Florida Behavioral Health Reimbursement Rates
Florida behavioral health billing requires state-specific Medicaid enrollment, payer-specific authorization rules, and credential verification before claim submission.
Medicare 90837
$163.66
Medicaid 90837
$127.65
Commercial (est.)
$140.00–$170.00
Medicare Locality Rates — CPT 90837
GPCI-adjusted Medicare psychotherapy rates by county and metro locality in Florida.
| Locality | Medicare 90837 | vs National |
|---|---|---|
| Miami-Dade / Broward | $170.34 | +2% |
| Palm Beach / Indian River | $167.00 | +0% |
| Rest of Florida | $160.32 | -4% |
Key CPT Code Rates — Florida
CPT 90791
Diagnostic Evaluation
Medicare: $169.88
Medicaid: $132.51
CPT 90832
Psychotherapy, 30 min
Medicare: $84.12
Medicaid: $65.62
CPT 90834
Psychotherapy, 45 min
Medicare: $111.62
Medicaid: $87.07
CPT 90837
Psychotherapy, 60 min
Medicare: $163.66
Medicaid: $127.65
Medicaid in Florida
Florida Medicaid uses a managed care model. Published estimates approximate 78% of Medicare for key outpatient behavioral health CPT codes — actual fee schedule dollars vary by code and provider type.
Master's-level clinicians typically receive 75–80% of psychologist rates for identical psychotherapy CPT codes under most state Medicaid fee schedules.
Source: Florida Medicaid fee schedule (effective 2026-01-01).
Explore Florida Rates
Use the interactive explorer below — pre-loaded for Florida.