Dr. Stuart Kevin Burgess Investigator

Retina Specialist NPI1689676363

Performance

Public Reporting for Performance Scores

More Details

Final MIPS Score

88.54 out of 100

Score Breakdown

Quality Category Score 77.10
PI Category Score 92

 

IA Category Score 40
Cost Category Score 0
Total Patients: 320
Source of Scores: individual

Performance Details

Measure Code Measure Title Performance Rate Patient Count Star Value Five Star Benchmark Collection Type
IA_EC_AHE_7 Comprehensive Eye Exams
IA_EC_BE_22 Improved Practices that Engage Patients Pre-Visit
IA_EC_BE_1 Use of certified EHR to capture patient reported outcomes
IA_EC_CC_1 Implementation of Use of Specialist Reports Back to Referring Clinician or Group to Close Referral Loop
IA_EC_CC_8 Implementation of documentation improvements for practice/process improvements
IA_EC_CC_2 Implementation of improvements that contribute to more timely communication of test results
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_2 Use of telehealth services that expand practice access
MIPS_EC_014_overall Age-Related Macular Degeneration (AMD): Dilated Macular Examination 100 540 5 100 REG
MIPS_EC_019_overall Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care 100 478 5 100 REG
MIPS_EC_111_overall Pneumococcal Vaccination Status for Older Adults 53 762 3 99 REG
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 100 5161 5 100 REG
MIPS_EC_117_overall Diabetes: Eye Exam 100 452 5 100 REG
MIPS_EC_226_overall Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 100 293 5 100 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_EP_1 e-Prescribing 100 132 5 100 REG
PI_EC_ONCDIR_1 ONC Direct Review Attestation
PI_EC_PEA_1 Provide Patients Electronic Access to Their Health Information 91 2060 4 100 REG
PI_EC_PHCDRR_2_EX_1 Syndromic Surveillance Reporting Exclusion
PI_EC_PHCDRR_3_EX_1 Electronic Case Reporting Exclusion
PI_EC_PPHI_1 Security Risk Analysis
PI_EC_PHCDRR_1_EX_1 Immunization Registry Reporting Exclusion
PI_EC_PHCDRR_5_EX_1 Clinical Data Registry Reporting Exclusion
PI_EC_PHCDRR_4_EX_1 Public Health Registry Reporting Exclusion