Dr. Venkat R Nimmagadda

Nephrology Southeast Health Medical Center NPI1043267917

Performance

Public Reporting for Performance Scores

More Details

Final MIPS Score

92.24 out of 100

Score Breakdown

Quality Category Score 72
PI Category Score 95

 

IA Category Score 40
Cost Category Score 0
Total Patients: 89
Source of Scores: individual

Performance Details

Measure Code Measure Title Performance Rate Patient Count Star Value Five Star Benchmark Collection Type
IA_EC_BE_12 Use evidence-based decision aids to support shared decision-making.
IA_EC_BE_1 Use of certified EHR to capture patient reported outcomes
IA_EC_BE_15 Engagement of Patients, Family, and Caregivers in Developing a Plan of Care
IA_EC_BE_4 Engagement of patients through implementation of improvements in patient portal
IA_EC_BMH_2 Tobacco use
IA_EC_CC_8 Implementation of documentation improvements for practice/process improvements
IA_EC_CC_2 Implementation of improvements that contribute to more timely communication of test results
IA_EC_EPA_2 Use of telehealth services that expand practice access
MIPS_EC_001_overall Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) 97 375 EHR
MIPS_EC_119_overall Diabetes: Medical Attention for Nephropathy 99 375 4 100 EHR
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 43 1315 1 100 EHR
MIPS_EC_128_overall Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 16 1098 1 98 EHR
MIPS_EC_226_screenedForUse Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 30 179 EHR
MIPS_EC_226_tobacco Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 25 179 EHR
MIPS_EC_236_overall Controlling High Blood Pressure 46 918 EHR
MIPS_EC_317_overall Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented 10 369 1 64 EHR
PI_EC_EP_2 Query of the Prescription Drug Monitoring Program (PDMP)
PI_EC_EP_1 e-Prescribing 86 1543 2 100 ATT
PI_EC_LVITC_2 Support Electronic Referral Loops By Receiving and Reconciling Health Information Exclusion
PI_EC_LVOTC_1 Support Electronic Referral Loops By Sending Health Information Exclusion
PI_EC_PEA_1 Provide Patients Electronic Access to Their Health Information 85 1107 4 100 ATT
PI_EC_ONCACB_1 ONC-ACB Surveillance Attestation
PI_EC_ONCDIR_1 ONC Direct Review Attestation
PI_EC_PHCDRR_2_EX_1 Syndromic Surveillance Reporting Exclusion
PI_EC_PHCDRR_3_EX_1 Electronic Case Reporting Exclusion
PI_EC_PHCDRR_1_EX_1 Immunization Registry Reporting Exclusion
PI_EC_PPHI_1 Security Risk Analysis
PI_EC_PHCDRR_4_EX_1 Public Health Registry Reporting Exclusion
PI_EC_PHCDRR_5_EX_1 Clinical Data Registry Reporting Exclusion