How much does Medicare pay for CPT 96132?

Medicare allowed an average of $121.64 per service and paid $93.98 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $320.74, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 96132?

Evaluation of neuropsychological test, first hour. It was billed 284,106 times to 218,607 Medicare beneficiaries by 3,529 providers in 2024.

Does 96132 pay differently in an office than a hospital?

Yes. The allowed amount averaged $124.10 in an office setting and $102.58 in a facility. The office rate is generally higher because the practice supplies the room, staff and equipment out of that single payment; in a hospital those are billed separately by the facility.

Which specialty bills 96132 most?

Psychologist, Clinical, with 155,103 services from 2,186 clinicians. Next are Nurse Practitioner, Neurology, Internal Medicine.

CPT 96132

Evaluation of neuropsychological test, first hour

$121.64Medicare-allowed amount per service, averaged across 284,106 services

Providers submitted

$320.74

Asking price, not received

Medicare allowed

$121.64

The fee schedule figure

Medicare paid

$93.98

Balance is patient coinsurance

Providers submitted an average of $320.74 for this code and Medicare allowed $121.64 — 2.6× less. That gap is normal and means nothing on its own: Medicare pays its fee schedule regardless of what is billed, so the submitted figure describes a hospital chargemaster, not a price anyone paid. Of the allowed amount Medicare paid $93.98 (77%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $124.10
Hospital / facility: $102.58

The office rate is higher because the practice supplies the room, staff and equipment out of that payment. In a hospital the facility bills those separately, so the clinician's share is smaller — the total cost to Medicare is usually higher, not lower. 251,562 services were billed in an office setting and 32,544 in a facility.

Services: 284,106
Beneficiaries: 218,607
Providers billing it: 3,529
Total allowed: $34,558,654

What Medicare pays for CPT 96132

Across 284,106 services billed by 3,529 providers to 218,607 beneficiaries, Medicare allowed an average of $121.64 per service. That is 1.3 services per beneficiary, so this is a code patients typically receive more than once. The allowed amount is the figure that matters: it is what Medicare and the patient together owe, set by the fee schedule and adjusted for local practice costs. What a provider chose to submit has no bearing on it.

Who bills 96132

Specialty	Services	Beneficiaries	Avg allowed	Providers
Psychologist, Clinical	155,103	137,408	$121.23	2,186
Nurse Practitioner	29,590	11,772	$108.50	238
Neurology	25,216	23,060	$126.64	386
Internal Medicine	15,112	13,784	$133.36	187
Interventional Pain Management	12,393	4,441	$124.56	55
Family Practice	9,705	6,430	$129.15	129
Anesthesiology	8,157	4,821	$124.59	62
Pain Management	8,071	4,223	$124.31	61
Physician Assistant	6,684	3,575	$107.70	80
Physical Medicine and Rehabilitation	3,875	1,765	$130.14	36
General Practice	2,683	1,648	$129.59	18
Psychiatry	2,427	1,507	$120.45	39
Neuropsychiatry	1,034	850	$122.48	13
Diagnostic Radiology	807	512	$138.92	2
Cardiology	775	723	$128.53	7

96132 reimbursement by state

Two different numbers. Allowed is what Medicare actually allowed in that state, which includes the local practice-cost adjustment. Standardized strips that geographic adjustment out of the payment, so it is the column to use when comparing states — a difference there reflects how the code was billed, not what it costs to run a practice locally.

State	Services	Allowed	Standardized pmt	Providers
California	52,048	$125.16	$92.26	435
Florida	31,195	$124.52	$96.17	328
Texas	27,137	$120.14	$94.14	350
New York	13,403	$136.24	$96.17	211
Pennsylvania	9,671	$117.63	$91.05	156
Tennessee	9,612	$109.91	$87.60	74
Maryland	9,508	$123.82	$90.21	98
Illinois	9,191	$123.09	$93.03	141
Arizona	9,051	$120.23	$94.64	110
North Carolina	8,251	$117.53	$94.84	85
Georgia	8,210	$119.93	$94.88	93
Virginia	7,399	$119.63	$90.77	86
Ohio	6,959	$113.00	$89.41	103
Massachusetts	6,698	$125.48	$92.93	113
Michigan	5,413	$116.83	$91.05	100
New Jersey	5,355	$133.60	$96.43	106
Washington	5,308	$126.39	$93.32	47
Missouri	4,083	$107.41	$87.77	42
Wisconsin	4,066	$111.38	$87.22	66
Oklahoma	3,695	$117.06	$92.43	40
Colorado	3,665	$124.45	$94.75	62
Nevada	3,572	$118.54	$94.72	51
Arkansas	3,430	$107.94	$88.56	35
South Carolina	2,939	$119.09	$94.56	35
Connecticut	2,833	$124.99	$93.11	54
Minnesota	2,752	$121.07	$94.30	61
Indiana	2,736	$113.41	$92.95	46
Utah	2,047	$111.31	$87.37	26
Oregon	1,893	$123.35	$94.93	33
Iowa	1,824	$108.13	$83.98	30
Kansas	1,744	$116.96	$89.01	18
Alabama	1,743	$118.59	$93.42	27
Delaware	1,463	$119.36	$92.32	20
Louisiana	1,460	$111.79	$90.29	24
North Dakota	1,413	$108.06	$84.38	14
New Hampshire	1,349	$120.63	$91.85	22
District of Columbia	1,283	$136.35	$97.82	12
New Mexico	1,097	$120.78	$93.44	23
Mississippi	1,064	$119.58	$97.60	13
Kentucky	1,020	$118.99	$93.06	25
Nebraska	827	$117.13	$98.51	11
Rhode Island	764	$122.81	$95.49	20
Vermont	720	$124.06	$90.70	7
West Virginia	713	$112.37	$87.30	13
Wyoming	595	$123.33	$96.81	6
South Dakota	571	$112.40	$85.44	11
Hawaii	563	$126.11	$97.65	9
Montana	503	$111.20	$85.67	11
Alaska	455	$170.24	$98.81	6
Idaho	437	$115.10	$90.38	8
Maine	171	$116.77	$93.01	7
Guam	82	$136.03	$100.46	1
ZZ	65	$100.34	$73.21	1
Puerto Rico	60	$124.71	$94.27	3

Related codes

96127Assessment of emotional or behavioral problems$4.47
96133Evaluation of neuropsychological test$92.52
96139Administration of psychological or neuropsychological test by technici$34.56
96137Administration of psychological or neuropsychological test$35.38
96160Administration and interpretation of patient-focused health risk asses$2.79
96138Administration of psychological or neuropsychological test by technici$33.17
96136Administration of psychological or neuropsychological test$38.12
96116Exam of neurobehavioral status$88.32
96130Evaluation of psychological test$112.99
96131Evaluation of psychological test$82.62
96165Treatment of behavior impacting health in group setting$4.02
96121Exam of neurobehavioral status$71.55

Billing this code is not the same as earning it

An allowed amount is revenue to a practice, not income to a clinician. It funds staff, premises, equipment and supplies before anyone is paid. What clinicians actually earn is published separately by the Department of Labor, and what industry pays them is published separately again by CMS — this site carries both.

What doctors are paid →·Look up a clinician →·All procedure codes →

Where this comes from. CMS Medicare Physician & Other Practitioners, by Provider and Service, 2024. It covers fee-for-service Original Medicare Part B only — not Medicare Advantage, not Medicaid, and not commercial insurance, which typically pays more for the same code.

How it is averaged. CMS publishes one average per provider per code. Every figure here is re-weighted by the number of services, so a clinician who billed the code 4,000 times counts 4,000 times more than one who billed it twice. CMS also suppresses any provider-code pair with fewer than 11 beneficiaries, so low-volume practice is missing from these totals by design.