Dr. Bryce D Beseth

San Antonio Regional Hospital NPI1811929243

Performance

Public Reporting for Performance Scores

More Details

Final MIPS Score

100 out of 100

Score Breakdown

Quality Category Score 95.07
PI Category Score 93

 

IA Category Score 40
Cost Category Score 0
Total Patients: 20
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
MIPS_EC_021_overall Perioperative Care: Selection of Prophylactic Antibiotic First OR Second-Generation Cephalosporin 100 74 CLM
MIPS_EC_111_overall Pneumococcal Vaccination Status for Older Adults 22 744 1 98 EHR
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 73 1908 2 100 EHR
MIPS_EC_128_overall Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 24 1431 1 98 EHR
MIPS_EC_226_screenedForUse Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 90 328 EHR
MIPS_EC_226_overall Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 10 39 1 100 EHR
MIPS_EC_226_tobacco Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 79 328 EHR
MIPS_EC_236_overall Controlling High Blood Pressure 29 542 EHR
MIPS_EC_238_overall Use of High-Risk Medications in Older Adults 0 744 5 100 EHR
MIPS_EC_318_overall Falls: Screening for Future Fall Risk 0 744 1 100 EHR
MIPS_EC_317_overall Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented 21 1315 2 64 EHR
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_ONCACB_1 ONC-ACB Surveillance Attestation
PI_EC_PHCDRR_1_EX_1 Immunization Registry Reporting Exclusion
PI_EC_PPHI_1 Security Risk Analysis
PI_EC_PEA_1 Provide Patients Electronic Access to Their Health Information 91 552 4 100 ATT
PI_EC_PHCDRR_4 Public Health Registry Reporting