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Samantha Waitzman

NPI1457878225
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Performance

Public Reporting for Performance Scores

More Details

Final MIPS Score

84.25 out of 100

Score Breakdown

Quality Category Score 76.67
PI Category Score 83

 

IA Category Score 40
Cost Category Score 0
Total Patients: 141
Source of Scores: individual

Performance Details

Measure Code Measure Title Performance Rate Patient Count Star Value Five Star Benchmark Collection Type
IA_EC_CC_1 Implementation of Use of Specialist Reports Back to Referring Clinician or Group to Close Referral Loop
IA_EC_EPA_1 Provide 24/7 Access to MIPS Eligible Clinicians or Groups Who Have Real-Time Access to Patient's Medical Record
IA_EC_EPA_3 Collection and use of patient experience and satisfaction data on access
MIPS_EC_047_overall Advance Care Plan 2 706 1 100 REG
MIPS_EC_110_overall Preventive Care and Screening: Influenza Immunization 56 1048 3 100 REG
MIPS_EC_111_overall Pneumococcal Vaccination Status for Older Adults 27 645 2 99 REG
MIPS_EC_128_overall Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 0 1885 1 100 REG
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 96 3171 4 100 REG
MIPS_EC_134_overall Preventive Care and Screening: Screening for Depression and Follow-Up Plan 3 2044 1 100 REG
MIPS_EC_137_overall Melanoma: Continuity of Care Recall System 93 57 REG
MIPS_EC_265_overall Biopsy Follow-Up 71 197 REG
MIPS_EC_431_screenedForUse Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling 41 1186 REG
MIPS_EC_394_HPV Immunizations for Adolescents 10 20 REG
MIPS_EC_394_Tdap Immunizations for Adolescents 5 20 REG
MIPS_EC_358_overall Patient-Centered Surgical Risk Assessment and Communication 55 51 3 100 REG
MIPS_EC_394_meningococcal Immunizations for Adolescents 0 20 1 66 REG
MIPS_EC_400_overall One-Time Screening for Hepatitis C Virus (HCV) for Patients at Risk 0 480 1 97 REG
MIPS_EC_394_overall Immunizations for Adolescents 0 20 REG
MIPS_EC_431_overall Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling 41 1186 2 100 REG
PI_EC_EP_1 e-Prescribing 99 2765 4 100 REG
PI_EC_EP_2 Query of the Prescription Drug Monitoring Program (PDMP)
MIPS_EC_402_overall Tobacco Use and Help with Quitting Among Adolescents 91 282 REG
PI_EC_LVOTC_1 Support Electronic Referral Loops By Sending Health Information Exclusion
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_PEA_1 Provide Patients Electronic Access to Their Health Information 66 2260 2 100 REG
PI_EC_PHCDRR_5 Clinical Data Registry Reporting
PI_EC_PHCDRR_5_MULTI Clinical Data Registry Reporting for Multiple Registry Engagement
PI_EC_PPHI_1 Security Risk Analysis