How Much Does Medicaid Pay for Home modifications per serv?
HCPCS S5165 Year 2024
State-by-State Reimbursement Rates
| State | Avg / Claim | Total Claims | Total Paid | Providers |
|---|---|---|---|---|
| Arizona | $8,863.31 | 54 | $478,618.80 | 1 |
| Arkansas | $2,219.16 | 25 | $55,478.96 | 1 |
| California | $1,353.23 | 3,322 | $4,495,419.04 | 13 |
| Colorado | $3,914.51 | 682 | $2,669,693.10 | 5 |
| Delaware | $3,824.10 | 431 | $1,648,188.00 | 2 |
| Florida | $2,817.03 | 235 | $662,001.60 | 1 |
| Kansas | $3,790.04 | 806 | $3,054,775.51 | 3 |
| Kentucky | $189.42 | 52 | $9,850.00 | 1 |
| Louisiana | $444.08 | 76 | $33,750.00 | 1 |
| Maine | $3,117.89 | 222 | $692,172.66 | 1 |
| Massachusetts | $287.80 | 6,279 | $1,807,086.27 | 27 |
| Michigan | $4,095.79 | 79 | $323,567.20 | 2 |
| Minnesota | $101.55 | 102,578 | $10,416,895.23 | 7 |
| Missouri | $1,937.97 | 29 | $56,201.11 | 1 |
| New Hampshire | $2,984.73 | 133 | $396,968.95 | 2 |
| New Jersey | $285.00 | 3,763 | $1,072,462.92 | 5 |
| New Mexico | $4,226.21 | 391 | $1,652,448.36 | 2 |
| New York | $3,851.20 | 669 | $2,576,450.90 | 6 |
| North Carolina | $3,855.67 | 450 | $1,735,050.95 | 5 |
| Ohio | $4,382.73 | 1,721 | $7,542,682.29 | 9 |
| Oklahoma | $177.99 | 1,516 | $269,838.13 | 5 |
| Oregon | $454.55 | 64 | $29,091.06 | 1 |
| Rhode Island | $2,561.42 | 147 | $376,528.63 | 1 |
| South Carolina | $427.26 | 330 | $140,997.00 | 2 |
| Tennessee | $3,570.98 | 440 | $1,571,231.98 | 5 |
| Texas | $3,886.68 | 2,747 | $10,676,718.71 | 9 |
| Utah | $2,162.91 | 2,429 | $5,253,712.29 | 1 |
| Virginia | $4,010.34 | 87 | $348,900.00 | 1 |
| Washington | $34.17 | 4,018 | $137,306.00 | 1 |
| Wisconsin | $1,632.06 | 576 | $940,064.46 | 2 |