Nathan R Mathews

Aurora Memorial Hospital Burlington NPI1275928624

Performance

Public Reporting for Performance Scores

More Details

Final MIPS Score

97.73 out of 100

Score Breakdown

Quality Category Score 94.31
PI Category Score 93

 

IA Category Score 40
Cost Category Score 0
Total Patients: 155
Source of Scores: individual

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_014_overall Age-Related Macular Degeneration (AMD): Dilated Macular Examination 80 230 2 100 REG
MIPS_EC_019_overall Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care 100 75 5 100 REG
MIPS_EC_117_overall Diabetes: Eye Exam 100 200 5 100 REG
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 4 3397 1 100 REG
PI_EC_EP_1 e-Prescribing 100 463 5 100 REG
MIPS_EC_374_overall Closing the Referral Loop: Receipt of Specialist Report 77 47 3 100 REG
MIPS_EC_402_overall Tobacco Use and Help with Quitting Among Adolescents 94 54 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_ONCDIR_1 ONC Direct Review Attestation
PI_EC_PEA_1 Provide Patients Electronic Access to Their Health Information 91 866 4 100 REG
PI_EC_PPHI_1 Security Risk Analysis
PI_EC_PHCDRR_5_MULTI Clinical Data Registry Reporting for Multiple Registry Engagement
PI_EC_PHCDRR_5 Clinical Data Registry Reporting