Average Medicaid Wound Care Payments in Erie, PA: $17.06
Avg. Paid
$17.06
Range
$1.33 – $23.47
Total Claims
2,388
Providers
5
Typical Payment Range
Typical Medicaid Wound Care payments fall between $11.27 and $42.99 per claim (median: $20.79). The top 10% of payments exceed $80.98.
Based on per-provider averages across all Medicaid claims in this category.
Professional wound care services for chronic and complex wounds, including debridement, dressing changes, and negative pressure wound therapy.
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 Wound Care in Erie, PA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Linda V. Larochel
311 W 24Th St |
$1.33 | 169 | 87 |
|
James W Lane
232 W 25Th St |
$23.20 | 173 | 93 |
|
Steven Habusta
2625 Parade St |
$15.85 | 247 | 128 |
|
Wayne T Jones
232 W 25Th St Ste F01030 |
$23.47 | 426 | 218 |
|
Samuel W Zerkle
201 State St |
$16.44 | 1,373 | 978 |
What to Expect: Wound Care
Wound care visits typically last 30-60 minutes. The provider examines the wound, measures it, removes dead tissue if needed (debridement), applies appropriate dressings, and may use specialized therapies. Visit frequency depends on wound severity — from daily to weekly. You'll receive instructions for wound care at home between visits.
Cost Components
National average Medicaid payment per billing code. Individual rates vary by provider and state.
| Code | Description | Avg. Paid | Claims | Providers |
|---|---|---|---|---|
| 97597 | Debridement wound selective | $47.15 | 1,386,969 | 2,396 |
| 97602 | Wound care non-selective | $66.92 | 254,704 | 266 |
| 97598 | Debridement wound select addl | $94.94 | 31,803 | 71 |
| 97606 | Negative pressure wound tx lg | $199.01 | 4,823 | 1 |
| 97605 | Negative pressure wound tx sm | $43.36 | 3,865 | 23 |
| 97607 | Neg pressure wound tx <50 cm2 | $20.22 | 2,900 | 8 |
| 97608 | Neg pressure wound tx >50 cm2 | — | — | — |
These are national Medicaid averages for each billing code. Actual amounts vary by state, provider, and complexity.
Frequently Asked Questions
How much does a Wound Care cost in Erie, PA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Wound Care in Erie, PA is $17.06 per claim, based on 2,388 claims from 5 providers. Typical payments fall between $11.27 and $42.99. Note: Medicaid rates are typically much lower than private insurance or self-pay prices.
How many providers offer Wound Care in Erie, PA?
There are 5 Medicaid providers offering Wound Care related services in Erie, PA according to public payment data.
What is the price range for Wound Care in Erie, PA?
Medicaid reimbursement for Wound Care in Erie, PA ranges from $1.33 to $23.47 per claim, with an average of $17.06. Private insurance and self-pay costs are typically higher than these Medicaid rates.
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Other Procedures in Erie, PA
Blood Work & Lab Tests
Avg $9.83
855,307 claims
Office Visit
Avg $43.85
611,163 claims
Emergency Room Visit
Avg $80.44
582,207 claims
Case Management Services
Avg $120.40
236,326 claims
Urinalysis & Urine Tests
Avg $4.44
180,798 claims
EKG / ECG (Electrocardiogram)
Avg $6.90
152,614 claims
Physical Therapy
Avg $56.32
146,678 claims
X-Ray
Avg $9.19
101,434 claims