Average Medicaid Wound Care Payments in Fall River, MA: $16.03
Avg. Paid
$16.03
Range
$3.43 – $90.65
Total Claims
2,402
Providers
7
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 Fall River, MA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Daniel P Eardley
1030 President Ave |
$10.20 | 1,823 | 1,157 |
|
Southcoast Hospitals Group, Inc
363 Highland Ave |
$90.65 | 189 | 130 |
|
Crystal Lynn O'Connell
300 Hanover St |
$6.51 | 128 | 84 |
|
Gerald J Monchik
1030 President Ave |
$7.90 | 122 | 66 |
|
Wayne Christiansen
289 Pleasant St |
$5.80 | 100 | 70 |
|
Raymond B Khawand
851 Middle St |
$14.26 | 24 | 13 |
|
Jill Trelease
795 Middle St |
$3.43 | 16 | 12 |
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 Fall River, MA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Wound Care in Fall River, MA is $16.03 per claim, based on 2,402 claims from 7 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 Fall River, MA?
There are 7 Medicaid providers offering Wound Care related services in Fall River, MA according to public payment data.
What is the price range for Wound Care in Fall River, MA?
Medicaid reimbursement for Wound Care in Fall River, MA ranges from $3.43 to $90.65 per claim, with an average of $16.03. Private insurance and self-pay costs are typically higher than these Medicaid rates.
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Other Procedures in Fall River, MA
Substance Abuse Treatment
Avg $23.69
1,252,274 claims
Office Visit
Avg $45.39
1,119,590 claims
Blood Work & Lab Tests
Avg $7.34
865,376 claims
Psychiatric Evaluation
Avg $83.13
393,458 claims
Dental Cleaning & Exam
Avg $38.23
302,060 claims
Case Management Services
Avg $59.12
287,270 claims
Emergency Room Visit
Avg $127.54
256,274 claims
Ambulance Transport
Avg $80.01
235,782 claims