New Mexico Medicaid Fee Schedule
New Mexico Medicaid pays $128.92 for an established-patient office visit (99213): 2nd-highest of 45 Medicaid programs, at 181% of the median. Its rates for the most-billed codes are below, ranked against every state.
- Schedule as of
- March 2026
- Codes priced
- 9,139
- 99213 vs. median
- 181% of median
Current New Mexico Medicaid rates for common codes
Each amount is the unmodified non-facility rate in the March 2026 schedule. Where a code appears under more than one rate type, it is the state's ordinary statewide rate when its rules name one, and otherwise the median across rate types. Modifier-specific and facility-only rows are listed separately under the service.
| Code | Service | Non-facility rate |
|---|---|---|
| 99213 | Office visit, established patient (low complexity) | $128.92In effect since Jan 1, 20252nd-highest of 45 · 181% of median |
| 99214 | Office visit, established patient (moderate complexity) | $182.19In effect since Jan 1, 20252nd-highest of 45 · 180% of median |
| 99203 | Office visit, new patient (low complexity) | $158.71In effect since Jan 1, 20253rd-highest of 45 · 178% of median |
| 99204 | Office visit, new patient (moderate complexity) | $238.74In effect since Jan 1, 20253rd-highest of 45 · 178% of median |
| 99285 | Emergency department visit, high severity with threat to function | $255.43In effect since Jan 1, 20253rd-highest of 42 · 184% of median |
Dot: New Mexico. Tick: median across state programs. Line: lowest to highest state. Base fee-for-service rates; supplemental payments some states add are not included.
New Mexico is 2nd-highest of 45 for 99213. See where all 9,139 New Mexico Medicaid codes rank.
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Compare any other code across state programs. The free view shows a few states per code; New Mexico's full schedule is in the complete dataset.
Neighboring and high-enrollment Medicaid fee schedules
States bordering New Mexico first, then the largest programs.