Dexur analyzed Oct 2016 to Aug 2019 Medicare claims data and determined of the 8,411 Hospitalizations at UPMC St. Margaret, 2,308 were readmitted which was a readmission rate of 27.44%.
UPMC St. Margaret's Readmission Penalties
| Provider Details
|
2020 Readmission Adjustment Factor
|
2020 Readmission Payment Reduction Percentage
|
2020 Readmission Reduction Payment
|
2019 Readmission Adjustment Factor
|
2019 Readmission Payment Reduction Percentage
|
2019 Readmission Reduction Payment
|
2018 Readmission Adjustment Factor
|
2018 Readmission Payment Reduction Percentage
|
2018 Readmission Reduction Payment
|
UPMC ST MARGARET
(815 Freeport Road, Pittsburgh, PA, 15215)
|
0.9981 |
-0.19 |
-$39,593 |
0.997 |
-0.3 |
-$62,516 |
0.9997 |
-0.03 |
-$6,251 |
| Total Hip & Knee Replacement Surgeries - 631 and readmission rate of 14.1% |
| Top Doctors for UPMC St. Margaret Hip & Knee Replacement Surgeries |
Total Medicare Surgeries (Oct 2016 to Sep 2019) |
| EDWARD J MCCLAIN |
178 |
| CHARLES J BURKE |
82 |
| FRED P HEIDENREICH |
74 |
| Total Colorectal Surgeries - 105 and readmission rate of 29.52% |
| Top Doctors for UPMC St. Margaret Colorectal Surgeries |
Total Medicare Surgeries (Oct 2016 to Sep 2019) |
| REBECCA D EDMONDS |
56 |
| SEAN PATRICK WHELAN |
25 |
| Total Heart Attack Hospitalizations - 59 and readmission rate of 33.9% |
| Top Doctors for UPMC St. Margaret Heart Attack Hospitalizations |
Total Medicare Hospitalizations (Oct 2016 to Sep 2019) |
| DALJIT SINGH |
12 |
| Total Cardiac Arrhythmia Hospitalizations - 228 and readmission rate of 21.05% |
| Top Doctors for UPMC St. Margaret Cardiac Arrhythmia Hospitalizations |
Total Medicare Hospitalizations (Oct 2016 to Sep 2019) |
| NAGIB MANOV |
13 |
| Total Heart Failure Hospitalizations - 480 and readmission rate of 32.92% |
| Top Doctors for UPMC St. Margaret Heart Failure Hospitalizations |
Total Medicare Hospitalizations (Oct 2016 to Sep 2019) |
| MALIHA KAMAL |
33 |
| JORGE QUINTEROSALAZAR |
26 |
| NAGIB MANOV |
23 |
| Total Gastrointestinal Hemorrhage Hospitalizations - 189 and readmission rate of 24.87% |
| Top Doctors for UPMC St. Margaret Gastrointestinal Hemorrhage Hospitalizations |
Total Medicare Hospitalizations (Oct 2016 to Sep 2019) |
| JORGE QUINTEROSALAZAR |
11 |
| Total Nutritional & Metabolic Disorders - 132 and readmission rate of 28.79% |
| Total COPD Hospitalizations - 257 and readmission rate of 24.12% |
| Top Doctors for UPMC St. Margaret COPD Hospitalizations |
Total Medicare Hospitalizations (Oct 2016 to Sep 2019) |
| DALJIT SINGH |
21 |
| JORGE QUINTEROSALAZAR |
17 |
| NAGIB MANOV |
11 |
| Total Pneumonia Hospitalizations - 222 and readmission rate of 17.12% |
| Top Doctors for UPMC St. Margaret Pneumonia Hospitalizations |
Total Medicare Hospitalizations (Oct 2016 to Sep 2019) |
| DALJIT SINGH |
11 |
| MALIHA KAMAL |
11 |
| Total Sepsis Hospitalizations - 270 and readmission rate of 32.22% |
| Top Doctors for UPMC St. Margaret Sepsis Hospitalizations |
Total Medicare Hospitalizations (Oct 2016 to Sep 2019) |
| MALIHA KAMAL |
16 |
| NOOPUR TIWARI |
16 |
| JORGE QUINTEROSALAZAR |
15 |
| Total Kidney & UTI Hospitalizations - 189 and readmission rate of 30.69% |
| Top Doctors for UPMC St. Margaret Kidney & UTI Hospitalizations |
Total Medicare Hospitalizations (Oct 2016 to Sep 2019) |
| JORGE QUINTEROSALAZAR |
15 |
| MALIHA KAMAL |
14 |
| NAGIB MANOV |
13 |
| Total Renal Failure Hospitalizations - 280 and readmission rate of 31.79% |
| Top Doctors for UPMC St. Margaret Renal Failure Hospitalizations |
Total Medicare Hospitalizations (Oct 2016 to Sep 2019) |
| DALJIT SINGH |
24 |
| JORGE QUINTEROSALAZAR |
15 |
| RAVINDRA GODSE |
13 |
| Total Intracranial Hemorrhage & Cerebral Infarction - 115 and readmission rate of 43.48% |
| Total Skin Infections - 152 and readmission rate of 26.97% |