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NPI 1962439232 · Yorkville, TN · Durable Medical Equipment & Medical Supplies
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Wound Care Resources, Inc is a durable medical equipment & medical supplies provider located in Yorkville, Tennessee. This profile covers 2 Medicare and 15 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Organization |
| Organization | Wound Care Resources, Inc |
| Address | 4 Newbern Hwy |
| City | Yorkville |
| State | TN |
| ZIP | 38389 |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| NPI Enumerated | June 26, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $13.2M |
| Medicare | $4.9M |
WOUND CARE RESOURCES, INC operates squarely in the Durable Medical Equipment & Medical Supplies space and its paid codes indicate a mix of specialized implanted device accessories and general DME/wound-care products. Its Medicare activity is dominated by ventricular assist device accessory codes Q0508 and Q0509, while Medicaid activity is dominated by the catch-all DME code E1399 plus Q0508, suggesting the provider supplies both specialty VAD-associated items and high-volume miscellaneous DME/wound-care supplies to beneficiaries.
Medicare revenue is highly concentrated: the provider’s top 3 Medicare codes account for 100.0% of its Medicare revenue, with Q0508 reporting $3M (60.5% of Medicare revenue) and Q0509 reporting $2M (39.5% of Medicare revenue). This indicates the provider’s entire Medicare book is driven by a narrow set of VAD-related supply codes rather than a broad DME mix.
Medicaid revenue is similarly concentrated, with the top 3 Medicaid codes accounting for 98.1% of Medicaid revenue. E1399 alone accounts for $7.9M (60.1% of Medicaid revenue) and Q0508 contributes $4.7M (35.7% of Medicaid revenue), indicating that a small set of codes drives nearly all Medicaid receipts for this entity.
The provider’s payer mix is skewed toward Medicaid by scale: reported Medicaid revenue is $13.2M compared with Medicare revenue of $4.9M, making Medicaid the larger single source of billed revenue. From a business planning perspective, this makes the organization effectively Medicaid-dominant and exposed to state-level policy or reimbursement changes affecting E1399 and related DME lines.
Nationally for Medicare, the provider shows a modest competitive footprint on its VAD codes: Q0509 ranks #2 of 6 providers nationally (80th percentile), indicating a relatively strong position for that code, while Q0508 ranks #4 of 8 (57th percentile), which is an unremarkable/typical national volume. This pattern suggests the provider is not a dominant national supplier overall but has above-typical presence on at least one Medicare VAD code.
In-state competitive standing on Medicaid is notably strong and in places unique: E1399 ranks #2 of 64 in-state (98th percentile; extreme outlier), signaling an outlier volume for miscellaneous DME in the state. Q0508 and Q0509 each rank #1 of 1 in-state (0th percentile with no peer volume comparison available), meaning this provider appears to be the sole state reporter for those VAD accessory codes and faces no direct in-state peer volume for those lines.
Average paid-per-claim figures show high unit payment levels for the provider’s top items: Medicare Q0508 and Q0509 report average paid/claim of $1181 and $1270 respectively, while Medicaid E1399 shows $1238 avg paid/claim and Medicaid Q0508 shows $636 avg paid/claim. These per-claim payments suggest the organization’s revenue is driven by relatively high-dollar DME items rather than large volumes of low-cost consumables.
The provider has established tenure, with NPI enumeration on 2006-06-26 (~20 years ago), which combined with its concentrated code mix and extreme in-state standing on E1399 suggests a long-standing, focused DME/wound-care supplier that has developed significant state-level market share in a narrow set of high-revenue codes. This longevity paired with concentration increases sensitivity to changes in reimbursement or coverage for those specific codes.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
2 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| Q0508 | Miscellaneous supply or accessory for use with an implanted ventricular assist device | 2,530 | $1,180 | $3M |
| Q0509 | Miscellaneous supply or accessory for use with any implanted ventricular assist device for which payment was not made under medicare part a | 1,540 | $1,270 | $2M |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 2 CPT/HCPCS codes.
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
15 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| E1399 | Durable medical equipment, miscellaneous | 6,400 | $1,240 | $7.9M |
| Q0508 | Miscellaneous supply or accessory for use with an implanted ventricular assist device | 7,410 | $640 | $4.7M |
| Q0509 | Miscellaneous supply or accessory for use with any implanted ventricular assist device for which payment was not made under medicare part a | 2,350 | $130 | $293.5K |
| A4649 | Surgical supply; miscellaneous | 620 | $370 | $229K |
| A6222 | Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing | 540 | $30 | $14K |
| A6446 | Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard | 150 | $20 | $2.6K |
| A6266 | Gauze, impregnated, other than water, normal saline, or zinc paste, sterile, any width, per linear yard | 150 | $20 | $2.6K |
| A4326 | Male external catheter with integral collection chamber, any type, each | 50 | $40 | $2.3K |
| A6449 | Light compression bandage, elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard | 110 | $20 | $1.7K |
| A4452 | Tape, waterproof, per 18 square inches | 90 | $20 | $1.5K |
Showing 1–10 of 15
How this provider's Medicaid billing volume and revenue compare to other Tennessee providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Tennessee median
15 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| Q0508 | Miscellaneous supply or accessory for use with an implanted ventricular assist device | 1 | 10 | 7,410 | $640 | $4.7M |
| Q0509 | Miscellaneous supply or accessory for use with any implanted ventricular assist device for which payment was not made under medicare part a | 1 | 10 | 2,350 | $120 | $292.9K |
| E1399 | Durable medical equipment, miscellaneous | 2 | 60 | 150 | $410 | $250.8K |
| A4649 | Surgical supply; miscellaneous | 1 | 10 | 190 | $270 | $76.4K |
| A6449 | Light compression bandage, elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard | 4 | 10 | 490 | $40 | $42.4K |
| A4927 | Gloves, non-sterile, per 100 | 16 | 20 | 1,590 | $10 | $28.4K |
| A6446 | Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard | 4 | 10 | 120 | $10 | $22.8K |
| A6222 | Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing | 3 | 10 | 340 | $20 | $17.2K |
| A6266 | Gauze, impregnated, other than water, normal saline, or zinc paste, sterile, any width, per linear yard | 2 | 10 | 150 | $50 | $11.8K |
| A4357 | Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each | 13 | 20 | 340 | $1 | $8.6K |
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