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Out-of-Pocket Spending for Ambulatory Physical Therapy Services From 2008 to 2012: National Panel Survey

Julia Chevan, Daniel L. Riddle, Shelby D. Reed
DOI: 10.2522/ptj.20150018 Published 1 December 2015
Julia Chevan
J. Chevan, PT, PhD, MPH, OCS, Department of Physical Therapy, Springfield College, 263 Alden St, Springfield, MA 01109 (USA).
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Daniel L. Riddle
D.L. Riddle, PT, PhD, FAPTA, Department of Physical Therapy, Virginia Commonwealth University, Richmond, Virginia.
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Shelby D. Reed
S.D. Reed, PhD, Duke Clinical Research Institute, Duke University School of Medicine, Durham, North Carolina.
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Figures

Figure 1.
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Figure 1.

Sample construction and composition from Medical Expenditure Panel Survey (MEPS) public use files to a single analytic file. PT=physical therapy.

Figure 2.
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Figure 2.

Distribution of out-of-pocket expenditures for episodes of physical therapy (PT) 2008–2012. The first column represents all episodes with an out-of-pocket expenditure, and the second column represents all the out-of-pocket expenditures made for PT episodes of care. The shading shows proportionally how the episodes correspond to a share of the total out-of-pocket expenditures made for episodes of PT. For example, 1% of the PT episodes correspond to 14.6% of the total expenditures, and this 1% has a mean per episode expenditure of $5,246 and expenditure per visit of $304.

Tables

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Table 1.

Sample Characteristics and Expenditures for an Episode of Physical Therapya

  • ↵a MSA=metropolitan statistical area, CI=confidence interval.

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Table 2.

Characteristics of Episodes of Care With OOP Expendituresa

  • ↵a OOP=out-of-pocket, MSA=metropolitan statistical area, CI=confidence interval.

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Table 3.

Factors Associated With OOP Expenditures for an Episode of Physical Therapya

  • ↵a OOP=out-of-pocket, MSA=metropolitan statistical area, CI=confidence interval, Ref=reference.

  • b n=53,004,787 weighted episodes.

  • c n=28,451,157 weighted episodes with OOP expenditure.

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Vol 95 Issue 12 Table of Contents
Physical Therapy: 95 (12)

Issue highlights

  • Physical Activity and Sedentary Behavior in Children With Cerebral Palsy
  • Whole-Body Vibration in Stroke
  • Implementing Quality Improvement for Higher-Value Low Back Pain Care
  • Role of Health Services Research
  • Risk Adjustment for Lumbar Dysfunction
  • Out-of-Pocket Spending for Ambulatory Services: National Panel Survey
  • Physical Therapy for Medicaid Enrollees
  • Association of Rehabilitation Intensity and Risk of Hospital Readmission
  • CMS G-Code Functional Limitation Severity Modifiers
  • Refinements of Medicare Outpatient Therapy
  • Self-Reported Disability in Older Adults
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Out-of-Pocket Spending for Ambulatory Physical Therapy Services From 2008 to 2012: National Panel Survey
Julia Chevan, Daniel L. Riddle, Shelby D. Reed
Physical Therapy Dec 2015, 95 (12) 1680-1691; DOI: 10.2522/ptj.20150018

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Out-of-Pocket Spending for Ambulatory Physical Therapy Services From 2008 to 2012: National Panel Survey
Julia Chevan, Daniel L. Riddle, Shelby D. Reed
Physical Therapy Dec 2015, 95 (12) 1680-1691; DOI: 10.2522/ptj.20150018
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Subjects

  • Special Series and Special Issues
    • Health Services Research Special Series
  • Physical Therapist Practice
    • Professional Issues
  • Health Services Research
  • Health Policy & Administration
    • Health Care System
    • Economics

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