About AOPA:
Founded in 1917, the American Orthotic & Prosthetic Association (AOPA),
based in Alexandria, Virginia, is the largest non-profit organization
dedicated to helping orthotic and prosthetic (O&P) businesses and
professionals navigate the multitude of issues surrounding the delivery
of quality patient care. With nearly 2,000 members, AOPA has a
nationwide presence within the O&P community. AOPA
serves the O&P profession with consistent representation on Capitol
Hill, premier publications, high-quality coding products, expert
reimbursement guidance and a full slate of education programming on
O&P-specific issues. 2008 marks AOPA’s 91st anniversary of
serving as the voice for O&P.
Purpose:
AOPA provides members with
resources that ensure high-quality patient care, educate public policy
makers, influencers and third party payers about the critical role
played by orthotic and prosthetic (O&P) professionals in delivering
care, and protect the profession from threats.
O&P Professionals serve prosthetic (artificial limbs), orthotic
(orthopedic braces) and pedorthic (shoes and shoe inserts) patients.
Key Patient Facts
- In 2006, Medicare approved payment for nearly 2 million orthotic
codes that accounted for more than $406 million in Medicare
expenditures.*
- The orthotic code with the highest Medicare expenditure in 2006
was a jointed rigid positional knee orthosis. Medicare approved payment
for 50,000 braces at a value of over $26 million.
- In 2006, Medicare allowed nearly 2.5 million prosthetic codes for $628 million in Medicare expenditures.*
- The prosthetic code with the highest Medicare expenditure in 2006
was for a specific type of a basic, lower limb prosthesis. Medicare
approved payment of more than $53 million for these components..
- Medicare approved nearly 6 million pedorthic codes and $213 million in payments in 2006.*
- The pedorthic code with the highest Medicare expenditure in 2006
was an off-the-shelf diabetic shoe. Medicare approved payment for over
1.5 million shoes for a payment of $89 million..
- The risk of losing a foot or leg is 15–40 times higher for
people living with diabetes than for those without the disease,
according to the American Diabetes Association (ADA). More than 80,000
diabetes-related lower limb amputations are performed every year in the
U.S., the International Diabetes Federation reports. Another
30,000 limb amputations result annually from Peripheral Vascular
Disease.
Industry Facts
- More than 3,000 patient care facilities provide orthotic and prosthetic services
- More than 800 facilities provide pedorthic services
- AOPA estimates that the O&P businesses provide patient services worth more than $3.5 billion annually
- More than $60 million in government funds has been earmarked for research related to orthotic and prosthetic needs by veterans
* A complete orthotic, prosthetic, and/or pedorthic
device may utilize several codes; therefore you cannot obtain an
average cost per device by dividing expenditures by the number of codes.
Contact: Steve Rybicki at srybicki@AOPAnet.org or (571) 431-0835 or visit the AOPA Web site at www.AOPAnet.org.