Valuable, Members Only Compendium of Data Regarding Provision and Utilization of Orthotic and Prosthetic Services


AOPA, through its partnership with the research and data firm Dobson DaVanzo & Associates, LLC, has obtained a plethora of data specific to the provision and utilization of Orthotic & Prosthetic services.  While the complete library of data is virtually endless, AOPA wanted to make available a compendium of some of the more telling data to its members.  This data, which is only available to current AOPA members, tells a compelling story about the type of O&P services Medicare patients are receiving as well as what provider categories (O&P, physicians, DME suppliers, pharmacies, etc.) are providing them.  It also provides valuable information regarding patients who initially receive off the shelf (OTS) items who later require custom fitted or custom fabricated items.  In addition, the compendium contains valuable information regarding the cost effectiveness of O&P services relative to their effect on overall healthcare expenditures for Medicare patients.

While the compendium is only a small sample of the data that Dobson DaVanzo has analyzed on behalf of AOPA, we believe that it represents an excellent sample of the full data set that AOPA has collected.

To access the compendium, AOPA members will be required to log in to the members only section of the AOPA website using their username and password.

2014 OTS Orthotics HCPCS

2014 Split Codes

Data Demonstrating that Medicare Continues to Pay Substantial Amounts to Unlicensed and Unaccredited O and P Providers

Data on Additional O and P Question Accessible from O and P Cost Effectiveness Data Including MPK vs Non MPK-Spinal Orthoses-and Lower Back Pain and LSO and KO Outcomes

Excerpt from AOPA Comments on Proposed Rule Regarding Off the Shelf Orthoses

Medicare Data on Some Key Episodes of Care-Utilization and Medicare Payment for AFOs KAFOs Etc by Etiological Diagnoses-O and P as a Portion of Total medicare Patient Costs

Medicare Expenditures for AFOs and KAFOs by Predisposing Condition

Medicare Orthotic Codes-OTS and Non OTS-Sorted by Payments Across Category of Provider

Medicare Utilization Data for L0631 – 2008-2011

Narrative on Trending of Medicare OTS Orthotics by Type of Provider and Market Share

Top Revenue Generating Orthotic Codes-2011 and 2012 by Total Allowed Amount-Sorted by Provider Type

Top Ten Medicare Orthotic and Prosthetic Codes Sorted by Allowed Amount-2012

Top Ten Medicare Orthotic and Prosthetic Codes Sorted by Allowed Amount-2013