Reporting Year:

QM score updated on 11 Apr, 2023 at 15:56

#	Clinician	NPI	TIN	Required Actions	Categories Estimated Score / Impact

1. 0 [{"NPI":"1427139674","PROVIDER_NAME":"Latour, Donn Alan"},{"NPI":"1013100312","PROVIDER_NAME":"Banyon, Brendan Michael"},{"NPI":"1508082892","PROVIDER_NAME":"Borders, Heather L"},{"NPI":"1992738793","PROVIDER_NAME":"Ervine, Susan Lm"},{"NPI":"1215973409","PROVIDER_NAME":"Gibbs, Denis Laurel"},{"NPI":"1861603797","PROVIDER_NAME":"Durham, Todd D."}]	# Clinicians in the Group:	- My Providers	999999999 No Name Available	Purchase Plan Confirm Cases	Quality MIPS Points: 1.5 / 30 Promoting Interoperability MIPS Points: 0 / 25 Improvement Activities MIPS Points: 0 / 15 Cost (2022) MIPS Points: - Total MIPS Score: 1.5 Revenue Impact: $ -108,533.00 ( -9.00% ) Medicare Payments: $ 1,205,924.60
All	# Clinicians in the Group: 6
	Banyon, Brendan Michael Check MIPS Eligibility: INDIVIDUAL GROUP APM	1013100312			$ 188,908.57
	Borders, Heather L Check MIPS Eligibility: INDIVIDUAL GROUP APM	1508082892			$ 186.24
	Durham, Todd D. Check MIPS Eligibility: INDIVIDUAL GROUP APM	1861603797			$ 69,157.25
	Ervine, Susan Lm Check MIPS Eligibility: INDIVIDUAL GROUP APM	1992738793			$ 81,149.55
	Gibbs, Denis Laurel Check MIPS Eligibility: INDIVIDUAL GROUP APM	1215973409			$ 58,976.44
	Latour, Donn Alan Check MIPS Eligibility: INDIVIDUAL GROUP APM	1427139674			$ 807,546.55

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Points	CMS Exceptional Bonus	CMS Payment Adjustment	#1
1.5			-9
0		-9
0.5		-9
1		-9
1.5		-9
2		-9
2.5		-9
3		-9
3.5		-9
4		-9
4.5		-9
5		-9
5.5		-9
6		-9
6.5		-9
7		-9
7.5		-9
8		-9
8.5		-9
9		-9
9.5		-9
10		-9
10.5		-9
11		-9
11		-9
11.05		-9
11.1		-9
11.15		-9
11.2		-9
11.25		-9
11.3		-9
11.35		-9
11.4		-9
11.45		-9
11.5		-9
11.55		-9
11.6		-9
11.65		-9
11.7		-9
11.75		-9
11.8		-9
11.85		-9
11.9		-9
11.95		-9
13		-9
14		-9
15		-9
16		-9
17		-9
18		-9
19		-6.47
20		-6.36
21		-6.24
22		-6.12
23		-6.01
24		-5.89
25		-5.78
26		-5.66
27		-5.55
28		-5.43
29		-5.32
30		-5.2
31		-5.08
32		-4.97
33		-4.85
34		-4.74
35		-4.62
36		-4.51
37		-4.39
38		-4.28
39		-4.16
40		-4.04
41		-3.93
42		-3.81
43		-3.7
44		-3.58
45		-3.47
46		-3.35
47		-3.24
48		-3.12
49		-3
50		-2.89
51		-2.77
52		-2.66
53		-2.54
54		-2.43
55		-2.31
56		-2.2
57		-2.08
58		-1.96
59		-1.85
60		-1.73
61		-1.62
62		-1.5
63		-1.39
64		-1.27
65		-1.16
66		-1.04
67		-0.92
68		-0.81
69		-0.69
70		-0.58
71		-0.46
72		-0.35
73		-0.23
74		-0.12
75		0
76		0.24
77		0.48
78		0.72
79		0.96
80		1.2
81		1.44
82		1.68
83		1.92
84		2.16
84.1		2.18
84.2		2.21
84.3		2.23
84.4		2.26
84.5		2.28
84.6		2.3
84.7		2.33
84.8		2.35
84.9		2.38
85		2.4
85.1		2.42
85.2		2.45
85.3		2.47
85.4		2.5
85.5		2.52
85.6		2.54
85.7		2.57
85.8		2.59
85.9		2.62
86		2.64
88		3.12
89		3.36
90		3.6
91		3.84
92		4.08
93		4.32
94		4.56
95		4.8
96		5.04
97		5.28
98		5.52
99		5.76
100		6
100	6
100	6
100	6
100	6
100	6
100	6
100	6

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Payments

Reporting Year:

-

999999999

Quality

Promoting Interoperability

Improvement Activities

Cost (2022)

Total MIPS Score: 1.5

Revenue Impact:

$ -108,533.00 ( -9.00% )

Medicare Payments:

$ 1,205,924.60

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