Document Detail

Medicare part B claims for chiropractic spinal manipulation, 1998 to 2004.
MedLine Citation:
PMID:  21036277     Owner:  NLM     Status:  MEDLINE    
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.
James M Whedon; Matthew A Davis
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Journal of manipulative and physiological therapeutics     Volume:  33     ISSN:  1532-6586     ISO Abbreviation:  J Manipulative Physiol Ther     Publication Date:  2010 Oct 
Date Detail:
Created Date:  2010-11-01     Completed Date:  2011-02-18     Revised Date:  2013-07-03    
Medline Journal Info:
Nlm Unique ID:  7807107     Medline TA:  J Manipulative Physiol Ther     Country:  United States    
Other Details:
Languages:  eng     Pagination:  558-61     Citation Subset:  IM    
Copyright Information:
Copyright © 2010 National University of Health Sciences. Published by Mosby, Inc. All rights reserved.
Health Services Research, The Dartmouth Institute for Health Policy and Clinical Practice, Lebanon, NH, USA.
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MeSH Terms
Chiropractic / economics
Insurance Claim Reporting / statistics & numerical data*
Insurance Claim Review / statistics & numerical data*
Manipulation, Chiropractic / economics*,  statistics & numerical data
Medical Records / statistics & numerical data*
Medicare Part B / economics*,  statistics & numerical data
Patient Acceptance of Health Care / statistics & numerical data
Physician's Practice Patterns / economics*
Retrospective Studies
Spinal Diseases / rehabilitation*
United States
Grant Support
K01 AT005092-02/AT/NCCAM NIH HHS

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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