By: Jeffrey Maser  Jan. 12, 2018
A recent Dexur analysis of CMS Medicare claims data shows that Dr. Oladayo A. Sanusi reported 109 DRG-871 (Septicemia Or Severe Sepsis Without Mv >96 Hours With Major Complication Or Comorbidity) discharges for Texas Medicare enrollees between October 2015 - September 2016, which accounted for over a quarter of a percent of all DRG-871 discharges from Texas enrollees. Dr. Sanusi practices with three different hospitals in Harlingen, Texas: Valley Baptist Medical Center - Harlingen, Harlingen Medical Center and Solara Hospital Harlingen. Dr. Sanusi’s DRG-871 discharges were more than double those of Dr. Juan B. Iribarren, the next highest volume Texas physician. Dr. Iribarren is affiliated with Baptist Hospitals Southeast Texas - Beaumont and reported 54 discharges to comprise 0.14% of the Texas market share for this specific diagnosis related group.
Physicians were included in the rankings if they accounted for 11 or more discharges at the DRG level during the analyzed time period; 3,051 physicians throughout the U.S. met this criteria for DRG-871, including 236 Texas physicians. Dr. Sanusi’s 119 DRG-871 discharges for Medicare enrollees of any state ranked second highest out of any physician for the DRG nationwide. The only U.S. physician to account for more discharges at the DRG level during the timeframe was Dr. Nhia Kash Vang, who reported 125 discharges. For total Septicemia or Severe Sepsis discharges (includes DRG-870, DRG-871 & DRG-872), Dr. Sanusi also ranked second nationally with 143 discharges.
What may be most impressive about Dr. Sanusi’s volume metrics is that he ranked quite highly for a variety of DRGs and specialty areas, both for Texas Medicare enrollees and for enrollees nationally. Within general medicine, Dr. Sanusi ranked 1st out of 1,130 eligible physicians for Texas Medicare enrollees and 15th out of 13,171 physicians nationally. Dr. Sanusi’s volume metrics are shown for a few different DRGs and specialty areas within the premium content section of this article.
|Top 10 Physicians for DRG-871 Discharge Volume for Texas Medicare Enrollees between October 2015 - September 2016|
|Discharge Volume Rank||Physician Name||Practicing Hospital||Practicing Hospital City||Discharge Volume||% of Texas Medicare Enrollee Discharges|
|All Texas Physicians||38,730||100.00%|
|1||Oladayo A Sanusi||Valley Baptist Medical Center - Harlingen / Harlingen Medical Center / Solara Hospital Harlingen||Harlingen||109||0.28%|
|2||Juan B Iribarren||Baptist Hospitals Southeast Texas - Beaumont||Beaumont||54||0.14%|
|3||Elizabeth Juarez||Harlingen Medical Center / Solara Hospital Harlingen||Harlingen||48||0.12%|
|4||Lorenzo R Pelly||Solara Hospital Harlingen / Valley Regional Medical Center||Harlingen / Brownsville||39||0.10%|
|5||Msonthi B Levine||Baptist Hospitals Southeast Texas - Beaumont||Beaumont||37||0.10%|
|6||Stanley P Sy||Solara Hospital Harlingen||Harlingen||35||0.09%|
|7||Guillaume Boiteau||Valley Regional Medical Center||Brownsville||32||0.08%|
|8||Barbara Y Lee||Christus Mother Frances Hospital - Tyler||Tyler||31||0.08%|
|9||Derek Dongwoo Lee||Providence Health Center||Waco||30||0.08%|
|10||Thayer Ismaael||BSA Hospital||Amarillo||29||0.07%|