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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