Average Medicaid Pulmonary Function Test Payments in Decatur, AL: $14.53
Avg. Paid
$14.53
Range
$5.74 – $22.92
Total Claims
11,506
Providers
10
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 Decatur, AL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Mamoun I Najjar
1222 Somerville Road Se |
$13.97 | 5,383 | 4,239 |
|
Shiva S Krishna
1201 8Th St Se |
$17.52 | 4,473 | 2,796 |
|
Crystal Leann Landrum
1501 7Th St Se Ste A |
$7.16 | 857 | 701 |
|
Me'Lissa R Young-Harkins
1802 Presbyterian Dr Sw |
$9.30 | 532 | 446 |
|
Michael Lee Putman
1874 Beltline Rd Sw |
$10.04 | 94 | 79 |
|
Andrea Johnston
2941 Point Mallard Pkwy Se |
$5.74 | 81 | 47 |
|
Brandi Greeson
2699 Sandlin Rd Sw Ste B8 |
$22.92 | 31 | 31 |
|
Alicia Danielle Barbour
1241 Pt Mallard Pkwy Ste 410 |
$6.69 | 28 | 28 |
|
Gene Edward Walker
1201 7Th St Se |
$12.52 | 14 | 14 |
|
Kim Harbin
2941 Point Mallard Pkwy Se |
$7.20 | 13 | 13 |
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 Decatur, AL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Pulmonary Function Test in Decatur, AL is $14.53 per claim, based on 11,506 claims from 10 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 Decatur, AL?
There are 10 Medicaid providers offering Pulmonary Function Test related services in Decatur, AL according to public payment data.
What is the price range for Pulmonary Function Test in Decatur, AL?
Medicaid reimbursement for Pulmonary Function Test in Decatur, AL ranges from $5.74 to $22.92 per claim, with an average of $14.53. Private insurance and self-pay costs are typically higher than these Medicaid rates.
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