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Table 4 Spending and Utilization for 18-Month Lower Extremity Orthotic Episode (2007–2010 and 2011–2014)

From: Economic value of orthotic and prosthetic services among medicare beneficiaries: a claims-based retrospective cohort study, 2011–2014

Care setting 2007–2010 analysis 2011–2014 analysis
n = 34,864 Matched pairs n = 43,487 Matched pairs
Study Comparison Difference Study Comparison Difference
Physician $6482 $7171 -$688 * $5629 $6078 -$449 *
DME $2002 $966 $1036 * $763 $602 $162 *
Acute Care Hospital / Other inpatient $8392 $10,828 -$2436 * $5640 $6212 -$572 *
Long Term Care Hospital $366 $639 -$273 * $239 $294 -$55
Inpatient Rehabilitation Facility (IRF) $1178 $924 $255 * $641 $378 $262 *
Outpatient $3552 $3752 -$199 * $2778 $3127 -$349 *
Skilled Nursing Facility $2415 $3180 -$765 * $1619 $1504 $115 *
Home health $2231 $1912 $320 * $1187 $908 $279 *
Hospice $388 $556 -$168 * $319 $607 -$288 *
Total Part D Drug Spending $3920 $4964 -$1044 *
Total $27,007 $29,927 -$2920 * $22,734 $24,673 -$1939 *
Number of therapy visits 17.36 12.10 5.26 * 12.53 4.93 7.60 *
Number of fractures and falls 1.45 1.52 −0.07 0.38 0.48 −0.10 *
Number of inpatient admissions 0.52 0.87 −0.35 *
 Length of stay for inpatient admissions (days) 2.64 4.77 −2.14 *
Number of emergency room admissions 1.08 1.20 −0.12 * 0.83 1.22 −0.39 *
Number of IRF admissions 0.03 0.04 0.00 *
 Length of stay for IRF admissions (days) 0.72 0.52 0.20 * 0.42 0.47 −0.05 *
12-Month mortality rate 0.00 0.01 −0.01 *
  1. * Difference is significant at α = 0.05
  2. Source: Dobson | DaVanzo analysis of custom cohort Standard Analytic Files (2007–2010 and 2011–2014) for Medicare beneficiaries who received O&P services from January 1, 2008 through June 30, 2009 or January 1, 2012 through June 30, 2013 (and matched comparisons), according to custom cohort database definition