Amita Bagal

Plastic Surgery Within the Head and Neck NPI1114997301

Performance

Public Reporting for Performance Scores

More Details

Final MIPS Score

99.92 out of 100

Score Breakdown

Quality Category Score 99.63
PI Category Score 93

 

IA Category Score 40
Cost Category Score 0
Total Patients: 35
Source of Scores: group

Performance Details

Measure Code Measure Title Performance Rate Patient Count Star Value Five Star Benchmark Collection Type
IA_EC_AHE_1 Engagement of New Medicaid Patients and Follow-up
IA_EC_BE_4 Engagement of patients through implementation of improvements in patient portal
IA_EC_BE_1 Use of certified EHR to capture patient reported outcomes
IA_EC_CC_2 Implementation of improvements that contribute to more timely communication of test results
MIPS_EC_112_overall Breast Cancer Screening 0 159 1 93 EHR
MIPS_EC_110_overall Preventive Care and Screening: Influenza Immunization 0 133 1 85 EHR
MIPS_EC_111_overall Pneumococcal Vaccination Status for Older Adults 0 223 1 98 EHR
MIPS_EC_113_overall Colorectal Cancer Screening 0 270 1 92 EHR
MIPS_EC_128_overall Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 38 565 2 98 EHR
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 100 1075 5 100 EHR
MIPS_EC_226_screenedForUse Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 0 318 EHR
MIPS_EC_226_tobacco Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 0 318 EHR
MIPS_EC_238_overall Use of High-Risk Medications in Older Adults 0 223 5 100 EHR
MIPS_EC_317_overall Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented 54 1075 4 64 EHR
PI_EC_EP_1 e-Prescribing 99 1073 4 100 ATT
PI_EC_LVOTC_1 Support Electronic Referral Loops By Sending Health Information Exclusion
PI_EC_ONCACB_1 ONC-ACB Surveillance Attestation
PI_EC_LVITC_2 Support Electronic Referral Loops By Receiving and Reconciling Health Information Exclusion
PI_EC_ONCDIR_1 ONC Direct Review Attestation
PI_EC_PEA_1 Provide Patients Electronic Access to Their Health Information 84 1740 4 100 ATT
PI_EC_PHCDRR_3 Electronic Case Reporting
PI_EC_PPHI_1 Security Risk Analysis
PI_EC_PHCDRR_5 Clinical Data Registry Reporting