Dr. James Stefan Walker

Refugio County Memorial Hospital NPI1932218971

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: 172
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_009_>=84Days Anti-Depressant Medication Management 84 55 EHR
MIPS_EC_001_overall Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) 19 226 EHR
MIPS_EC_009_>=180Days Anti-Depressant Medication Management 85 55 EHR
MIPS_EC_119_overall Diabetes: Medical Attention for Nephropathy 100 222 5 100 EHR
MIPS_EC_112_overall Breast Cancer Screening 74 283 4 93 EHR
MIPS_EC_113_overall Colorectal Cancer Screening 74 600 4 92 EHR
MIPS_EC_226_overall Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 63 81 3 100 EHR
MIPS_EC_226_screenedForUse Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 99 1043 EHR
MIPS_EC_226_tobacco Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 96 1043 EHR
MIPS_EC_236_overall Controlling High Blood Pressure 61 621 EHR
MIPS_EC_238_overall Use of High-Risk Medications in Older Adults 6 563 4 100 EHR