Performance Based Oversight (PBO) System Results
TDI-DWC is mandated to, at least biennially, assess the performance of insurance carriers and health care providers. Starting in 2010, the insurance carriers will be assessed in even numbered years (2010, 2012, etc.) and the health care providers will be assessed in odd numbered years (2011, 2013, etc.).
Health Care Provider and Insurance Carrier System Results
2011 Health Care Provider Assessment Details
DWC Form-073, Work Status Report Category
Overall System Results - DWC Form-073, Work Status Report
| Performance Categories |
Number of Providers |
High Tier Performers |
Average Tier Performers |
Poor Tier Performers |
| DWC Form-073, Work Status Report |
100 |
49 |
34 |
17 |
System Results Per Measure - DWC Form-073, Work Status Report
| Measures |
Measure Weight |
High Tier Performers |
Average Tier Performers |
Poor Tier Performers |
| Completeness of the DWC Form-073, Work Status Report |
50% weight |
38 |
40 |
22 |
| Timely release to return to work |
50% weight |
72 |
26 |
2 |
2011 DWC Form-073, Work Status Report - Tier Placement
| High Performers |
Average Performers |
Poor Performers |
Dr. Ariston P. Awitan, Jr.
Dr. Ashit I. Saheba
Dr. C. Perry Marshall
Dr. Christopher O. Ogunro
Dr. Christy Pinkham
Dr. David Anthony Jolivet
Dr. David Randolph Long
Dr. Eugenio Bacani
Dr. Fredrick Wayne Kersh
Dr. Gert Rohde
Dr. James Earl Madsen
Dr. James Robert Herzog
Dr. John Tai Dang
Dr. Kathleen Elizabeth Sharp
Dr. Kenneth Homer Baldwin
Dr. Kerry Duane Inzer
Dr. Lance Anthony Craig
Dr. Lawrence Joseph Walsh
Dr. Leocadio Antonio Valentin
Dr. Leonel Gonzalez Moreno
Dr. Manouchehr Refaeian
Dr. Marvin E. Van Hal
Dr. Mary Alice Steffens
Dr. Michael Jeffrey Jenks
Dr. Michael Johnathan Horoda
Dr. Michael Paul Seeley
Dr. Nicholas Baxter
Dr. Nilima Rai
Dr. Patricia H. Janki
Dr. R. Allen Cicora
Dr. Ramiro P. Alonso
Dr. Rashad Mohammad Saeed
Dr. Ray Joseph Esparza
Dr. Richard David Trifilo
Dr. Richard Lee Siemens
Dr. Russell Brent Skinner
Dr. Scott Barry Bischoff
Dr. Sohail Ahmad Saeed
Dr. Stacey G. Thomas
Dr. Steven Robert Ellsworth
Dr. Steven William Schierman
Dr. Terence Phillip MacConnell
Dr. Thomas Chiu
Dr. Tony Dion Keeble
Dr. Veronika Anna Nicholson
Dr. Vikram Mehta
Dr. Vincent Gregory Gonzaba
Dr. Walter W. Lee
Dr. Yale S. Pearlson |
Dr. Anly Joseph
Dr. Anwarul Haque
Dr. Arthur Larry Taitel
Dr. Benjamin Bujanda
Dr. Bret Harold Holland
Dr. Cedrick Dwayne Smith
Dr. Christine Wyman Wan
Dr. Crisanto Garcia Dimafelix
Dr. Dan P. Browder
Dr. Daniel L. Munton
Dr. Darryl Lee Stinson
Dr. David Barry Willingham
Dr. George John Niemirowski
Dr. James Keith Rose
Dr. James Myles Kelley
Dr. Jane Ann Smeck
Dr. Jean Theresa Dolan
Dr. John D. Dang
Dr. Kavitha Nalla
Dr. Kerry Dean Irons
Dr. Louis Frank Puig, III
Dr. Mark Edwin Morris
Dr. R. Marcelo Rodriguez
Dr. Raymond C. Brown, Jr.
Dr. Richard Frederick Haenke
Dr. Richard Gary Trifiro
Dr. Rory L. Allen
Dr. Roy Glenn Kreusel
Dr. Russell Brofer
Dr. Samuel Stewart Morgan, Jr.
Dr. Terry Allen Sanderson
Dr. Toan Huu Le
Dr. Warren G. Hatley, Jr.
Dr. William Joseph Swartworth |
Dr. Bliss Watson Clark, II
Dr. C. Lynn Anderson, Jr.
Dr. Charles Rhodes Hinman
Dr. Clyde Marion Williams
Dr. David Sean Webster
Dr. Ernesto Marte Tamez, Sr.
Dr. G. Emory Warren
Dr. Jaime Felix Recasens
Dr. John Dale Kirkwood
Dr. Keith Johnson
Dr. Laura Elizabeth Sharratt
Dr. Margaret R. Wells
Dr. Noble Bryan Rainwater
Dr. Oscar N. Lightner
Dr. Toni Irene White
Dr. Victor Hugo Peralta
Dr. William Norman Meshel |
DWC Form-069, Report of Medical Evaluation Category
Overall System Results - DWC Form-069, Report of Medical Evaluation
| Measures |
Measure Weight |
High Tier Performers |
Average Tier Performers |
Poor Tier Performers |
| Timeliness of DWC Form-069, Report of Medical Evaluation |
100% |
87 |
10 |
2 |
2011 DWC Form-069, Report of Medical Evaluation - Tier Placement
| High Performers |
Average Performers |
Poor Performers |
Dr. Adolph Frederick Kauffmann, III
Dr. Andrew Brylowski
Dr. Barna Allen Richards
Dr. Bruce Edward Whitehead
Dr. Bruce G. Kinzy
Dr. Charles M. Murphy
Dr. Charles Richard Vavrin
Dr. Charles W. Kennedy, Jr.
Dr. Dale Ray Allen
Dr. Daniel Alexander Boudreau
Dr. Daniel Otha Thompson, III
Dr. David Adam West
Dr. David Wayne Spinks
Dr. Dennis R. Flores
Dr. Deo Kalyan Bhati
Dr. Donald Lee Wehmeyer
Dr. Donald M. Mauldin
Dr. Eradio Arredondo
Dr. Geoffrey Stephen Coates
Dr. George Erwin Brown, Jr.
Dr. George Everett Medley
Dr. Gerald Peter Foox
Dr. Gerald T. Delk
Dr. Grant Rexford McKeever
Dr. Grethe E. Wik
Dr. Gunda Lee Kirk
Dr. Hanna J. Abu-Nassar
Dr. Harparminder S. Chadha
Dr. Howard Houston Hood, III
Dr. Howard Robert Bernstein
Dr. Howard Thomas Douglas, III
Dr. J. Thomas Dilger, Jr.
Dr. Jack A. Kern
Dr. James Elmer Butler, III
Dr. James Lee Slater, II
Dr. Jerome Oliver Carter
Dr. Jerry W. Morris
Dr. John Gilbert Steele
Dr. John Gray Andrew
Dr. John O. Taxis
Dr. John R. Anderson
Dr. Joseph Zadeh
Dr. Josephine W. Session
Dr. Juan J. Capello
Dr. Karen Michelle Perl, V
Dr. Karen S. Asbury
Dr. Karen Sandra Thornton Suttle
Dr. Karl Daniel Erwin
Dr. Kerry Jo Yancy
Dr. Kevin B. James
Dr. Lida S. Dahm
Dr. Liza H. Leal
Dr. Marjaneh Hedayat
Dr. O. Doak Raulston, Jr.
Dr. Patricia Charlene Brock
Dr. Peter Edward Grays
Dr. Philip B. Rothenberg
Dr. Philip Eugene Rosen
Dr. Raymond Talmadge Alexander
Dr. Richard A. Sexton
Dr. Robert Earl Whitsell
Dr. Robert Edward Roybal
Dr. Robert F. Haden
Dr. Robert Jack Kilian
Dr. Robert Kadoko
Dr. Robert Panzarella
Dr. Roby D. Mize
Dr. Ronald B. Heisey
Dr. Ronald G. Corley
Dr. Ronald J. Washington
Dr. Samir Sobhy Ebeade
Dr. Sandra Peyton
Dr. Sankar Pemmaraju
Dr. Stephen Anthony Carter
Dr. Stephen Lynn Smith
Dr. Stevan Cordas
Dr. Steven A. Doores
Dr. Steven Charles Dickhaut
Dr. Suresh Chavda
Dr. Susan Van De Water
Dr. Vasco Chi-Ho Cheuk
Dr. Victor Guerrero
Dr. Victor Hernandez
Dr. Wayne A. Soignier
Dr. William K. Jackson
Dr. William Wayne Smith
Dr. Wright Wiley Singleton |
Dr. Anil Tukarampant Bangale
Dr. Edward William Smith
Dr. Edwin Jackson Taegel
Dr. Floyd James Herbertson
Dr. Guy Kenneth Driggs, Jr.
Dr. Hans O. Wendenburg
Dr. James Furniss Hood
Dr. Nabil Bishara
Dr. Raul Abel Najera
Dr. Rollin L. Thrift |
Dr. Leslie Wayne Benson
Dr. Robert Seth Williams |
Lumbar Spine Magnetic Resonance Imaging (MRI) Category*
2011 Overall System Results - Usage of Lumbar Spine Magnetic Resonance Imaging (MRI)*
| Measure |
Measure Weight |
High Tier Performers |
Average Tier Performers |
Poor Tier Performers |
| Usage of Lumbar Spine Magnetic Resonance Imaging (MRI)* |
100% weight |
32 |
9 |
0 |
*The MRI measure was included in the 2011 health care provider assessment as a pilot measure for possible further development for future Performance Based Oversight (PBO) Assessments.
2010 Insurance Carrier Assessment Details
2010 Insurance Carrier Overall PBO System Results
Overall System Results - Insurance Carrier Assessment
| Performance Categories |
Number of Insurance Carriers |
High Tier Performers |
Average Tier Performers |
Poor Tier Performers |
| All insurance carriers were assessed on the same measures |
113 |
40 |
70 |
3 |
System Results Per Measure - Insurance Carrier Assessment
| Measures |
Measure Weight |
High Tier Performers |
Average Tier Performers |
Poor Tier Performers |
| Timeliness of Initial Payment of Temporary Income Benefits |
40% weight |
35 |
67 |
11 |
| Timeliness of Reporting Initial Payment |
10% weight |
46 |
52 |
15 |
| Timeliness of Medical Bill Processing |
40% weight |
98 |
14 |
1 |
| Timeliness of Reporting Medical Bills |
10% weight |
69 |
31 |
13 |
2010 Insurance Carrier - Tier Placement
| High Performers |
Average Performers |
Poor Performers |
Alief ISD
Beaumont ISD
Church Mutual Insurance Co
City of Austin
City of Dallas
City of Fort Worth
City of Houston
Commerce & Industry Insurance Co
Dallas Area Rapid Transit
Deep East Texas Self Insurance Fund
Donna ISD
El Paso County
El Paso ISD
Federated Mutual Insurance Co
Fort Worth ISD
General Motors Co
Granite State Insurance Co
Harris County
Harris County Hospital District
Hartford Casualty Insurance Co
Hartford Fire Insurance Co
McAllen ISD
Metropolitan Transit Authority Harris Co
National American Insurance Co
Old Glory Insurance Co
Plano Independent School District
Public WC Program
Southern Insurance Co
State Office of Risk Management
TASB Risk Mgmt Fund
Texas Builders Insurance Co
Texas Cotton Ginners Trust
Texas Municipal League IRP
Texas Mutual Insurance Co
Texas Schools Property & Casualty
Tx Public School WC Project
University of Texas System
Wal Mart Associates Inc
WC Solutions
Zenith Insurance Co |
Ace American Insurance Co
Ace Fire Underwriters Ins Co
American Casualty Co of Reading PA
American Guarantee & Liability Ins Co
American Home Assurance Co
American Interstate Insurance Co
American Zurich Insurance Co
Amerisure Insurance Co
Amerisure Mutual Insurance Co
Arch Insurance Co
Bituminous Casualty Corp
Brownsville ISD
Chartis Property & Casualty
City of El Paso
City of San Antonio
Dallas County
East Tx Educational Ins Assn
Employers Assurance Co
Employers Insurance Co of Wausau
Farmington Casualty Co
Federal Insurance Co
Fedex Ground Package System Inc
Fidelity & Guaranty Insurance Co
First Liberty Insurance Corp
Hartford Ins Co of the Midwest
Hartford Underwriters Insurance Co
Houston ISD
Illinois National Insurance Co
Indemnity Insurance Co of North America
Insurance Co of the State of PA
La Joya ISD
Liberty Insurance Corp
Liberty Mutual Fire Insurance Co
Liberty Mutual Insurance Co
LM Insurance Corp
Lockheed Martin Corp
Lumbermens Underwriting Alliance
Mitsui Sumitomo Insurance USA Inc
National Fire Insurance Co of Hartford
National Interstate Insurance Co
Netherlands Insurance Co
New Hampshire Insurance Co
Northside ISD
Old Republic General Insurance Corp
Old Republic Insurance Co
Safety National Casualty Corp
San Antonio ISD
Seabright Insurance Co
Sentry Insurance A Mutual Co
Service Lloyds Insurance Co
Southern Vanguard
Southwestern Bell Telephone LP
Standard Fire Insurance Co
State Farm Fire & Casualty Co
Sua Insurance Co
Tarrant County
Texas Alliance of Energy Producers
TPS Joint Self Ins Funds
Travelers Casualty Ins Co of America
Travelers Indemnity Co
Travelers Indemnity Co of Connecticut
Truck Insurance Exchange
Twin City Fire Insurance Co
Tx Assoc of Counties Rmp
Valley Forge Insurance Co
Wausau Business Insurance Co
Wausau Underwriters Insurance Co
XL Specialty Insurance Co
Ysleta ISD
Zurich American Insurance Co |
City of McAllen
Dallas National Ins Co
Pharr San Juan Alamo ISD
|
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Last updated: 01/17/2012
