Dr. Marga B. Ngwang

Wellstar Cobb Hospital NPI1861703654

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: 29
Source of Scores: individual

Performance Details

Measure Code Measure Title Performance Rate Patient Count Star Value Five Star Benchmark Collection Type
IA_EC_BE_4 Engagement of patients through implementation of improvements in patient portal
IA_EC_BMH_4 Depression screening
IA_EC_CC_13 Practice Improvements for Bilateral Exchange of Patient Information
IA_EC_PM_16 Implementation of medication management practice improvements
IA_EC_PSPA_16 Use of decision support and standardized treatment protocols
MIPS_EC_001_overall Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) 23 185 EHR
MIPS_EC_110_overall Preventive Care and Screening: Influenza Immunization 11 775 1 85 EHR
MIPS_EC_117_overall Diabetes: Eye Exam 0 185 1 100 EHR
MIPS_EC_113_overall Colorectal Cancer Screening 20 383 1 92 EHR
MIPS_EC_112_overall Breast Cancer Screening 22 255 1 93 EHR
MIPS_EC_119_overall Diabetes: Medical Attention for Nephropathy 90 185 4 100 EHR
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 73 4467 2 100 EHR
MIPS_EC_236_overall Controlling High Blood Pressure 42 421 EHR
MIPS_EC_239_BMI Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents 87 191 EHR
MIPS_EC_239_nutrition Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents 50 191 EHR
MIPS_EC_239_physicalActivity Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents 33 191 EHR
MIPS_EC_309_overall Cervical Cancer Screening 42 637 2 98 EHR
MIPS_EC_238_overall Use of High-Risk Medications in Older Adults 7 167 3 100 EHR
MIPS_EC_317_overall Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented 18 2337 2 64 EHR
MIPS_EC_374_overall Closing the Referral Loop: Receipt of Specialist Report 4 246 1 88 EHR