $75.03 | 2,223,100 | $178,036,900.19 |
| 18 | South Carolina | $79.12 | $66.42 | 1,080,430 | $85,484,537.05 |
| 19 | Rhode Island | $77.96 | $69.59 | 246,139 | $19,190,021.46 |
| 20 | Missouri | $77.34 | $81.43 | 1,048,172 | $81,068,430.44 |
| 21 | Nebraska | $77.28 | $65.44 | 325,332 | $25,141,586.38 |
| 22 | Indiana | $75.85 | $75.82 | 2,196,521 | $166,602,729.13 |
| 23 | Georgia | $75.08 | $68.76 | 341,324 | $25,624,965.16 |
| 24 | Oregon | $74.85 | $78.36 | 928,751 | $69,518,210.79 |
| 25 | Kansas | $73.42 | $43.16 | 240,282 | $17,641,129.50 |
| 26 | Ohio | $71.06 | $50.88 | 3,936,625 | $279,736,383.64 |
| 27 | Washington | $67.57 | $59.69 | 1,508,497 | $101,922,629.78 |
| 28 | New Jersey | $67.46 | $55.77 | 2,046,977 | $138,095,932.44 |
| 29 | Nevada | $66.82 | $68.25 | 563,206 | $37,633,686.45 |
| 30 | Idaho | $66.64 | $80.26 | 278,538 | $18,562,609.90 |
| 31 | Pennsylvania | $62.14 | $54.60 | 2,347,933 | $145,911,999.61 |
| 32 | North Carolina | $62.08 | $61.39 | 3,219,100 | $199,847,050.99 |
| 33 | Mississippi | $61.20 | $63.88 | 612,637 | $37,495,344.82 |
| 34 | Delaware | $61.11 | $63.67 | 223,772 | $13,673,794.50 |
| 35 | Alabama | $60.57 | $64.86 | 931,276 | $56,411,734.41 |
| 36 | Illinois | $60.10 | $70.98 | 2,348,600 | $141,152,260.24 |
| 37 | Wisconsin | $59.25 | $58.68 | 971,736 | $57,576,796.52 |
| 38 | New Hampshire | $58.74 | $55.46 | 214,659 | $12,609,299.55 |
| 39 | Arizona | $56.96 | $64.40 | 2,485,982 | $141,606,546.38 |
| 40 | Massachusetts | $55.26 | $32.81 | 2,238,769 | $123,721,038.84 |
| 41 | Connecticut | $52.47 | $47.39 | 1,505,626 | $78,994,291.42 |
| 42 | Texas | $52.27 | $48.85 | 3,358,705 | $175,562,493.94 |
| 43 | Florida | $50.83 | $40.17 | 2,194,688 | $111,561,444.02 |
| 44 | Wyoming | $50.31 | $52.11 | 61,276 | $3,082,944.53 |
| 45 | West Virginia | $49.91 | $14.45 | 709,444 | $35,407,574.64 |
| 46 | Puerto Rico | $48.70 | $82.75 | 228,455 | $11,125,549.06 |
| 47 | California | $48.63 | $23.06 | 11,099,961 | $539,819,696.94 |
| 48 | Kentucky | $47.95 | $46.73 | 2,051,868 | $98,388,472.08 |
| 49 | Arkansas | $46.63 | $46.04 | 520,934 | $24,289,955.69 |
| 50 | Tennessee | $44.63 | $43.79 | 2,521,826 | $112,557,748.67 |
| 51 | Louisiana | $42.73 | $44.75 | 2,577,307 | $110,115,776.19 |
| 52 | Maine | $36.94 | $47.15 | 423,218 | $15,635,115.12 |
| 53 | Iowa | $34.75 | $40.07 | 621,591 | $21,598,915.63 |
| 54 | Vermont | $34.12 | $6.78 | 175,836 | $6,000,193.41 |
Frequently Asked Questions
Which state pays the most for Office o/p est mod 30 min (99214)?
Alaska pays the most at $210.81 per claim, which is 6.2x the lowest-paying state.
Which state pays the least for Office o/p est mod 30 min (99214)?
Vermont pays the least at $34.12 per claim.
What is the national average Medicaid payment for Office o/p est mod 30 min (99214)?
The national average Medicaid reimbursement is $74.58 per claim, based on data from 54 states in 2024.