Nayan C Shah

Gastroenterology Geisinger-Community Medical Center NPI1982799664

Performance

Public Reporting for Performance Scores

More Details

Final MIPS Score

84.33 out of 100

Score Breakdown

Quality Category Score 77.77
PI Category Score 76

 

IA Category Score 40
Cost Category Score 0
Total Patients: 37
Source of Scores: individual

Performance Details

Measure Code Measure Title Performance Rate Patient Count Star Value Five Star Benchmark Collection Type
IA_EC_AHE_1 Engagement of New Medicaid Patients and Follow-up
IA_EC_AHE_6 Provide Education Opportunities for New Clinicians
IA_EC_BE_15 Engagement of Patients, Family, and Caregivers in Developing a Plan of Care
IA_EC_BMH_9 Unhealthy Alcohol Use for Patients with Co-occurring Conditions of Mental Health and Substance Abuse and Ambulatory Care Patients
IA_EC_BMH_2 Tobacco use
IA_EC_CC_1 Implementation of Use of Specialist Reports Back to Referring Clinician or Group to Close Referral Loop
IA_EC_EPA_3 Collection and use of patient experience and satisfaction data on access
IA_EC_EPA_2 Use of telehealth services that expand practice access
MIPS_EC_111_overall Pneumococcal Vaccination Status for Older Adults 100 239 5 100 CLM
MIPS_EC_113_overall Colorectal Cancer Screening 100 237 5 100 CLM
MIPS_EC_226_overall Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 100 29 5 100 CLM
PI_EC_EP_2 Query of the Prescription Drug Monitoring Program (PDMP)
PI_EC_EP_1 e-Prescribing 97 843 4 100 ATT
PI_EC_LVITC_2 Support Electronic Referral Loops By Receiving and Reconciling Health Information Exclusion
PI_EC_ONCACB_1 ONC-ACB Surveillance Attestation
PI_EC_ONCDIR_1 ONC Direct Review Attestation
PI_EC_LVOTC_1 Support Electronic Referral Loops By Sending Health Information Exclusion
PI_EC_PEA_1 Provide Patients Electronic Access to Their Health Information 62 1691 3 100 ATT
PI_EC_PHCDRR_2_EX_1 Syndromic Surveillance Reporting Exclusion
PI_EC_PHCDRR_3_EX_1 Electronic Case Reporting Exclusion
PI_EC_PHCDRR_5_EX_1 Clinical Data Registry Reporting Exclusion
PI_EC_PPHI_1 Security Risk Analysis
PI_EC_PHCDRR_1_EX_1 Immunization Registry Reporting Exclusion
PI_EC_PHCDRR_4_EX_1 Public Health Registry Reporting Exclusion