What is the disease burden and cost of Venous Thromboembolism (VTE) in Puerto Rico?

Venous thromboembolism (VTE) is a condition in which a blood clot forms, breaks loose, and lodges elsewhere. It includes both deep vein thrombosis (DVT) and pulmonary embolism (PE).

Total Medicare hospitalization costs with Venous Thromboembolism (VTE) as a primary diagnosis code is $7,513,284 in Puerto Rico and $5,353,959,067 nationally.
Medicare cost per hospitalization with Venous Thromboembolism (VTE) as a primary diagnosis code is $6,039 in Puerto Rico and $8,821 nationally.
Medicare cost per 30 day readmission with Venous Thromboembolism (VTE) as a primary diagnosis code is $7,291 in Puerto Rico and $10,383 nationally.

Venous Thromboembolism (VTE) Incidence Rates

30 Day Readmission Rates with Venous Thromboembolism (VTE)

All Cause 30 Day Readmissions with & without Venous Thromboembolism (VTE) at Index Hospitalization

Average Length of Stay (LOS) with & without Venous Thromboembolism (VTE)

Mortality Rates with & without Venous Thromboembolism (VTE)

Revenue per Day with and without Venous Thromboembolism (VTE)

Medicare Hospitalization & Readmission Costs (Jan 2013 to Dec 2017)

	Total Medicare Inpatient Hospital Hospitalizations ( Venous Thromboembolism (VTE) as a Primary or Secondary Diagnosis )	Total Medicare Inpatient Hospital Payments ( Venous Thromboembolism (VTE) as a Primary or Secondary Diagnosis )	Total Medicare Inpatient Hospital Hospitalizations ( Venous Thromboembolism (VTE) as a Primary Diagnosis )	Total Medicare Inpatient Hospital Payments ( Venous Thromboembolism (VTE) as a Primary Diagnosis )	Medicare Cost per Hospitalization ( Venous Thromboembolism (VTE) as a Primary Diagnosis )	Total Medicare Inpatient Hospital Hospitalizations ( Venous Thromboembolism (VTE) in Hospital )	Total Medicare Inpatient Hospital Payments ( Venous Thromboembolism (VTE) in Hospital )	Total Medicare Inpatient Hospital Hospitalizations when Venous Thromboembolism (VTE) was a Primary or Secondary Diagnosis for 30 Day Readmission	Total Medicare Inpatient Hospital Payments when Venous Thromboembolism (VTE) was a Primary or Secondary Diagnosis for 30 Day Readmission	Total Medicare Inpatient Hospital Hospitalizations when Venous Thromboembolism (VTE) was a Primary Diagnosis for 30 Day Readmission	Total Medicare Inpatient Hospital Payments when Venous Thromboembolism (VTE) was a Primary Diagnosis for 30 Day Readmission	Medicare Cost per 30 Day Readmission when Venous Thromboembolism (VTE) was a Primary Diagnosis for 30 Day Readmission	Total Readmissions with Venous Thromboembolism (VTE) at Index (Primary or Secondary)	Total Readmission Rate with Venous Thromboembolism (VTE) at Index (Primary or Secondary)	Total Readmission Medicare Payments with Venous Thromboembolism (VTE) at Index (Primary or Secondary)	Total Medicare Cost per Readmission with Venous Thromboembolism (VTE) at Index (Primary or Secondary)
National	1,823,417	$31,418,631,335	606,925	$5,353,959,067	$8,821	328,020	$10,977,466,606	452,882	$7,288,607,858	129,155	$1,341,047,191	$10,383	450,523	27.51	$7,469,243,613	$16,579
Puerto Rico	3,379	$35,033,377	1,244	$7,513,284	$6,039	430	$8,873,509	768	$7,967,536	253	$1,844,869	$7,291	648	22.4	$6,676,310	$10,302
San Juan, PR	655	$6,662,539	230	$1,334,783	$5,803	102	$1,792,472	152	$1,764,581	49	$369,856	$7,548	135	24.91	$1,267,814	$9,391
Bayamon, PR	259	$2,388,754	68	$421,650	$6,200	41	$638,177	51	$481,553	11	$61,314	$5,574	51	23.39	$419,971	$8,234
Ponce, PR	166	$1,603,590	67	$416,510	$6,216	18	$323,208	42	$385,961	15	$95,850	$6,390	42	28.57	$361,904	$8,616
Carolina, PR	147	$1,397,407	64	$345,610	$5,400	12	$212,952	25	$147,189	NA	NA	NA	25	19.69	$164,404	$6,576
Caguas, PR	143	$1,618,668	59	$362,142	$6,138	17	$281,636	34	$393,026	NA	NA	NA	26	21.14	$280,342	$10,782
Guaynabo, PR	135	$1,398,077	51	$222,584	$4,364	21	$537,576	34	$306,196	NA	NA	NA	26	22.41	$548,588	$21,099
Mayaguez, PR	132	$1,565,663	37	$211,537	$5,717	16	$366,098	36	$298,298	NA	NA	NA	32	27.83	$295,357	$9,229
Arecibo, PR	108	$1,169,168	48	$232,717	$4,848	NA	NA	26	$335,093	NA	NA	NA	24	27.27	$218,787	$9,116
Cabo Rojo, PR	55	$661,008	21	$147,220	$7,010	NA	NA	15	$312,323	NA	NA	NA	12	25.53	$291,257	$24,271
Vega Baja, PR	50	$608,977	14	$75,782	$5,413	NA	NA	NA	NA	NA	NA	NA	12	27.91	$138,837	$11,569

Dexur MethodologyBack to Top

Data Source: Dexur sourced raw anonymized claims data from Medicare and then performed quality outcomes analysis based on ICD codes specific to the disease / condition.

Disease Incidence Rate: Number of hospitalizations with disease as a percentage of total hospitalizations. In hospital incidence rates are when the disease / condition is developed within the hospital and was not present at the time of admission.

All Cause 30 Day Readmissions with Venous Thromboembolism (VTE) at Index Hospitalization: Rate of patients readmitted to the hospital within 30 days (to any hospital) for any cause when a specific condition was present at time of Hospitalization (Index Hospitalization). All Cause 30 Day Readmission rates are also calculated separately when the disease was present on the hospitalization and without it.

30 Day Readmission Rates with Disease: Rate Number of patients readmitted to the hospital within 30 days (to any hospital) for that specific disease.

Average Length of Stay (LOS): The sum of total days across all stays divided by total stays / hospitalizations. Avg. LOS is also calculated separately when the disease was present on the hospitalization and without it.

Mortality Rate: Percent of patients who expire in hospital. Mortality rates are also calculated separately when the disease was present on the hospitalization and without it.

Revenue per Day: The sum of payments divided by the total number of patient-days in hospital. Revenue per day is also calculated separately when the disease was present on the hospitalization and without it.