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Oregon Behavioral Health Reimbursement Rates

Oregon behavioral health billing requires state-specific Medicaid enrollment, payer-specific authorization rules, and credential verification before claim submission.

Medicare 90837

$170.34

Medicaid 90837

$141.38

Commercial (est.)

$140.00$170.00

Key CPT Code Rates — Oregon

CPT 90791

Diagnostic Evaluation

Medicare: $176.82

Medicaid: $146.76

CPT 90832

Psychotherapy, 30 min

Medicare: $87.56

Medicaid: $72.67

CPT 90834

Psychotherapy, 45 min

Medicare: $116.18

Medicaid: $96.43

CPT 90837

Psychotherapy, 60 min

Medicare: $170.34

Medicaid: $141.38

Medicaid in Oregon

Oregon Medicaid uses a managed care model. Published estimates approximate 83% 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: Oregon Medicaid fee schedule (effective 2026-01-01).

Explore Oregon Rates

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