Manisha Chandalia Investigator

Endocrinology, Diabetes & Metabolism Houston Methodist Baytown Hospital NPI1750347217

Performance

Public Reporting for Performance Scores

More Details

Final MIPS Score

92.33 out of 100

Score Breakdown

Quality Category Score 93.11
PI Category Score 75

 

IA Category Score 40
Cost Category Score 0
Total Patients: 134
Source of Scores: individual

Performance Details

Measure Code Measure Title Performance Rate Patient Count Star Value Five Star Benchmark Collection Type
IA_EC_PM_4 Glycemic management services
IA_EC_EPA_2 Use of telehealth services that expand practice access
IA_EC_PM_19 Glycemic Screening Services
MIPS_EC_001_overall Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) 6 1060 EHR
MIPS_EC_111_overall Pneumococcal Vaccination Status for Older Adults 37 559 2 98 EHR
MIPS_EC_119_overall Diabetes: Medical Attention for Nephropathy 45 1060 2 100 EHR
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 97 3206 4 100 EHR
MIPS_EC_238_overall Use of High-Risk Medications in Older Adults 0 559 5 100 EHR
MIPS_EC_236_overall Controlling High Blood Pressure 65 1062 EHR
PI_EC_EP_1 e-Prescribing 99 6459 4 100 ATT
PI_EC_HIE_1 Support Electronic Referral Loops By Sending Health Information 44 25 2 100 ATT
PI_EC_ONCDIR_1 ONC Direct Review Attestation
PI_EC_ONCACB_1 ONC-ACB Surveillance Attestation
PI_EC_PEA_1 Provide Patients Electronic Access to Their Health Information 71 2744 3 100 ATT
PI_EC_PHCDRR_1_EX_1 Immunization Registry Reporting Exclusion
PI_EC_PHCDRR_3_EX_1 Electronic Case Reporting Exclusion
PI_EC_PHCDRR_2_EX_1 Syndromic Surveillance Reporting Exclusion
PI_EC_PHCDRR_5_EX_1 Clinical Data Registry Reporting Exclusion
PI_EC_PHCDRR_4_EX_1 Public Health Registry Reporting Exclusion
PI_EC_PPHI_1 Security Risk Analysis