Reporting Year:

QM score updated on 22 Jun, 2021 at 13:47

#	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 Large practice	Purchase Plan	Quality MIPS Points: 0 / 0 Promoting Interoperability MIPS Points: 0 / 0 Improvement Activities MIPS Points: 0 / 0 Cost (2021) MIPS Points: - Total MIPS Score: 0 Revenue Impact: $ -139,592.00 ( -9.00% ) Medicare Payments: $ 1,551,033.03
All	# Clinicians in the Group: 6
	Banyon, Brendan Michael Check MIPS Eligibility: INDIVIDUAL GROUP APM	1013100312			$ 204,669.87
	Borders, Heather L Check MIPS Eligibility: INDIVIDUAL GROUP APM	1508082892			$ 1,261.03
	Durham, Todd D. Check MIPS Eligibility: INDIVIDUAL GROUP APM	1861603797			$ 95,190.52
	Ervine, Susan Lm Check MIPS Eligibility: INDIVIDUAL GROUP APM	1992738793			$ 87,713.32
	Gibbs, Denis Laurel Check MIPS Eligibility: INDIVIDUAL GROUP APM	1215973409			$ 44,513.68
	Latour, Donn Alan Check MIPS Eligibility: INDIVIDUAL GROUP APM	1427139674			$ 1,117,684.61

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Points	CMS Exceptional Bonus	CMS Payment Adjustment	#1
0			-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		0.04
77		0.08
78		0.12
79		0.16
80		0.2
81		0.24
82		0.28
83		0.32
84		0.36
84.1		0.36
84.2		0.37
84.3		0.37
84.4		0.38
84.5		0.38
84.6		0.38
84.7		0.39
84.8		0.39
84.9		0.4
85		0.4
85.1		0.4
85.2		0.41
85.3		0.41
85.4		0.42
85.5		0.42
85.6		0.42
85.7		0.43
85.8		0.43
85.9		0.44
86		0.44
88.99	0.56	0.52
89	1
90	1.41
91	1.82
92	2.23
93	2.64
94	3.05
95	3.45
96	3.86
97	4.27
98	4.68
99	5.09
100	5.5
100	5.5
100	5.5
100	5.5
100	5.5
100	5.5
100	5.5
100	5.5

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Payments

Reporting Year:

-

999999999

Quality

Promoting Interoperability

Improvement Activities

Cost (2021)

Total MIPS Score: 0

Revenue Impact:

$ -139,592.00 ( -9.00% )

Medicare Payments:

$ 1,551,033.03

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