Khawar Mahmood Gul

Lompoc Valley Medical Center NPI1538296744

Performance

Public Reporting for Performance Scores

More Details

Final MIPS Score

67.14 out of 100

Score Breakdown

Quality Category Score 57.5
PI Category Score 98

 

IA Category Score 40
Cost Category Score 0
Total Patients: 200
Source of Scores: individual, group

Performance Details

Measure Code Measure Title Performance Rate Patient Count Star Value Five Star Benchmark Collection Type
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_006_overall Coronary Artery Disease (CAD): Antiplatelet Therapy 100 240 5 100 REG
MIPS_EC_047_overall Advance Care Plan 100 850 5 100 REG
MIPS_EC_128_overall Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 98 1559 4 100 REG
MIPS_EC_154_overall Falls: Risk Assessment 100 20 REG
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 100 2654 5 100 REG
PI_EC_EP_1 e-Prescribing 100 192 5 100 REG
PI_EC_LVITC_2 Support Electronic Referral Loops By Receiving and Reconciling Health Information Exclusion
PI_EC_LVOTC_1 Support Electronic Referral Loops By Sending Health Information Exclusion
PI_EC_ONCACB_1 ONC-ACB Surveillance Attestation
PI_EC_ONCDIR_1 ONC Direct Review Attestation
PI_EC_PEA_1 Provide Patients Electronic Access to Their Health Information 97 588 4 100 REG
PI_EC_PHCDRR_2_EX_1 Syndromic Surveillance Reporting Exclusion
PI_EC_PHCDRR_1_EX_1 Immunization Registry Reporting Exclusion
PI_EC_PPHI_1 Security Risk Analysis