Dexur analyzed Jan 2014 to Dec 2018 Medicare claims data and determined of the 15,251 Hospitalizations at UPMC St. Margaret, 4,219 were readmitted which was a readmission rate of 27.66%.
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 - 990 and readmission rate of 17.37% |
| Top Doctors for UPMC St. Margaret Hip & Knee Replacement Surgeries |
Total Medicare Surgeries (Jan 2014 to Dec 2018) |
| EDWARD J MCCLAIN |
269 |
| SPIRO N PAPAS |
122 |
| CHARLES J BURKE |
114 |
| Total Heart Attack Hospitalizations - 110 and readmission rate of 28.18% |
| Top Doctors for UPMC St. Margaret Heart Attack Hospitalizations |
Total Medicare Hospitalizations (Jan 2014 to Dec 2018) |
| DALJIT SINGH |
23 |
| Total Cardiac Arrhythmia Hospitalizations - 475 and readmission rate of 20.63% |
| Top Doctors for UPMC St. Margaret Cardiac Arrhythmia Hospitalizations |
Total Medicare Hospitalizations (Jan 2014 to Dec 2018) |
| NAGIB MANOV |
24 |
| DALJIT SINGH |
20 |
| JORGE QUINTEROSALAZAR |
17 |
| Total Heart Failure Hospitalizations - 844 and readmission rate of 30.69% |
| Top Doctors for UPMC St. Margaret Heart Failure Hospitalizations |
Total Medicare Hospitalizations (Jan 2014 to Dec 2018) |
| DALJIT SINGH |
72 |
| NAGIB MANOV |
40 |
| MALIHA KAMAL |
35 |
| Total Pulmonary Embolism - 102 and readmission rate of 27.45% |
| Total Diabetes - 119 and readmission rate of 21.01% |
| Total Gastrointestinal Hemorrhage Hospitalizations - 345 and readmission rate of 24.06% |
| Top Doctors for UPMC St. Margaret Gastrointestinal Hemorrhage Hospitalizations |
Total Medicare Hospitalizations (Jan 2014 to Dec 2018) |
| DALJIT SINGH |
20 |
| DANIEL J MONAHAN |
13 |
| NAGIB MANOV |
13 |
| Total Nutritional & Metabolic Disorders Hospitalizations - 234 and readmission rate of 24.36% |
| Top Doctors for UPMC St. Margaret Nutritional & Metabolic Disorders Hospitalizations |
Total Medicare Hospitalizations (Jan 2014 to Dec 2018) |
| DALJIT SINGH |
18 |
| JONATHAN K HAN |
13 |
| MALIHA KAMAL |
11 |
| Total Pulmonary Edema and Respiratory Failure - 91 and readmission rate of 32.97% |
| Total Pneumonia Hospitalizations - 432 and readmission rate of 20.14% |
| Top Doctors for UPMC St. Margaret Pneumonia Hospitalizations |
Total Medicare Hospitalizations (Jan 2014 to Dec 2018) |
| DALJIT SINGH |
38 |
| NAGIB MANOV |
20 |
| MALIHA KAMAL |
18 |
| Total Sepsis Hospitalizations - 427 and readmission rate of 30.44% |
| Top Doctors for UPMC St. Margaret Sepsis Hospitalizations |
Total Medicare Hospitalizations (Jan 2014 to Dec 2018) |
| DALJIT SINGH |
38 |
| MALIHA KAMAL |
25 |
| NAGIB MANOV |
23 |
| Total Kidney & UTI Hospitalizations - 409 and readmission rate of 27.87% |
| Top Doctors for UPMC St. Margaret Kidney & UTI Hospitalizations |
Total Medicare Hospitalizations (Jan 2014 to Dec 2018) |
| DALJIT SINGH |
32 |
| NAGIB MANOV |
24 |
| JORGE QUINTEROSALAZAR |
15 |
| Total Renal Failure Hospitalizations - 505 and readmission rate of 30.69% |
| Top Doctors for UPMC St. Margaret Renal Failure Hospitalizations |
Total Medicare Hospitalizations (Jan 2014 to Dec 2018) |
| DALJIT SINGH |
51 |
| JORGE QUINTEROSALAZAR |
24 |
| NAGIB MANOV |
21 |
| Total Alcohol & Drug Abuse - 75 and readmission rate of 37.33% |
| Total Intracranial Hemorrhage & Cerebral Infarction Hospitalizations - 222 and readmission rate of 50.9% |
| Top Doctors for UPMC St. Margaret Intracranial Hemorrhage & Cerebral Infarction Hospitalizations |
Total Medicare Hospitalizations (Jan 2014 to Dec 2018) |
| NAGIB MANOV |
16 |
| JORGE QUINTEROSALAZAR |
11 |
| Total Red Blood Cell Disorders Hospitalizations - 108 and readmission rate of 19.44% |
| Top Doctors for UPMC St. Margaret Red Blood Cell Disorders Hospitalizations |
Total Medicare Hospitalizations (Jan 2014 to Dec 2018) |
| DALJIT SINGH |
15 |
| Total Skin Infections Hospitalizations - 287 and readmission rate of 27.87% |
| Top Doctors for UPMC St. Margaret Skin Infections Hospitalizations |
Total Medicare Hospitalizations (Jan 2014 to Dec 2018) |
| DALJIT SINGH |
30 |
| JORGE QUINTEROSALAZAR |
15 |
| DANIEL J MONAHAN |
12 |