Table 7.
Expenditures per day for the different Medicare spending categories. CMT means chiropractic manipulation treatment.
| Medicare expenditures per episode day ($) | ||||||||
|---|---|---|---|---|---|---|---|---|
| Part A | Part B | Part D* | ||||||
| Total | For CMT |
For psychiatric care |
Total | For pain medications |
||||
| Anxiety | Osteoarthritis | Only used CMT | 5.46 (0.57) |
7.19 (0.26) |
1.93 (0.05) |
0.031 (0.010) |
8.80 (0.55) |
1.46 (0.14) |
| Used medical services first, then CMT | 9.97 (0.58) |
11.03 (0.24) |
0.87 (0.02) |
0.021 (0.006) |
5.32 (0.33) |
0.65 (0.07) |
||
| Used CMT first, then medical care | 8.40 (0.45) |
8.10 (0.18) |
0.66 (0.02) |
0.031 (0.006) |
6.03 (0.33) |
0.51 (0.06) |
||
| Did not use CMT | 11.18 (0.44) |
8.18 (0.15) |
0.00 (0.00) |
0.051 (0.007) |
8.46 (0.32) |
0.90 (0.06) |
||
|
Other neck & back pain |
Only used CMT | 5.56 (0.79) |
6.22 (0.23) |
1.50 (0.04) |
0.073 (0.012) |
5.98 (0.49) |
0.40 (0.09) |
|
| Used medical services first, then CMT | 10.22 (1.10) |
10.75 (0.31) |
0.94 (0.04) |
0.037 (0.009) |
7.44 (0.56) |
0.85 (0.14) |
||
| Used CMT first, then medical care | 7.43 (0.79) |
7.40 (0.22) |
0.70 (0.03) |
0.018 (0.005) |
6.79 (0.39) |
0.50 (0.08) |
||
| Did not use CMT | 10.66 (1.28) |
8.78 (0.32) |
0.00 (0.00) |
0.042 (0.011) |
7.28 (0.60) |
0.63 (0.13) |
||
| Any other NMS | Only used CMT | 3.04 (0.37) |
7.70 (0.21) |
1.81 (0.04) |
0.028 (0.006) |
8.49 (0.48) |
0.46 (0.07) |
|
| Used medical services first, then CMT | 11.66 (0.72) |
11.44 (0.26) |
0.96 (0.03) |
0.035 (0.007) |
8.77 (0.50) |
0.65 (0.08) |
||
| Used CMT first, then medical care | 7.98 (0.54) |
8.37 (0.20) |
0.70 (0.02) |
0.016 (0.004) |
5.83 (0.36) |
0.69 (0.07) |
||
| Did not use CMT | 10.60 (0.67) |
8.72 (0.22) |
0.00 (0.00) |
0.032 (0.006) |
8.25 (0.46) |
0.97 (0.09) |
||
| Depression | Osteoarthritis | Only used CMT | 5.38 (0.44) |
8.12 (0.19) |
1.77 (0.03) |
0.334 (0.018) |
10.86 (0.52) |
1.74 (0.13) |
| Used medical services first, then CMT | 11.48 (0.62) |
12.01 (0.22) |
0.89 (0.02) |
0.158 (0.012) |
13.28 (0.58) |
2.22 (0.15) |
||
| Used CMT first, then medical care | 13.93 (0.55) |
8.97 (0.15) |
0.69 (0.01) |
0.084 (0.007) |
10.23 (0.42) |
1.51 (0.10) |
||
| Did not use CMT | 14.33 (0.43) |
9.38 (0.12) |
0.00 (0.00) |
0.109 (0.006) |
11.46 (0.34) |
1.74 (0.08) |
||
|
Other neck & back pain |
Only used CMT | 4.76 (0.49) |
6.25 (0.18) |
1.59 (0.04) |
0.050 (0.009) |
9.67 (0.54) |
1.31 (0.12) |
|
| Used medical services first, then CMT | 11.15 (0.71) |
9.93 (0.22) |
0.90 (0.03) |
0.047 (0.008) |
11.00 (0.58) |
1.39 (0.13) |
||
| Used CMT first, then medical care | 12.96 (0.78) |
9.18 (0.21) |
0.73 (0.02) |
0.073 (0.011) |
11.74 (0.68) |
1.28 (0.14) |
||
| Did not use CMT | 16.06 (1.04) |
10.38 (0.27) |
0.00 (0.00) |
0.093 (0.015) |
10.68 (0.79) |
1.59 (0.19) |
||
| Any other NMS | Only used CMT | 3.14 (0.31) |
7.37 (0.18) |
2.08 (0.04) |
0.080 (0.009) |
8.40 (0.45) |
1.08 (0.12) |
|
| Used medical services first, then CMT | 9.57 (0.57) |
11.23 (0.24) |
1.00 (0.03) |
0.046 (0.007) |
10.37 (0.44) |
1.70 (0.14) |
||
| Used CMT first, then medical care | 10.69 (0.49) |
9.94 (0.18) |
0.73 (0.02) |
0.109 (0.008) |
8.98 (0.34) |
1.21 (0.10) |
||
| Did not use CMT | 14.24 (0.62) |
9.83 (0.20) |
0.00 (0.00) |
0.089 (0.008) |
11.01 (0.44) |
1.93 (0.14) |
||
| Anxiety and depression | Osteoarthritis | Only used CMT | 3.91 (0.60) |
8.31 (0.36) |
1.96 (0.05) |
0.156 (0.024) |
11.48 (0.67) |
1.76 (0.19) |
| Used medical services first, then CMT | 17.50 (1.01) |
12.72 (0.35) |
0.50 (0.02) |
0.173 (0.020) |
15.56 (0.54) |
1.64 (0.13) |
||
| Used CMT first, then medical care | 14.38 (0.69) |
11.90 (0.26) |
0.66 (0.02) |
0.228 (0.017) |
9.75 (0.43) |
0.81 (0.09) |
||
| Did not use CMT | 17.08 (0.60) |
9.98 (0.19) |
0.00 (0.00) |
0.200 (0.013) |
11.50 (0.36) |
1.93 (0.11) |
||
|
Other neck & back pain |
Only used CMT | 4.54 (0.77) |
6.40 (0.38) |
1.47 (0.06) |
0.085 (0.027) |
6.11 (0.85) |
1.00 (0.18) |
|
| Used medical services first, then CMT | 9.16 (0.93) |
13.38 (0.47) |
1.04 (0.05) |
0.354 (0.047) |
9.94 (1.16) |
2.06 (0.28) |
||
| Used CMT first, then medical care | 12.26 (0.92) |
9.48 (0.34) |
0.74 (0.03) |
0.172 (0.028) |
10.98 (0.78) |
1.75 (0.17) |
||
| Did not use CMT | 16.66 (1.39) |
10.10 (0.46) |
0.00 (0.00) |
0.178 (0.037) |
11.80 (1.14) |
2.00 (0.25) |
||
| Any other NMS | Only used CMT | 27.47 (4.69) |
7.25 (0.31) |
1.88 (0.05) |
0.143 (0.024) |
6.26 (0.54) |
0.92 (0.14) |
|
| Used medical services first, then CMT | 18.17 (2.48) |
11.34 (0.32) |
0.78 (0.03) |
0.233 (0.024) |
10.93 (0.59) |
1.83 (0.17) |
||
| Used CMT first, then medical care | 10.64 (1.46) |
9.88 (0.25) |
0.51 (0.02) |
0.143 (0.016) |
8.93 (0.48) |
1.70 (0.14) |
||
| Did not use CMT | 19.61 (2.72) |
10.55 (0.29) |
0.00 (0.00) |
0.165 (0.020) |
10.29 (0.55) |
1.81 (0.16) |
||
*
Part D expenditures are calculated from only those patients who were enrolled in Medicare Part D