Average Medicaid Pulmonary Function Test Payments in Elmhurst, NY: $32.25
Avg. Paid
$32.25
Range
$1.03 – $47.27
Total Claims
124,518
Providers
25
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 Elmhurst, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Edgar A Flores-Castillo
4053 75Th St |
$4.93 | 12 | 12 |
|
Angel Aguilera
87-08 Justice Ave |
$13.73 | 13 | 12 |
|
Louella M Miranda
88-31 55Th Avenue |
$10.43 | 25 | 25 |
|
Malik Megjhani
8301 Grand Avenue |
$19.74 | 40 | 39 |
|
Mb Medical Associates Pc
8708 Justice Ave |
$34.92 | 40 | 40 |
|
Hertzel K Sure
94-25 60Th Avenue |
$18.06 | 48 | 40 |
|
Joshpaul Jolly
7901 Broadway |
$44.64 | 65 | 65 |
|
Elizabeth Awerbuch
7901 Broadway |
$4.76 | 73 | 73 |
|
Terence M. Mcgarry
7901 Broadway |
$4.18 | 177 | 177 |
|
Martin E. Warshawsky
7901 Broadway |
$3.39 | 185 | 185 |
|
Vxl Medical Care Pc
8812 Queens Blvd Ste 1 |
$37.24 | 292 | 284 |
|
Queens Medical Office, P.C.
4046 74Th St |
$1.03 | 324 | 324 |
|
Karen T Lee
8324 Cornish Ave |
$35.94 | 346 | 344 |
|
Yili Huang
8118 Broadway |
$19.68 | 384 | 364 |
|
Alain A Sosa
4008 Forley Street |
$26.54 | 612 | 605 |
|
Qinghong Huang
9071 54Th Ave |
$42.06 | 710 | 708 |
|
Xiaorong He
8701 Justice Ave |
$19.79 | 937 | 934 |
|
Lu Cai
8425 Elmhurst Ave |
$28.97 | 948 | 943 |
|
Jagat M Rawal
9204 Corona Ave |
$45.97 | 1,751 | 1,747 |
|
Annette Perea
4008 Forley St |
$27.93 | 1,948 | 1,908 |
|
New York City Health And Hospitals Corporation
79-01 Broadway |
$47.27 | 4,870 | 4,612 |
|
Marco Antonio Garcia
40-35 95Th Street |
$17.08 | 7,458 | 7,442 |
|
Harold Weissman Md Pc
5910 Junction Blvd |
$32.37 | 15,217 | 15,124 |
|
Aslam Aziz Jivani
8812 Queens Blvd Ste 1 |
$32.82 | 38,322 | 37,650 |
|
Audrey Michelle Weissman
5910 Junction Blvd |
$33.01 | 49,721 | 49,322 |
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 Elmhurst, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Pulmonary Function Test in Elmhurst, NY is $32.25 per claim, based on 124,518 claims from 25 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 Elmhurst, NY?
There are 25 Medicaid providers offering Pulmonary Function Test related services in Elmhurst, NY according to public payment data.
What is the price range for Pulmonary Function Test in Elmhurst, NY?
Medicaid reimbursement for Pulmonary Function Test in Elmhurst, NY ranges from $1.03 to $47.27 per claim, with an average of $32.25. Private insurance and self-pay costs are typically higher than these Medicaid rates.
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