Jeffrey S Davis

Wesley Medical Center NPI1073773008

Performance

Public Reporting for Performance Scores

More Details

Final MIPS Score

95.86 out of 100

Score Breakdown

Quality Category Score 100
PI Category Score 77

 

IA Category Score 40
Cost Category Score 0
Total Patients: 113
Source of Scores: individual

Performance Details

Measure Code Measure Title Performance Rate Patient Count Star Value Five Star Benchmark Collection Type
IA_EC_CC_13 Practice Improvements for Bilateral Exchange of Patient Information
IA_EC_EPA_2 Use of telehealth services that expand practice access
IA_EC_PSPA_29 Consulting AUC Using Clinical Decision Support when Ordering Advanced
MIPS_EC_048_overall Urinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in Women Aged 65 Years and Older 90 230 4 100 REG
MIPS_EC_050_overall Urinary Incontinence: Plan of Care for Urinary Incontinence in Women Aged 65 Years and Older 94 81 4 100 REG
MIPS_EC_113_overall Colorectal Cancer Screening 70 1235 4 92 EHR
PI_EC_EP_1 e-Prescribing 96 969 4 100 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_ONCACB_1 ONC-ACB Surveillance Attestation
PI_EC_LVITC_2 Support Electronic Referral Loops By Receiving and Reconciling Health Information Exclusion
PI_EC_PEA_1 Provide Patients Electronic Access to Their Health Information 58 741 2 100 REG
PI_EC_PHCDRR_1 Immunization Registry Reporting
PI_EC_ONCDIR_1 ONC Direct Review Attestation
PI_EC_PPHI_1 Security Risk Analysis
QCDR_EC_AQUA26_overall Benign Prostate Hyperplasia (BPH): Inappropriate Lab & Imaging Services for Patients with BPH 0 260 QCDR
PI_EC_PHCDRR_5 Clinical Data Registry Reporting
QCDR_EC_AQUA15_overall Stones: Urinalysis Performed Before Surgical Stone Procedures 53 169 3 97 QCDR