Stephen K Lee

California Pacific Medical Center- Van Ness Campus NPI1053327288

Performance

Public Reporting for Performance Scores

More Details

Final MIPS Score

60 out of 100

Score Breakdown

Quality Category Score 0
PI Category Score 0

 

IA Category Score 0
Cost Category Score 0
Total Patients: 31
Source of Scores: apm

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_048_overall Urinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in Women Aged 65 Years and Older 0 119 1 100 REG
MIPS_EC_006_overall Coronary Artery Disease (CAD): Antiplatelet Therapy 68 37 3 100 REG
MIPS_EC_047_overall Advance Care Plan 18 315 1 100 REG
MIPS_EC_039_overall Screening for Osteoporosis for Women Aged 65-85 Years of Age 23 57 1 100 REG
MIPS_EC_110_overall Preventive Care and Screening: Influenza Immunization 54 255 3 100 REG
MIPS_EC_111_overall Pneumococcal Vaccination Status for Older Adults 83 287 4 99 REG
MIPS_EC_112_overall Breast Cancer Screening 50 105 3 100 REG
MIPS_EC_119_overall Diabetes: Medical Attention for Nephropathy 93 121 4 100 REG
MIPS_EC_117_overall Diabetes: Eye Exam 12 121 1 100 REG
MIPS_EC_126_overall Diabetes Mellitus: Diabetic Foot and Ankle Care, Peripheral Neuropathy Neurological Evaluation 0 172 1 100 REG
MIPS_EC_128_overall Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 55 550 3 100 REG
MIPS_EC_113_overall Colorectal Cancer Screening 44 350 2 100 REG
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 100 1575 5 100 REG
MIPS_EC_134_overall Preventive Care and Screening: Screening for Depression and Follow-Up Plan 0 562 1 100 REG
MIPS_EC_127_overall Diabetes Mellitus: Diabetic Foot and Ankle Care, Ulcer Prevention Evaluation of Footwear 0 176 1 100 REG
MIPS_EC_226_overall Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 33 40 2 100 REG
MIPS_EC_317_overall Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented 25 284 2 100 REG
MIPS_EC_277_overall Sleep Apnea: Severity Assessment at Initial Diagnosis 0 29 1 100 REG
MIPS_EC_431_screenedForUse Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling 0 474 REG
MIPS_EC_441_overall Ischemic Vascular Disease (IVD) All or None Outcome Measure (Optimal Control) 48 23 REG
MIPS_EC_431_overall Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling 1 474 1 100 REG
MIPS_EC_326_overall Atrial Fibrillation and Atrial Flutter: Chronic Anticoagulation Therapy 91 22 4 100 REG
MIPS_EC_438_overall Statin Therapy for the Prevention and Treatment of Cardiovascular Disease 81 286 4 100 REG