Dr. Matthew S. Roh

NPI1871807818

Performance

Public Reporting for Performance Scores

More Details

Final MIPS Score

92.38 out of 100

Score Breakdown

Quality Category Score 91.93
PI Category Score 70

 

IA Category Score 40
Cost Category Score 0
Total Patients: 18
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_2 Tobacco use
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
IA_EC_PSPA_21 Implementation of fall screening and assessment programs
IA_EC_PSPA_6 Consultation of the Prescription Drug Monitoring Program
MIPS_EC_047_overall Advance Care Plan 60 346 3 100 REG
MIPS_EC_001_overall Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) 100 84 EHR
MIPS_EC_110_overall Preventive Care and Screening: Influenza Immunization 0 1201 1 85 EHR
MIPS_EC_128_overall Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 22 1283 1 98 EHR
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 98 10538 4 100 EHR
MIPS_EC_119_overall Diabetes: Medical Attention for Nephropathy 69 84 3 100 EHR
MIPS_EC_226_overall Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 27 227 2 100 EHR
MIPS_EC_226_screenedForUse Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 52 1269 EHR
MIPS_EC_134_overall Preventive Care and Screening: Screening for Depression and Follow-Up Plan 5 1002 1 96 EHR
MIPS_EC_226_tobacco Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 39 1269 EHR
MIPS_EC_236_overall Controlling High Blood Pressure 47 123 EHR
MIPS_EC_317_overall Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented 21 9465 2 64 EHR
MIPS_EC_318_overall Falls: Screening for Future Fall Risk 39 304 2 100 EHR
MIPS_EC_238_overall Use of High-Risk Medications in Older Adults 26 304 1 100 EHR
MIPS_EC_374_overall Closing the Referral Loop: Receipt of Specialist Report 13 94 1 88 EHR
PI_EC_EP_1 e-Prescribing 96 1939 3 100 EHR
PI_EC_HIE_1 Support Electronic Referral Loops By Sending Health Information 23 100 2 79 EHR
PI_EC_EP_2 Query of the Prescription Drug Monitoring Program (PDMP)
PI_EC_LVITC_2 Support Electronic Referral Loops By Receiving and Reconciling Health Information Exclusion
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 79 1360 4 99 EHR
PI_EC_PHCDRR_5 Clinical Data Registry Reporting
PI_EC_PHCDRR_4 Public Health Registry Reporting
PI_EC_PPHI_1 Security Risk Analysis