James M Whedon1, Matthew A Davis. 1. Health Services Research, The Dartmouth Institute for Health Policy and Clinical Practice, Lebanon, NH, USA. james.m.whedon@dartmouth.edu
Abstract
OBJECTIVE: The objective of this study was to examine the volume and rate of Medicare Part B claims for chiropractic spinal manipulation longitudinally from 1998 to 2004. METHODS: A descriptive retrospective analysis was performed on Medicare part B claims from 1998 to 2004 using the Medicare Part B Standard Analytical Variable Length File. Using a 5% random sample of Medicare part B claims, the total number of claims were determined for chiropractic spinal manipulation procedures, and the rate of chiropractic spinal manipulation procedures per 1000 beneficiaries. RESULTS: From 1998 through 2003, the number of chiropractic spinal manipulation claims increased by 38% (from 824,249 total claims in 1998 to 1,133,872 in 2003) followed by a 24% decline from 2003 to 2004. The rate of total chiropractic spinal manipulation claims rose 29% from 649 claims per 1000 beneficiaries per year in 1998 to a high of 839 claims per 1000 beneficiaries per year in 2003 and then declined by 25% to 632 claims per 1000 beneficiaries per year in 2004. CONCLUSION: Medicare Part B claims for chiropractic spinal manipulation increased significantly from 1998 to 2003 and then abruptly declined from 2003 to 2004. Estimates for 2004 are at variance with earlier published estimates.
OBJECTIVE: The objective of this study was to examine the volume and rate of Medicare Part B claims for chiropractic spinal manipulation longitudinally from 1998 to 2004. METHODS: A descriptive retrospective analysis was performed on Medicare part B claims from 1998 to 2004 using the Medicare Part B Standard Analytical Variable Length File. Using a 5% random sample of Medicare part B claims, the total number of claims were determined for chiropractic spinal manipulation procedures, and the rate of chiropractic spinal manipulation procedures per 1000 beneficiaries. RESULTS: From 1998 through 2003, the number of chiropractic spinal manipulation claims increased by 38% (from 824,249 total claims in 1998 to 1,133,872 in 2003) followed by a 24% decline from 2003 to 2004. The rate of total chiropractic spinal manipulation claims rose 29% from 649 claims per 1000 beneficiaries per year in 1998 to a high of 839 claims per 1000 beneficiaries per year in 2003 and then declined by 25% to 632 claims per 1000 beneficiaries per year in 2004. CONCLUSION: Medicare Part B claims for chiropractic spinal manipulation increased significantly from 1998 to 2003 and then abruptly declined from 2003 to 2004. Estimates for 2004 are at variance with earlier published estimates.
Authors: Brook I Martin; Richard A Deyo; Sohail K Mirza; Judith A Turner; Bryan A Comstock; William Hollingworth; Sean D Sullivan Journal: JAMA Date: 2008-02-13 Impact factor: 56.272
Authors: Brook I Martin; Judith A Turner; Sohail K Mirza; Michael J Lee; Bryan A Comstock; Richard A Deyo Journal: Spine (Phila Pa 1976) Date: 2009-09-01 Impact factor: 3.468
Authors: Fredric D Wolinsky; Li Liu; Thomas R Miller; John F Geweke; Elizabeth A Cook; Barry R Greene; Kara B Wright; Elizabeth A Chrischilles; Claire E Pavlik; Hyonggin An; Robert L Ohsfeldt; Kelly K Richardson; Gary E Rosenthal; Robert B Wallace Journal: Chiropr Osteopat Date: 2007-09-06
Authors: Praise O Iyiewuare; Ian D Coulter; Margaret D Whitley; Patricia M Herman Journal: J Manipulative Physiol Ther Date: 2019-02-10 Impact factor: 1.437
Authors: Paula A Weigel; Jason Hockenberry; Suzanne E Bentler; Fredric D Wolinsky Journal: J Manipulative Physiol Ther Date: 2014-03-11 Impact factor: 1.437