Average Medicaid Pulmonary Function Test Payments in Dothan, AL: $17.10
Avg. Paid
$17.10
Range
$6.30 – $32.09
Total Claims
11,697
Providers
27
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 Dothan, AL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
David J Lozano
5565 Montgomery Hwy |
$19.08 | 3,907 | 3,461 |
|
Lisa M Hicks
126 Clinic Dr |
$17.00 | 2,132 | 1,851 |
|
Mark H. Kalenian
520 John D. Odom Rd. |
$13.81 | 1,410 | 976 |
|
Clifford C Quintana
2812 Hartford Hwy Ste 1 |
$16.08 | 699 | 548 |
|
Dothan Pediatric Clinic, P. A.
126 Clinic Dr |
$32.09 | 691 | 639 |
|
James Bradley Addison
126 Clinic Dr |
$18.01 | 386 | 379 |
|
Maria Del Pilar Acosta Lara
1450 Ross Clark Circle |
$10.70 | 324 | 287 |
|
Lauren B Morris
364 Honeysuckle Rd |
$8.36 | 324 | 308 |
|
Michael J. Ramsey
126 Clinic Dr |
$21.70 | 297 | 289 |
|
Marvin Walker Sexton
1450 Ross Clark Cir Ste 400 |
$10.80 | 253 | 227 |
|
Walter Jefferies Doty
1450 Ross Clark Cir Ste 400 |
$12.31 | 202 | 180 |
|
David Claassen
4370 W Main St |
$8.77 | 186 | 162 |
|
Albert Miller
4370 W Main St |
$9.21 | 167 | 137 |
|
Alan Wesley Purvis
1450 Ross Clark Cir Ste 400 |
$12.38 | 160 | 145 |
|
James C Jones
1108 Ross Clark Cir |
$10.59 | 98 | 84 |
|
Tori Christian Harrison
364 Honeysuckle Rd |
$6.78 | 69 | 66 |
|
Alishia Christine Moran
1108 Ross Clark Cir |
$11.23 | 66 | 51 |
|
Tony Downing Gabrielson
1891 Honeysuckle Rd |
$8.71 | 65 | 57 |
|
Allison Elizabeth Walker
126 Clinic Dr |
$19.50 | 64 | 64 |
|
Jennifer Muraski
5565 Montgomery Hwy |
$6.30 | 40 | 39 |
|
Karen Elizabeth Wakefield
126 Clinic Dr |
$18.62 | 33 | 32 |
|
Terry Dean Day
2431 West Main Street |
$9.57 | 31 | 28 |
|
Elizabeth Amy Marshall
126 Clinic Dr |
$19.20 | 29 | 29 |
|
Brian Reynolds Sinclair
1450 Ross Clark Cir Ste 400 |
$9.18 | 26 | 26 |
|
Angela S Blaxton
364 Honeysuckle Rd |
$12.21 | 14 | 13 |
|
Micheal S Shivers
1108 Ross Clark Cir |
$12.36 | 12 | 12 |
|
Ted A Williams
364 Honeysuckle Rd |
$8.25 | 12 | 12 |
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 Dothan, AL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Pulmonary Function Test in Dothan, AL is $17.10 per claim, based on 11,697 claims from 27 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 Dothan, AL?
There are 27 Medicaid providers offering Pulmonary Function Test related services in Dothan, AL according to public payment data.
What is the price range for Pulmonary Function Test in Dothan, AL?
Medicaid reimbursement for Pulmonary Function Test in Dothan, AL ranges from $6.30 to $32.09 per claim, with an average of $17.10. Private insurance and self-pay costs are typically higher than these Medicaid rates.
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