Timothy W Sullivan

Wentworth-Douglass Hospital NPI1538486717

Performance

Public Reporting for Performance Scores

More Details

Final MIPS Score

93.90 out of 100

Score Breakdown

Quality Category Score 88.18
PI Category Score 79.83

 

IA Category Score 40
Cost Category Score 0
Total Patients: 365
Source of Scores: apm, 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_014_overall Age-Related Macular Degeneration (AMD): Dilated Macular Examination 69 313 1 100 REG
MIPS_EC_047_overall Advance Care Plan 61 1380 3 100 REG
MIPS_EC_019_overall Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care 77 77 1 100 REG
MIPS_EC_111_overall Pneumococcal Vaccination Status for Older Adults 53 1109 3 99 REG
MIPS_EC_117_overall Diabetes: Eye Exam 75 386 1 100 REG
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 3 4995 1 100 REG
MIPS_EC_226_overall Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 0 37 1 100 REG
MIPS_EC_374_overall Closing the Referral Loop: Receipt of Specialist Report 100 39 5 100 REG
MIPS_EC_431_overall Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling 5 792 1 100 REG
MIPS_EC_431_screenedForUse Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling 5 792 REG