Average Medicaid Pulmonary Function Test Payments in Clifton, NJ: $26.72
Avg. Paid
$26.72
Range
$12.31 – $37.38
Total Claims
8,098
Providers
16
Typical Payment Range
Typical Medicaid Pulmonary Function Test payments fall between $7.79 and $27.18 per claim (median: $14.27). The top 10% of payments exceed $63.77.
Based on per-provider averages across all Medicaid claims in this category.
Pulmonary function tests (PFTs) measure how well the lungs work. Used to diagnose and monitor lung diseases like asthma, COPD, and pulmonary fibrosis.
Understanding these costs
The amounts shown are Medicaid reimbursement rates — what state Medicaid programs paid providers per claim. Medicaid typically pays well below private insurance rates and out-of-pocket prices. Use this data to compare relative costs between providers, not as a price estimate for privately insured or self-pay patients.
Providers Offering Pulmonary Function Test in Clifton, NJ
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Edith J. Jackson
1414 Main Ave |
$17.34 | 14 | 12 |
|
Waleed S Lashin
1414 Main Ave |
$18.53 | 20 | 19 |
|
Jossie Marie Murray
930 Clifton Ave |
$23.32 | 25 | 25 |
|
Julio H Urena
40 Union Ave |
$17.73 | 28 | 28 |
|
Maged T Boutros
1033 Route 46 Ste G1 |
$27.79 | 30 | 30 |
|
Ikbal Tokat
384 Valley Rd |
$14.02 | 43 | 43 |
|
Indeya D Fletcher
1135 Main Ave # 2C |
$21.89 | 43 | 42 |
|
Ifeoma Iwelumo
266 Lakeview Ave |
$16.07 | 61 | 60 |
|
Beatrice Onyeador
304 Lakeview Ave |
$19.92 | 199 | 195 |
|
Ariolis Carmelina Grullon Okumus
1300 Main Ave Ste 2C |
$17.36 | 253 | 241 |
|
Liss Speziale
1137 Main Ave |
$24.61 | 372 | 372 |
|
Melih Sarigul
296 Clifton Ave |
$12.31 | 446 | 418 |
|
Gamil Lamey Makar
1700 Route 3 West |
$12.95 | 657 | 597 |
|
Ricardo Rey
960 Paulison Ave |
$30.53 | 935 | 914 |
|
Bassel Noumi
1187 Main Ave Ste 1F |
$37.38 | 1,861 | 1,772 |
|
Angel Ramon De La Cruz
1137 Main Ave |
$26.27 | 3,111 | 3,060 |
What to Expect: Pulmonary Function Test
Pulmonary function tests take 30-90 minutes. You'll breathe into a mouthpiece connected to a machine (spirometer) while following specific instructions — breathing in deeply, blowing out forcefully, etc. The tests measure lung capacity, airflow, and how well oxygen crosses into the blood. You should avoid smoking, heavy meals, and bronchodilators before testing as instructed.
Cost Components
National average Medicaid payment per billing code. Individual rates vary by provider and state.
| Code | Description | Avg. Paid | Claims | Providers |
|---|---|---|---|---|
| 94640 | Airway inhalation treatment | $30.37 | 8,609,434 | 12,427 |
| 94010 | Spirometry | $25.10 | 3,948,184 | 7,404 |
| 94060 | Spirometry pre & post bronch | $45.36 | 2,638,065 | 6,502 |
| 94729 | Diffusing capacity (DLCO) | $21.36 | 2,183,703 | 5,880 |
| 94726 | Plethysmography lung volumes | $26.97 | 1,341,614 | 4,152 |
| 94375 | Respiratory flow volume loop | $31.08 | 795,469 | 1,665 |
| 94727 | Gas dilution lung volume | $21.85 | 595,656 | 1,579 |
| 94200 | Max breathing capacity test | $12.33 | 463,986 | 451 |
| 94150 | Vital capacity test | $9.49 | 274,717 | 389 |
| 94660 | CPAP initiation/management | $42.51 | 104,298 | 247 |
| 94728 | Airway resistance oscillometry | $26.43 | 61,324 | 92 |
| 94621 | Pulmonary stress test complex | $95.35 | 35,949 | 133 |
| 94070 | Bronchospasm provocation eval | $88.04 | 17,656 | 86 |
| 94620 | Pulmonary stress test simple | $7.99 | 35 | 1 |
These are national Medicaid averages for each billing code. Actual amounts vary by state, provider, and complexity.
Frequently Asked Questions
How much does a Pulmonary Function Test cost in Clifton, NJ?
Based on public Medicaid payment data, the average Medicaid reimbursement for Pulmonary Function Test in Clifton, NJ is $26.72 per claim, based on 8,098 claims from 16 providers. Typical payments fall between $7.79 and $27.18. Note: Medicaid rates are typically much lower than private insurance or self-pay prices.
How many providers offer Pulmonary Function Test in Clifton, NJ?
There are 16 Medicaid providers offering Pulmonary Function Test related services in Clifton, NJ according to public payment data.
What is the price range for Pulmonary Function Test in Clifton, NJ?
Medicaid reimbursement for Pulmonary Function Test in Clifton, NJ ranges from $12.31 to $37.38 per claim, with an average of $26.72. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Pulmonary Function Test in Other Cities
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Fresno, CA
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New York, NY
Avg $26.86
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Milwaukee, WI
Avg $31.74
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Bronx, NY
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Phoenix, AZ
Avg $43.01
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Los Angeles, CA
Avg $28.44
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Avg $11.67
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Other Procedures in Clifton, NJ
Blood Work & Lab Tests
Avg $7.52
18,895,123 claims
Urinalysis & Urine Tests
Avg $2.72
3,698,558 claims
Culture & Microbiology Tests
Avg $4.40
1,860,300 claims
Office Visit
Avg $56.80
1,620,787 claims
Home Health Visit
Avg $90.84
947,056 claims
Non-Emergency Medical Transportation
Avg $30.29
670,907 claims
Pathology & Lab Services
Avg $27.68
586,839 claims
Physical Therapy
Avg $7.27
322,069 claims