Average Medicaid Pulmonary Function Test Payments in Passaic, NJ: $25.96
Avg. Paid
$25.96
Range
$1.27 – $49.00
Total Claims
15,638
Providers
23
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 Passaic, NJ
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Nelson R Pichardo
80 Passaic Ave |
$24.02 | 5,321 | 5,206 |
|
Prime Healthcare Services - St. Mary'S Passaic Llc
350 Boulevard |
$49.00 | 3,505 | 3,013 |
|
Raul Almanzar
913 Main Ave |
$18.33 | 1,238 | 1,161 |
|
Yassel Marie Legoff
913 Main Ave |
$12.80 | 942 | 904 |
|
Mario Mico
913 Main Ave |
$16.72 | 823 | 760 |
|
Angel Ferrer
913 Main Ave |
$14.11 | 623 | 601 |
|
Carlos Alberto Tejeda
916 Main Ave |
$25.42 | 607 | 556 |
|
Milan D Patel
350 Boulevard |
$7.85 | 497 | 493 |
|
Evelyn Ventura
913 Main Ave |
$20.60 | 304 | 286 |
|
Vanessa D Montanez
298 Passaic Street |
$14.41 | 256 | 249 |
|
Antonio Camilo
80 Passaic Ave |
$16.86 | 247 | 243 |
|
Yocasta Fernandez
287 Monroe St |
$12.35 | 234 | 219 |
|
James V Abraham
124 Gregory Ave |
$1.27 | 222 | 218 |
|
Holanda P Bravo
913 Main Ave |
$16.12 | 207 | 200 |
|
Judelka Japa Camilo
80 Passaic Avenue |
$10.88 | 174 | 165 |
|
Karen Giraldo
913 Main Ave |
$8.52 | 86 | 78 |
|
Jessica Rosales
913 Main Ave |
$9.34 | 75 | 74 |
|
Kimberly Sanchez-Aguayo
913 Main Ave |
$16.87 | 72 | 63 |
|
Ryan Murray
80 Passaic Ave |
$22.02 | 57 | 54 |
|
Ennid Xiomara Gonzalez
913 Main Ave |
$21.01 | 47 | 46 |
|
Elizabeth Reyes
913 Main Avenue |
$26.43 | 42 | 40 |
|
Anuj Raju Shah
293 Passaic St |
$31.17 | 36 | 36 |
|
Crystabel Polanco
63 Central Ave |
$7.72 | 23 | 20 |
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 Passaic, NJ?
Based on public Medicaid payment data, the average Medicaid reimbursement for Pulmonary Function Test in Passaic, NJ is $25.96 per claim, based on 15,638 claims from 23 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 Passaic, NJ?
There are 23 Medicaid providers offering Pulmonary Function Test related services in Passaic, NJ according to public payment data.
What is the price range for Pulmonary Function Test in Passaic, NJ?
Medicaid reimbursement for Pulmonary Function Test in Passaic, NJ ranges from $1.27 to $49.00 per claim, with an average of $25.96. Private insurance and self-pay costs are typically higher than these Medicaid rates.
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