Mehul Bhalja

Christus St Frances Cabrini Hospital NPI1790031276

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: 76
Source of Scores: individual

Performance Details

Measure Code Measure Title Performance Rate Patient Count Star Value Five Star Benchmark Collection Type
IA_EC_BE_6 Collection and follow-up on patient experience and satisfaction data on beneficiary engagement
MIPS_EC_006_overall Coronary Artery Disease (CAD): Antiplatelet Therapy 100 341 5 100 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%) 100 69 REG
MIPS_EC_226_overall Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 100 98 5 100 REG
MIPS_EC_431_screenedForUse Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling 100 484 REG
MIPS_EC_326_overall Atrial Fibrillation and Atrial Flutter: Chronic Anticoagulation Therapy 100 67 5 100 REG
MIPS_EC_431_overall Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling 100 484 5 100 REG