Average Medicaid Pulmonary Function Test Payments in Milwaukee, WI: $31.74
Avg. Paid
$31.74
Range
$0.00 – $172.39
Total Claims
271,694
Providers
80
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 Milwaukee, WI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Aurora Health Care Metro, Inc.
2900 W Oklahoma Ave |
$35.15 | 80,104 | 48,709 |
|
Children'S Hospital Of Wisconsin, Inc.
9000 W Wisconsin Ave |
$46.92 | 52,075 | 42,458 |
|
Froedtert Memorial Lutheran Hospital, Inc.
9200 W Wisconsin Ave |
$22.55 | 34,682 | 25,596 |
|
Ascension Se Wisconsin Hospital, Inc
5000 W Chambers St |
$38.55 | 32,011 | 26,034 |
|
Columbia St. Mary'S Hospital Milwaukee, Inc.
2323 N Lake Dr |
$29.59 | 18,257 | 12,660 |
|
Ascension St Francis Hospital, Inc
3237 S 16Th St |
$31.12 | 11,484 | 9,790 |
|
Randolph Lipchik
9200 W Wisconsin Ave |
$5.52 | 10,537 | 9,665 |
|
Mouhammed Rihawi
2801 W Kinnickinnic River Pkwy |
$11.73 | 9,911 | 8,171 |
|
Raed A Hamed
8500 W Capitol Dr |
$5.47 | 3,323 | 3,042 |
|
Leslie M Gimenez
9000 W Wisconsin Ave |
$10.64 | 1,294 | 1,244 |
|
Anatoliy Velikodanov
5300 W Villard Ave |
$25.67 | 1,127 | 882 |
|
Juan P Ruiz
9000 W Wisconsin Ave |
$11.08 | 1,047 | 1,015 |
|
Michael N Katzoff
3237 S 16Th St |
$22.69 | 1,020 | 888 |
|
Heidi Zafra
9000 W Wisconsin Ave |
$11.42 | 991 | 951 |
|
Maureen K Hanson
9000 W Wisconsin Ave |
$12.02 | 959 | 921 |
|
Valerie Jean Bonne
9200 W Wisconsin Ave |
$5.59 | 821 | 755 |
|
Emad Botros
2311 N Prospect Ave |
$5.22 | 710 | 648 |
|
Matthew T Tallar
9000 W Wisconsin Ave |
$11.36 | 671 | 636 |
|
Jennifer Hauf
9000 W Wisconsin Ave |
$10.58 | 664 | 636 |
|
Lisa A Crandall
9000 W Wisconsin Ave |
$11.81 | 664 | 644 |
|
Maqbool Arshad
3237 S 16Th St Ste 200 |
$8.58 | 630 | 569 |
|
Jennifer Henningfeld
9000 W Wisconsin Ave |
$10.71 | 626 | 606 |
|
Barry Joel Pelz
9000 W Wisconsin Ave |
$11.09 | 624 | 600 |
|
Julie E. Noe
9000 W Wisconsin Ave |
$10.04 | 613 | 575 |
|
Becky J Buelow
9000 W Wisconsin Ave |
$11.18 | 552 | 527 |
|
Anne M. Lent
2350 N Lake Dr |
$29.87 | 537 | 474 |
|
Joshua Andrew Steinberg
9000 W Wisconsin Ave |
$11.07 | 530 | 503 |
|
Lynn N Abad-Santos
9000 W Wisconsin Ave |
$11.39 | 489 | 472 |
|
Dima Adl
2350 N Lake Drive |
$5.53 | 405 | 371 |
|
Asriani M Chiu
9000 W Wisconsin Ave |
$10.15 | 307 | 295 |
|
Tirsa M Ferrer Marrero
9200 W Wisconsin Ave |
$7.48 | 291 | 276 |
|
Ascension Wisconsin Emerus Menomonee Falls, Llc
4935 S 76Th St Ste 100 |
$0.00 | 284 | 233 |
|
Tara A Rakowski
3003 W Good Hope Rd |
$10.02 | 280 | 248 |
|
Sara Dawson
9000 W Wisconsin Ave |
$10.40 | 262 | 258 |
|
Nicholas J Antos
9000 W Wisconsin Ave |
$9.93 | 235 | 220 |
|
Mariana Rincon
1032 S Cesar E Chavez Dr |
$11.12 | 170 | 151 |
|
Abbas Ali
7733 W Burleigh St |
$6.57 | 170 | 144 |
|
Sara A. Lowe
9000 W Wisconsin Ave |
$11.03 | 168 | 160 |
|
Dinesh Jethu Belani
2900 W Oklahoma Ave |
$5.22 | 160 | 145 |
|
Ali Imran Musani
9200 W Wisconsin Ave |
$13.55 | 157 | 150 |
|
James Jin
9200 W Wisconsin Ave |
$172.39 | 157 | 109 |
|
Daniel Mielnicki
9200 W Wisconsin Ave |
$8.69 | 118 | 91 |
|
Rita Gnyawali
4267 W Fond Du Lac Ave |
$11.57 | 118 | 104 |
|
David A Rein
180 W Grange Ave |
$4.13 | 101 | 97 |
|
Erika J Rouleau
9000 W Wisconsin Ave |
$10.60 | 100 | 95 |
|
Linus John H. Santo Tomas
9200 W Wisconsin Ave |
$6.32 | 97 | 95 |
|
Hari Prasada Rao Bandla
9000 W Wisconsin Ave |
$10.89 | 82 | 81 |
|
Elizabeth A Flasch
9000 W Wisconsin Ave |
$11.53 | 82 | 80 |
|
Lynn A D Andrea
9000 W Wisconsin Ave |
$10.57 | 81 | 81 |
|
Marcos Martin De La Cruz
2906 S 20Th St |
$14.99 | 58 | 57 |
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 Milwaukee, WI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Pulmonary Function Test in Milwaukee, WI is $31.74 per claim, based on 271,694 claims from 80 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 Milwaukee, WI?
There are 80 Medicaid providers offering Pulmonary Function Test related services in Milwaukee, WI according to public payment data.
What is the price range for Pulmonary Function Test in Milwaukee, WI?
Medicaid reimbursement for Pulmonary Function Test in Milwaukee, WI ranges from $0.00 to $172.39 per claim, with an average of $31.74. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Pulmonary Function Test in Other Cities
Brooklyn, NY
Avg $23.88
467,812 claims · 307 providers
Fresno, CA
Avg $9.79
368,205 claims · 95 providers
New York, NY
Avg $26.86
328,938 claims · 255 providers
Bronx, NY
Avg $23.40
241,250 claims · 156 providers
Phoenix, AZ
Avg $43.01
234,885 claims · 209 providers
Los Angeles, CA
Avg $28.44
186,761 claims · 157 providers
Detroit, MI
Avg $11.67
181,938 claims · 75 providers
New Haven, CT
Avg $13.65
177,307 claims · 60 providers
Other Procedures in Milwaukee, WI
Blood Work & Lab Tests
Avg $12.08
6,063,751 claims
Office Visit
Avg $50.47
5,280,772 claims
Emergency Room Visit
Avg $64.11
3,433,334 claims
Behavioral & Mental Health Therapy
Avg $97.09
2,167,359 claims
Case Management Services
Avg $88.79
1,899,271 claims
X-Ray
Avg $5.82
1,618,246 claims
Physical Therapy
Avg $31.00
1,562,867 claims
Urinalysis & Urine Tests
Avg $7.57
1,368,239 claims