Dr. Sanjay K Aggarwal

Sleep Medicine Chi St. Lukes' Brazosport Hospital NPI1801878608

Performance

Public Reporting for Performance Scores

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Final MIPS Score

93.11 out of 100

Score Breakdown

Quality Category Score 79.11
PI Category Score 100

 

IA Category Score 40
Cost Category Score 0
Total Patients: 42
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_EPA_1 Provide 24/7 Access to MIPS Eligible Clinicians or Groups Who Have Real-Time Access to Patient's Medical Record
MIPS_EC_110_overall Preventive Care and Screening: Influenza Immunization 44 660 3 85 EHR
MIPS_EC_111_overall Pneumococcal Vaccination Status for Older Adults 74 639 4 98 EHR
MIPS_EC_128_overall Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 15 1400 1 98 EHR
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 90 3336 4 100 EHR
MIPS_EC_226_screenedForUse Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 97 867 EHR
MIPS_EC_226_tobacco Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 86 867 EHR
MIPS_EC_226_overall Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 29 144 2 100 EHR
MIPS_EC_236_overall Controlling High Blood Pressure 35 103 EHR
MIPS_EC_317_overall Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented 15 3047 1 64 EHR
MIPS_EC_238_overall Use of High-Risk Medications in Older Adults 0 749 5 100 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_EP_1 e-Prescribing 88 1064 1 100 EHR
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 98 579 4 99 EHR
PI_EC_PHCDRR_1_EX_1 Immunization Registry Reporting Exclusion
PI_EC_ONCACB_1 ONC-ACB Surveillance Attestation
PI_EC_ONCDIR_1 ONC Direct Review Attestation
PI_EC_PHCDRR_2_EX_1 Syndromic Surveillance Reporting Exclusion
PI_EC_PPHI_1 Security Risk Analysis