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James G Chun JR.

St Mary's Medical Center NPI1134143506
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Performance

Public Reporting for Performance Scores

More Details

Final MIPS Score

100 out of 100

Score Breakdown

Quality Category Score 100
PI Category Score 0

 

IA Category Score 40
Cost Category Score 0
Total Patients: 39
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_047_overall Advance Care Plan 21 913 1 100 REG
MIPS_EC_048_overall Urinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in Women Aged 65 Years and Older 0 386 1 100 REG
MIPS_EC_006_overall Coronary Artery Disease (CAD): Antiplatelet Therapy 92 489 4 100 REG
MIPS_EC_110_overall Preventive Care and Screening: Influenza Immunization 30 423 2 100 REG
MIPS_EC_111_overall Pneumococcal Vaccination Status for Older Adults 43 744 2 99 REG
MIPS_EC_039_overall Screening for Osteoporosis for Women Aged 65-85 Years of Age 10 210 1 100 REG
MIPS_EC_118_overall Coronary Artery Disease (CAD): Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) Therapy - Diabetes or Left Ventricular Systolic Dysfunction (LVEF < 40%) 82 198 REG
MIPS_EC_117_overall Diabetes: Eye Exam 17 187 1 100 REG
MIPS_EC_119_overall Diabetes: Medical Attention for Nephropathy 82 187 4 100 REG
MIPS_EC_128_overall Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 86 1150 4 100 REG
MIPS_EC_112_overall Breast Cancer Screening 19 174 1 100 REG
MIPS_EC_126_overall Diabetes Mellitus: Diabetic Foot and Ankle Care, Peripheral Neuropathy Neurological Evaluation 0 370 1 100 REG
MIPS_EC_113_overall Colorectal Cancer Screening 35 547 2 100 REG
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 97 2391 4 100 REG
MIPS_EC_127_overall Diabetes Mellitus: Diabetic Foot and Ankle Care, Ulcer Prevention Evaluation of Footwear 0 404 1 100 REG
MIPS_EC_145_overall Radiology: Exposure Dose Indices or Exposure Time and Number of Images Reported for Procedures Using Fluoroscopy 0 46 1 100 REG
MIPS_EC_134_overall Preventive Care and Screening: Screening for Depression and Follow-Up Plan 0 1062 1 100 REG
MIPS_EC_226_overall Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 42 66 2 100 REG
MIPS_EC_277_overall Sleep Apnea: Severity Assessment at Initial Diagnosis 0 76 1 100 REG
MIPS_EC_326_overall Atrial Fibrillation and Atrial Flutter: Chronic Anticoagulation Therapy 90 275 4 100 REG
MIPS_EC_317_overall Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented 29 358 2 100 REG
MIPS_EC_441_overall Ischemic Vascular Disease (IVD) All or None Outcome Measure (Optimal Control) 72 226 REG
MIPS_EC_431_screenedForUse Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling 0 759 REG
MIPS_EC_431_overall Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling 8 759 1 100 REG
MIPS_EC_360_overall Optimizing Patient Exposure to Ionizing Radiation: Count of Potential High Dose Radiation Imaging Studies: Computed Tomography (CT) and Cardiac Nuclear Medicine Studies 0 20 1 100 REG
MIPS_EC_438_overall Statin Therapy for the Prevention and Treatment of Cardiovascular Disease 84 780 4 100 REG