How Much Does Medicaid Pay for Doctor Visits?
Office and outpatient evaluation and management visits covered by Medicaid.
Service Doctor Visits Year 2024 Codes 9
Medicaid doctor visits reimbursement rates vary widely by state. In 2024, the average payment per claim ranged from $17.54 in Puerto Rico to $281.49 in Alaska — a 16.0x difference.
54 states reported doctor visits claims to HHS in 2024, covering 9 procedure codes. The data below is based on official Medicaid claims records published by the U.S. Department of Health and Human Services.
Included Procedure Codes
Average Payment by State
| State | Value |
|---|---|
| Alabama | $58.29 |
| Alaska | $281.49 |
| Arizona | $63.07 |
| Arkansas | $38.58 |
| California | $33.42 |
| Colorado | $99.17 |
| Connecticut | $44.17 |
| Delaware | $57.08 |
| District of Columbia | $124.78 |
| Florida | $49.26 |
| Georgia | $78.45 |
| Guam | $83.21 |
| Hawaii | $123.29 |
| Idaho | $59.51 |
| Illinois | $43.86 |
| Indiana | $70.15 |
| Iowa | $28.64 |
| Kansas | $101.47 |
| Kentucky | $38.21 |
| Louisiana | $34.10 |
| Maine | $32.95 |
| Maryland | $99.45 |
| Massachusetts | $57.80 |
| Michigan | $69.27 |
| Minnesota | $96.65 |
| Mississippi | $61.32 |
| Missouri | $72.89 |
| Montana | $64.99 |
| Nebraska | $72.09 |
| Nevada | $54.40 |
| New Hampshire | $50.99 |
| New Jersey | $58.72 |
| New Mexico | $126.13 |
| New York | $82.86 |
| North Carolina | $58.80 |
| North Dakota | $121.08 |
| Ohio | $63.24 |
| Oklahoma | $143.59 |
| Oregon | $71.71 |
| Pennsylvania | $54.06 |
| Puerto Rico | $17.54 |
| Rhode Island | $72.58 |
| South Carolina | $74.80 |
| South Dakota | $143.88 |
| Tennessee | $42.74 |
| Texas | $47.31 |
| U.S. Virgin Islands | $103.52 |
| Utah | $84.51 |
| Vermont | $28.05 |
| Virginia | $75.21 |
| Washington | $62.64 |
| West Virginia | $39.42 |
| Wisconsin | $59.44 |
| Wyoming | $41.07 |
State-by-State Reimbursement Rates
| State | Avg / Claim | Total Claims | Total Paid | Codes Reporting |
|---|---|---|---|---|
| Alabama | $58.29 | 2,054,479 | $119,756,250.14 | 9 |
| Alaska | $281.49 | 490,630 | $138,107,344.17 | 9 |
| Arizona | $63.07 | 5,358,764 | $337,993,898.86 | 9 |
| Arkansas | $38.58 | 1,143,016 | $44,099,630.33 | 9 |
| California | $33.42 | 38,497,340 | $1,286,624,646.01 | 9 |
| Colorado | $99.17 | 2,388,183 | $236,828,151.20 | 9 |
| Connecticut | $44.17 | 3,622,811 | $160,023,204.08 | 9 |
| Delaware | $57.08 | 577,547 | $32,964,243.13 | 9 |
| District of Columbia | $124.78 | 589,160 | $73,513,373.26 | 9 |
| Florida | $49.26 | 5,554,534 | $273,629,140.01 | 9 |
| Georgia | $78.45 | 1,049,705 | $82,344,612.38 | 9 |
| Guam | $83.21 | 35,789 | $2,977,891.45 | 8 |
| Hawaii | $123.29 | 546,573 | $67,388,006.88 | 9 |
| Idaho | $59.51 | 670,988 | $39,931,090.03 | 9 |
| Illinois | $43.86 | 6,321,170 | $277,254,569.79 | 9 |
| Indiana | $70.15 | 4,939,189 | $346,460,235.25 | 9 |
| Iowa | $28.64 | 1,713,931 | $49,084,933.48 | 9 |
| Kansas | $101.47 | 601,180 | $60,999,648.92 | 9 |
| Kentucky | $38.21 | 6,841,929 | $261,421,282.47 | 9 |
| Louisiana | $34.10 | 7,177,443 | $244,750,069.33 | 9 |
| Maine | $32.95 | 923,077 | $30,418,199.18 | 9 |
| Maryland | $99.45 | 4,872,455 | $484,563,280.02 | 9 |
| Massachusetts | $57.80 | 5,122,142 | $296,047,520.12 | 9 |
| Michigan | $69.27 | 7,059,140 | $488,997,230.70 | 9 |
| Minnesota | $96.65 | 2,203,886 | $213,012,653.16 | 9 |
| Mississippi | $61.32 | 1,538,286 | $94,331,336.54 | 9 |
| Missouri | $72.89 | 2,426,136 | $176,842,858.09 | 9 |
| Montana | $64.99 | 508,905 | $33,074,796.63 | 9 |
| Nebraska | $72.09 | 801,758 | $57,796,117.90 | 9 |
| Nevada | $54.40 | 1,550,758 | $84,368,571.05 | 9 |
| New Hampshire | $50.99 | 435,298 | $22,197,112.58 | 9 |
| New Jersey | $58.72 | 6,168,083 | $362,197,012.07 | 9 |
| New Mexico | $126.13 | 1,725,470 | $217,630,739.10 | 9 |
| New York | $82.86 | 19,896,256 | $1,648,512,102.34 | 9 |
| North Carolina | $58.80 | 6,706,994 | $394,402,696.21 | 9 |
| North Dakota | $121.08 | 260,367 | $31,524,654.95 | 9 |
| Ohio | $63.24 | 9,577,056 | $605,630,069.63 | 9 |
| Oklahoma | $143.59 | 2,251,140 | $323,232,569.82 | 9 |
| Oregon | $71.71 | 1,994,173 | $143,008,563.97 | 9 |
| Pennsylvania | $54.06 | 5,813,544 | $314,287,367.22 | 9 |
| Puerto Rico | $17.54 | 3,679,606 | $64,548,977.08 | 9 |
| Rhode Island | $72.58 | 696,764 | $50,572,416.68 | 9 |
| South Carolina | $74.80 | 2,678,311 | $200,326,929.64 | 9 |
| South Dakota | $143.88 | 480,000 | $69,061,173.99 | 9 |
| Tennessee | $42.74 | 5,592,892 | $239,028,588.70 | 9 |
| Texas | $47.31 | 11,273,553 | $533,404,228.27 | 9 |
| U.S. Virgin Islands | $103.52 | 27,944 | $2,892,769.73 | 9 |
| Utah | $84.51 | 836,721 | $70,708,246.23 | 9 |
| Vermont | $28.05 | 389,071 | $10,915,153.59 | 9 |
| Virginia | $75.21 | 4,802,799 | $361,241,388.96 | 9 |
| Washington | $62.64 | 3,385,344 | $212,058,232.80 | 9 |
| West Virginia | $39.42 | 2,457,326 | $96,867,475.48 | 9 |
| Wisconsin | $59.44 | 2,445,089 | $145,327,711.45 | 9 |
| Wyoming | $41.07 | 138,895 | $5,703,862.76 | 9 |