Mr. Deepinder S Bal

Tristar Centennial Medical Center NPI1376538207

Performance

Public Reporting for Performance Scores

More Details

Final MIPS Score

100 out of 100

Score Breakdown

Quality Category Score 100
PI Category Score 0

 

IA Category Score 40
Cost Category Score 0
Total Patients: 46
Source of Scores: individual

Performance Details

Measure Code Measure Title Performance Rate Patient Count Star Value Five Star Benchmark Collection Type
IA_EC_PM_16 Implementation of medication management practice improvements
IA_EC_PSPA_16 Use of decision support and standardized treatment protocols
IA_EC_PSPA_1 Participation in an AHRQ-listed patient safety organization.
MIPS_EC_001_overall Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) 19 139 EHR
IA_EC_PSPA_21 Implementation of fall screening and assessment programs
MIPS_EC_112_overall Breast Cancer Screening 70 186 4 93 EHR
MIPS_EC_110_overall Preventive Care and Screening: Influenza Immunization 27 525 2 85 EHR
MIPS_EC_119_overall Diabetes: Medical Attention for Nephropathy 91 139 4 100 EHR
MIPS_EC_113_overall Colorectal Cancer Screening 82 432 4 92 EHR
MIPS_EC_226_screenedForUse Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 99 573 EHR
MIPS_EC_226_tobacco Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 94 573 EHR
MIPS_EC_226_overall Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 30 47 2 100 EHR
MIPS_EC_236_overall Controlling High Blood Pressure 73 401 EHR
MIPS_EC_309_overall Cervical Cancer Screening 53 159 3 98 EHR
MIPS_EC_318_overall Falls: Screening for Future Fall Risk 75 405 4 100 EHR