Average Medicaid Pulmonary Function Test Payments in Stockton, CA: $25.64
Avg. Paid
$25.64
Range
$0.47 – $58.20
Total Claims
41,429
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 Stockton, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Port City Operating Company, Llc
1800 N California St |
$7.06 | 11,913 | 10,814 |
|
George Wm. Bensch
4628 Georgetown Pl |
$48.13 | 7,699 | 7,491 |
|
Rami Georgies
8001 Lorraine Ave |
$11.41 | 6,204 | 5,238 |
|
Gregory William Bensch
4628 Georgetown Pl |
$42.56 | 4,157 | 4,066 |
|
Dameron Hospital Association
525 W Acacia St |
$26.31 | 3,618 | 3,089 |
|
Michael Christopher Balduzzi
4628 Georgetown Pl |
$46.87 | 1,925 | 1,885 |
|
Sanjeev Kumar Goswami
1801 E March Lane |
$50.32 | 1,785 | 1,748 |
|
Cesar Cosme Pabustan
2349 N California St |
$19.41 | 1,207 | 963 |
|
Karishma Parekh
2545 W Hammer Ln |
$4.43 | 640 | 572 |
|
James Dale Williamson
7707 Austin Rd |
$35.10 | 583 | 547 |
|
Taymour Edward Malak
2800 N California St Ste 11 |
$10.00 | 359 | 316 |
|
John Lawrence Depolo
1801 E March Ln |
$11.91 | 259 | 259 |
|
Jeffrey Daniel Balduzzi
4628 Georgetown Pl |
$35.97 | 259 | 248 |
|
Mandeep Singh
1801 E March Ln |
$31.48 | 208 | 208 |
|
Permanente Medical Group Inc
7373 West Lane |
$0.47 | 189 | 189 |
|
Loui Abdelghani
1801 E March Ln Ste C300 |
$35.98 | 134 | 134 |
|
Ramin Manshadi
2633 Pacific Avenue |
$43.86 | 113 | 110 |
|
Josebelo D Chong
1801 E March Ln |
$58.20 | 68 | 68 |
|
County Of San Joaquin
1414 N California St Suite A |
$16.08 | 37 | 33 |
|
Christopher Villanueva Doria
7373 West Ln |
$14.93 | 33 | 30 |
|
Benjamin Bartlett Morrison
701 E Channel St |
$12.03 | 14 | 13 |
|
Denise Louise Ammon
1800 N California St |
$10.91 | 13 | 13 |
|
Ernest R Almendarez
1800 No California Street |
$5.93 | 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 Stockton, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Pulmonary Function Test in Stockton, CA is $25.64 per claim, based on 41,429 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 Stockton, CA?
There are 23 Medicaid providers offering Pulmonary Function Test related services in Stockton, CA according to public payment data.
What is the price range for Pulmonary Function Test in Stockton, CA?
Medicaid reimbursement for Pulmonary Function Test in Stockton, CA ranges from $0.47 to $58.20 per claim, with an average of $25.64. Private insurance and self-pay costs are typically higher than these Medicaid rates.
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