Dr. Divya Singh-Behl

MOHS-Micrographic Surgery NPI1932299278

Performance

Public Reporting for Performance Scores

More Details

Final MIPS Score

87.29 out of 100

Score Breakdown

Quality Category Score 76.92
PI Category Score 93

 

IA Category Score 40
Cost Category Score 0
Total Patients: 199
Source of Scores: individual

Performance Details

Measure Code Measure Title Performance Rate Patient Count Star Value Five Star Benchmark Collection Type
IA_EC_BE_6 Collection and follow-up on patient experience and satisfaction data on beneficiary engagement
IA_EC_BE_4 Engagement of patients through implementation of improvements in patient portal
IA_EC_CC_1 Implementation of Use of Specialist Reports Back to Referring Clinician or Group to Close Referral Loop
IA_EC_EPA_1 Provide 24/7 Access to MIPS Eligible Clinicians or Groups Who Have Real-Time Access to Patient's Medical Record
MIPS_EC_047_overall Advance Care Plan 2 1005 1 100 REG
MIPS_EC_110_overall Preventive Care and Screening: Influenza Immunization 70 1210 3 100 REG
MIPS_EC_111_overall Pneumococcal Vaccination Status for Older Adults 33 876 2 99 REG
MIPS_EC_128_overall Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 0 1837 1 100 REG
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 77 2595 1 100 REG
MIPS_EC_137_overall Melanoma: Continuity of Care Recall System 76 110 REG
MIPS_EC_134_overall Preventive Care and Screening: Screening for Depression and Follow-Up Plan 2 1861 1 100 REG
MIPS_EC_265_overall Biopsy Follow-Up 63 104 REG
MIPS_EC_431_screenedForUse Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling 47 1027 REG
MIPS_EC_431_overall Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling 47 1027 2 100 REG
MIPS_EC_358_overall Patient-Centered Surgical Risk Assessment and Communication 75 126 4 100 REG
MIPS_EC_402_overall Tobacco Use and Help with Quitting Among Adolescents 86 97 REG
MIPS_EC_431_counseling Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling 100 38 REG
PI_EC_LVITC_2 Support Electronic Referral Loops By Receiving and Reconciling Health Information Exclusion
PI_EC_EP_1 e-Prescribing 100 827 5 100 REG
PI_EC_EP_2 Query of the Prescription Drug Monitoring Program (PDMP)
PI_EC_LVOTC_1 Support Electronic Referral Loops By Sending Health Information Exclusion
PI_EC_PEA_1 Provide Patients Electronic Access to Their Health Information 78 2223 3 100 REG
PI_EC_ONCDIR_1 ONC Direct Review Attestation
PI_EC_PPHI_1 Security Risk Analysis
PI_EC_PHCDRR_5_MULTI Clinical Data Registry Reporting for Multiple Registry Engagement
PI_EC_PHCDRR_5 Clinical Data Registry Reporting