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Table 5 Spending and Utilization for 18-Month Spinal 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

  2007–2010 analysis 2011–2014 analysis update
n = 6247 Matched pairs n = 34,575 Matched pairs
Care setting Study Comparison Difference Study Comparison Difference
Physician $7907 $7439 $468* $6291 $6570 -$279*
DME $2605 $1288 $1317* $722 $621 $101*
Acute Care Hospital / Other inpatient $11,373 $11,830 -$457 $5913 $6294 -$381*
Long Term Care Hospital $517 $837 -$320** $190 $269 -$79*
Inpatient Rehabilitation Facility (IRF) $990 $1188 -$198** $433 $341 $92*
Outpatient $3786 $4120 -$334 $2734 $3294 -$559*
Skilled Nursing Facility $2188 $3175 -$987* $1234 $1281 -$47*
Home Health $2802 $2388 $414* $1100 $901 $199*
Hospice $431 $426 $5** $234 $534 -$300*
Total Part D Drug Spending $4709 $5550 -$840*
Total $32,598 $32,691 -$93 $23,560 $25,655 -$2094*
Average number of therapy visits 14.95 12.91 2.04 6.14 2.06 4.08*
Average number of fractures and falls 2.05 1.56 0.50* 0.32 0.32 0.00
Average number of inpatient admissions 0.40 0.68 −0.28*
 Length of Stay for inpatient admissions (days) 1.84 3.53 −1.69*
Average number of emergency room admissions 1.35 1.32 0.03 0.81 1.03 −0.23*
Average number of IRF Admissions 0.02 0.03 −0.01*
 Length of Stay for IRF Admissions (days) 0.62 0.68 −0.06 0.24 0.32 −0.07*
12-Month Mortality Rate 0.00 0.01 −0.01*
  1. * Difference is significant at α = 0.05
  2. ** The difference in spending between the study and comparison groups for IRF, LTCH, Other Inpatient and Hospice settings combined was significant at α = 0.05
  3. 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