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Table 6 Spending and Utilization for 18-Month Lower Extremity Prosthetic 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 update

n = 428 Matched pairs

n = 545 Matched pairs

Study

Comparison

Difference

Study

Comparison

Difference

Physician

$7792

$11,883

-$4092*

$8270

$9920

-$1649

DME

$18,653

$2537

$16,116*

$15,323

$5018

$10,305*

 Prosthetics Only: L5000 - L5999

$9694

$1782

$7912*

Acute Care Hospital / Other Inpatient

$18,080

$28,276

-$10196*

$15,529

$19,851

-$4321*

Long Term Care Hospital

$1408

$4102

-$2694**

$1445

$4017

-$2571*

Inpatient Rehabilitation Facility (IRF)

$2603

$2000

$603**

$3476

$3415

$61

Outpatient

$9373

$7291

$2082*

$8601

$8649

-$49

Skilled Nursing Facility

$8386

$8821

-$435

$5783

$6630

-$847

Home Health

$6181

$5692

$489

$5049

$4764

$285

Hospice

$715

$1572

-$857**

$104

$825

-$721*

Total Part D Drug Spending

$5297

$5806

-$508

Total

$73,191

$72,175

$1015

$68,877

$68,893

-$16

Average number of therapy visits

56.10

28.90

27.20*

26.86

17.97

8.89*

Average number of fractures and falls

0.90

0.72

0.18

0.46

0.41

0.05

Average number of inpatient admissions

1.18

1.51

−0.33

1.23

1.54

−0.31*

 Length of stay for inpatient admissions (days)

7.53

11.44

−3.91*

Average number of emergency room admissions

1.55

2.10

−0.55*

2.14

2.03

0.11

Average number of IRF admissions

0.17

0.14

0.02

 Length of stay for IRF admissions (days)

1.61

1.19

0.42

2.16

2.10

0.07

  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