Average Medicaid Pulmonary Function Test Payments in West Palm Beach, FL: $12.42
Avg. Paid
$12.42
Range
$0.00 – $168.52
Total Claims
10,942
Providers
17
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 West Palm Beach, FL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Clive E Roberson
1411 N Flagler Dr |
$25.04 | 4,304 | 3,594 |
|
Grisell Caridad Diaz Devillegas
2135 S Congress Ave |
$0.55 | 2,208 | 1,929 |
|
Gervasio Sanchez
1840 Forest Hill Blvd |
$0.75 | 1,599 | 1,537 |
|
Griselda Grullon
4913 S Dixie Hwy |
$4.49 | 1,171 | 1,094 |
|
Alfonso J Henriquez
2640 Forest Hill Blvd |
$8.22 | 554 | 514 |
|
Nisha Broodie
5867 Okeechobee Blvd |
$4.72 | 311 | 310 |
|
William F Tuer
1411 N Flagler Dr |
$25.83 | 244 | 232 |
|
Paula Andrea Echeverri Palma
2151 N Congress Ave Ste 107 |
$22.37 | 161 | 135 |
|
Carlos Fermin Viera Santos
1840 Forest Hill Blvd |
$0.77 | 101 | 89 |
|
Rafael O Nunez
3255 Forest Hill Blvd |
$8.30 | 98 | 91 |
|
Raul Molina
2007 Palm Beach Lakes Blvd |
$0.00 | 64 | 57 |
|
Heidi Cohen
901 45Th St |
$14.11 | 38 | 37 |
|
Joseph Averbach
1309 N Flagler Dr |
$0.00 | 28 | 24 |
|
Yousef F Khouri
2939 N Military Trl |
$2.70 | 18 | 17 |
|
Cyril A. Morello
266 Granada Rd |
$168.52 | 18 | 17 |
|
Jean Yvenet Monice
1825 Forest Hill Blvd |
$4.33 | 13 | 13 |
|
Md Now Medical Centers Inc
2007 Palm Beach Lakes Blvd |
$0.85 | 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 West Palm Beach, FL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Pulmonary Function Test in West Palm Beach, FL is $12.42 per claim, based on 10,942 claims from 17 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 West Palm Beach, FL?
There are 17 Medicaid providers offering Pulmonary Function Test related services in West Palm Beach, FL according to public payment data.
What is the price range for Pulmonary Function Test in West Palm Beach, FL?
Medicaid reimbursement for Pulmonary Function Test in West Palm Beach, FL ranges from $0.00 to $168.52 per claim, with an average of $12.42. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Pulmonary Function Test in Other Cities
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Avg $23.88
467,812 claims · 307 providers
Fresno, CA
Avg $9.79
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New York, NY
Avg $26.86
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Los Angeles, CA
Avg $28.44
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Avg $11.67
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