Medicaid Reimbursement Rates by State
Compare what Medicaid pays across all states for a specific procedure.
Procedure: S5125 — Attendant care service /15m
National Avg
$158.62
Highest State
$797.27
Florida
Lowest State
$0.00
Colorado
Variance Ratio
—x
highest / lowest
Average Payment by State
| State | Value |
|---|---|
| Florida | $797.27 |
| West Virginia | $756.39 |
| Hawaii | $578.69 |
| Massachusetts | $204.43 |
| South Dakota | $187.76 |
| Maine | $181.54 |
| Indiana | $178.08 |
| North Dakota | $177.55 |
| South Carolina | $169.09 |
| Delaware | $151.95 |
| Louisiana | $150.14 |
| Kansas | $147.49 |
| Alaska | $145.00 |
| Tennessee | $143.73 |
| Michigan | $140.89 |
| Rhode Island | $137.23 |
| Minnesota | $137.19 |
| North Carolina | $137.01 |
| Idaho | $136.12 |
| New Mexico | $130.17 |
| Arizona | $129.93 |
| Alabama | $123.19 |
| New York | $115.91 |
| Missouri | $115.33 |
| Mississippi | $105.29 |
| Pennsylvania | $97.96 |
| Oregon | $97.00 |
| Georgia | $95.14 |
| Montana | $94.44 |
| Arkansas | $91.56 |
| Illinois | $81.69 |
| Utah | $74.70 |
| Nevada | $74.47 |
| Iowa | $73.88 |
| Texas | $62.85 |
| Nebraska | $54.66 |
| Wyoming | $54.05 |
| Wisconsin | $14.84 |
| California | $0.00 |
| Colorado | $0.00 |
Top 15 States by Average Payment
| Name | Avg / Claim |
|---|---|
| FL | $797.27 |
| WV | $756.39 |
| HI | $578.69 |
| MA | $204.43 |
| SD | $187.76 |
| ME | $181.54 |
| IN | $178.08 |
| ND | $177.55 |
| SC | $169.09 |
| DE | $151.95 |
| LA | $150.14 |
| KS | $147.49 |
| AK | $145.00 |
| TN | $143.73 |
| MI | $140.89 |
All States Ranked by Average Payment
40 states · 2024 data
| # | State | Avg / Claim | Median / Claim | Total Claims | Total Paid |
|---|---|---|---|---|---|
| 1 | Florida | $797.27 | $840.84 | 11,298 | $9,007,568.50 |
| 2 | West Virginia | $756.39 | $1,516.76 | 203,803 | $154,154,453.57 |
| 3 | Hawaii | $578.69 | $622.66 | 10,589 | $6,127,788.54 |
| 4 | Massachusetts | $204.43 | $308.65 | 107,320 | $21,939,772.52 |
| 5 | South Dakota | $187.76 | $210.13 | 28,061 | $5,268,614.59 |
| 6 | Maine | $181.54 | $371.77 | 173,263 | $31,453,682.70 |
| 7 | Indiana | $178.08 | $156.32 | 98,401 | $17,523,544.44 |
| 8 | North Dakota | $177.55 | $150.52 | 53,265 | $9,457,066.22 |
| 9 | South Carolina | $169.09 | $167.52 | 19,304 | $3,264,059.31 |
| 10 | Delaware | $151.95 | $185.69 | 231,535 | $35,181,040.43 |
| 11 | Louisiana | $150.14 | $149.41 | 3,931,698 | $590,309,583.23 |
| 12 | Kansas | $147.49 | $693.74 | 1,452,057 | $214,163,589.65 |
| 13 | Alaska | $145.00 | $146.70 | 116,495 | $16,891,489.38 |
| 14 | Tennessee | $143.73 | $154.70 | 778,795 | $111,934,889.05 |
| 15 | Michigan | $140.89 | $145.47 | 160,491 | $22,612,296.23 |
| 16 | Rhode Island | $137.23 | $124.36 | 977,191 | $134,104,127.70 |
| 17 | Minnesota | $137.19 | $157.83 | 219,590 | $30,125,864.75 |
| 18 | North Carolina | $137.01 | $143.23 | 1,369,852 | $187,679,333.80 |
| 19 | Idaho | $136.12 | $96.76 | 156,638 | $21,320,973.27 |
| 20 | New Mexico | $130.17 | $117.31 | 338,998 | $44,128,246.97 |
| 21 | Arizona | $129.93 | $132.29 | 5,209,318 | $676,869,943.40 |
| 22 | Alabama | $123.19 | $136.27 | 10,524 | $1,296,404.68 |
| 23 | New York | $115.91 | $135.61 | 86,982 | $10,081,854.10 |
| 24 | Missouri | $115.33 | $129.86 | 60,887 | $7,021,900.72 |
| 25 | Mississippi | $105.29 | $198.16 | 684,550 | $72,079,420.23 |
| 26 | Pennsylvania | $97.96 | $106.13 | 133,252 | $13,052,904.63 |
| 27 | Oregon | $97.00 | $308.90 | 56,462 | $5,476,876.58 |
| 28 | Georgia | $95.14 | $152.14 | 271,706 | $25,850,613.30 |
| 29 | Montana | $94.44 | $90.71 | 1,782 | $168,294.26 |
| 30 | Arkansas | $91.56 | $95.22 | 998,432 | $91,417,748.31 |
| 31 | Illinois | $81.69 | $83.36 | 4,548 | $371,528.16 |
| 32 | Utah | $74.70 | $62.49 | 6,417 | $479,336.32 |
| 33 | Nevada | $74.47 | $78.18 | 9,493 | $706,900.00 |
| 34 | Iowa | $73.88 | $69.41 | 183,349 | $13,545,006.29 |
| 35 | Texas | $62.85 | $63.07 | 55,437,527 | $3,484,361,867.31 |
| 36 | Nebraska | $54.66 | $54.46 | 1,894 | $103,533.89 |
| 37 | Wyoming | $54.05 | $53.17 | 15,248 | $824,201.73 |
| 38 | Wisconsin | $14.84 | $9.25 | 1,287,051 | $19,101,470.19 |
| 39 | California | $0.00 | $0.00 | 13,826 | $0.00 |
| 40 | Colorado | $0.00 | $0.00 | 155,874 | $0.00 |
Frequently Asked Questions
Which state pays the most for Attendant care service /15m (S5125)?
Florida pays the most at $797.27 per claim, which is —x the lowest-paying state.
Which state pays the least for Attendant care service /15m (S5125)?
Colorado pays the least at $0.00 per claim.
What is the national average Medicaid payment for Attendant care service /15m (S5125)?
The national average Medicaid reimbursement is $158.62 per claim, based on data from 40 states in 2024.