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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