Sarwan Singh Kahlam

Hackettstown Medical Center NPI1710958137

Performance

Public Reporting for Performance Scores

More Details

Final MIPS Score

96.18 out of 100

Score Breakdown

Quality Category Score 100
PI Category Score 77

 

IA Category Score 40
Cost Category Score 0
Total Patients: 119
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_113_overall Colorectal Cancer Screening 94 1977 5 92 EHR
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 76 5853 2 100 EHR
MIPS_EC_128_overall Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 36 3036 2 98 EHR
MIPS_EC_185_overall Colonoscopy Interval for Patients with a History of Adenomatous Polyps Avoidance of Inappropriate Use 100 549 5 100 REG
MIPS_EC_226_overall Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 98 63 4 100 EHR
MIPS_EC_226_screenedForUse Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 90 1397 EHR
MIPS_EC_317_overall Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented 65 3355 5 64 EHR
MIPS_EC_226_tobacco Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 90 1397 EHR
MIPS_EC_236_overall Controlling High Blood Pressure 50 1137 EHR
PI_EC_EP_1 e-Prescribing 83 2360 1 100 REG
PI_EC_LVOTC_1 Support Electronic Referral Loops By Sending Health Information Exclusion
PI_EC_ONCDIR_1 ONC Direct Review Attestation
PI_EC_PHCDRR_1_EX_1 Immunization Registry Reporting Exclusion
PI_EC_LVITC_2 Support Electronic Referral Loops By Receiving and Reconciling Health Information Exclusion
PI_EC_PEA_1 Provide Patients Electronic Access to Their Health Information 74 3405 3 100 REG
PI_EC_PHCDRR_5 Clinical Data Registry Reporting
PI_EC_PPHI_1 Security Risk Analysis