How Much Does Medicaid Pay for Oral evaluation, pt < 3yrs?
HCPCS D0145 Year 2024
State-by-State Reimbursement Rates
| State | Avg / Claim | Total Claims | Total Paid | Providers |
|---|---|---|---|---|
| Alabama | $19.59 | 6,325 | $123,913.92 | 54 |
| Alaska | $161.02 | 844 | $135,905.04 | 13 |
| Arizona | $18.39 | 12,173 | $223,829.32 | 93 |
| Arkansas | $26.30 | 272 | $7,152.77 | 5 |
| California | $70.60 | 177,488 | $12,530,313.90 | 528 |
| Colorado | $25.16 | 20,551 | $517,105.46 | 129 |
| Connecticut | $18.48 | 2,728 | $50,406.43 | 8 |
| Delaware | $59.20 | 1,540 | $91,169.18 | 8 |
| District of Columbia | $11.09 | 226 | $2,506.48 | 2 |
| Florida | $23.35 | 8,766 | $204,648.07 | 67 |
| Georgia | $64.21 | 388 | $24,913.00 | 1 |
| Hawaii | $39.55 | 1,014 | $40,105.74 | 15 |
| Idaho | $62.04 | 3,448 | $213,897.48 | 21 |
| Illinois | $0.00 | 255 | $0.00 | 2 |
| Indiana | $33.18 | 2,799 | $92,859.51 | 38 |
| Iowa | $23.77 | 4,499 | $106,931.88 | 25 |
| Kansas | $32.02 | 5,331 | $170,703.29 | 13 |
| Kentucky | $32.61 | 1,955 | $63,752.29 | 15 |
| Louisiana | $60.23 | 33,027 | $1,989,073.31 | 104 |
| Maine | $20.53 | 569 | $11,682.87 | 12 |
| Maryland | $40.96 | 5,456 | $223,491.47 | 41 |
| Massachusetts | $27.94 | 3,854 | $107,666.35 | 23 |
| Michigan | $38.03 | 12,419 | $472,255.00 | 78 |
| Minnesota | $59.90 | 1,864 | $111,645.54 | 17 |
| Mississippi | $36.22 | 13,189 | $477,750.61 | 37 |
| Montana | $32.77 | 3,882 | $127,221.20 | 18 |
| Nebraska | $52.64 | 6,973 | $367,060.97 | 27 |
| Nevada | $19.42 | 3,028 | $58,800.52 | 29 |
| New Hampshire | $46.63 | 174 | $8,114.46 | 4 |
| New Jersey | $17.22 | 10,397 | $179,010.08 | 50 |
| New Mexico | $398.93 | 82 | $32,712.01 | 3 |
| New York | $28.04 | 25,065 | $702,837.79 | 119 |
| North Carolina | $33.99 | 81,163 | $2,758,489.95 | 253 |
| North Dakota | $40.85 | 313 | $12,787.50 | 3 |
| Ohio | $14.51 | 80 | $1,160.80 | 3 |
| Oklahoma | $30.07 | 4,482 | $134,771.29 | 30 |
| Oregon | $18.89 | 7,169 | $135,402.04 | 33 |
| Pennsylvania | $23.28 | 8,332 | $193,983.21 | 44 |
| Puerto Rico | $26.35 | 445 | $11,724.52 | 6 |
| Rhode Island | $26.42 | 622 | $16,430.24 | 6 |
| South Carolina | $65.75 | 22,056 | $1,450,096.43 | 75 |
| South Dakota | $53.30 | 2,820 | $150,294.35 | 8 |
| Tennessee | $22.96 | 7,753 | $178,034.12 | 38 |
| Texas | $129.94 | 529,688 | $68,829,939.28 | 1,706 |
| Vermont | $49.80 | 679 | $33,816.00 | 5 |
| Virginia | $16.89 | 3,818 | $64,504.94 | 35 |
| Washington | $5.89 | 953 | $5,612.10 | 5 |
| West Virginia | $25.29 | 1,535 | $38,814.30 | 7 |
| Wisconsin | $0.00 | 309 | $0.00 | 1 |
| Wyoming | $44.02 | 206 | $9,067.50 | 3 |