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Clinician Performance Information on Physician CompareMeasure #Technical Measure Title 2251QuantitativeImmunohistochemical (IHC)Evaluation of HumanEpidermal Growth FactorReceptor 2 Testing (HER2) forBreast Cancer Patients265Biopsy Follow-Up276277278279Sleep Apnea: Assessment ofSleep SymptomsSleep Apnea: SeverityAssessment at InitialDiagnosisSleep Apnea: Positive AirwayPressure Therapy PrescribedSleep Apnea: Assessment ofAdherence to Positive AirwayPressure Therapy282Dementia: Functional StatusAssessment283Dementia: NeuropsychiatricSymptom Assessment284Dementia: Management ofNeuropsychiatric Symptoms286Dementia: CounselingRegarding Safety Concerns288Dementia: CaregiverEducation and Support290Parkinson's Disease:Psychiatric SymptomsAssessment for Patients withParkinson's Disease291Parkinson's Disease:Cognitive Impairment orDysfunction AssessmentMeaningful tabaseAppropriate Use ofHealthcareRegistry- Registry- Registry- Management ofChronic ConditionsRegistry- Management ofChronic ConditionsRegistry- Management ofChronic ConditionsRegistry- Registry- Registry- Registry- Registry- Registry- Registry- Registry- Transfer of HealthInformation andInteroperabilityManagement ofChronic ConditionsPrevention,Treatment, andManagement ofMental HealthPrevention,Treatment, andManagement ofMental HealthManagement ofChronic ConditionsPrevention,Treatment, andManagement ofMental HealthPrevention,Treatment, andManagement ofMental HealthPrevention,Treatment, andManagement ofMental HealthPrevention,Treatment, andManagement ofMental HealthQuestions or feedback? Contact us at PhysicianCompare@Westat.com.Page 7 of 18

Clinician Performance Information on Physician CompareMeasure #294320326331332333337350351358Technical Measure Title 2Meaningful MeasureAreaParkinson's Disease:Parkinson's Disease Medicaland Surgical TreatmentOptions ReviewedAppropriate Follow-UpInterval for NormalAppropriate Use ofColonoscopy in Average RiskHealthcarePatientsAtrial Fibrillation and AtrialManagement ofFlutter: ChronicChronic ConditionsAnticoagulation TherapyAdult Sinusitis: AntibioticAppropriate Use ofPrescribed for Acute SinusitisHealthcare(Overuse)Adult Sinusitis: AppropriateChoice of Antibiotic:Amoxicillin With or WithoutAppropriate Use ofClavulanate Prescribed forHealthcarePatients with Acute BacterialSinusitis (Appropriate Use)Adult Sinusitis: ComputerizedAppropriate Use ofTomography (CT) for AcuteHealthcareSinusitis (Overuse)Tuberculosis (TB) Preventionfor Psoriasis, PsoriaticArthritis and RheumatoidPreventive CareArthritis Patients on aBiological Immune ResponseModifierTotal Knee Replacement:Care is PersonalizedShared Decision-Making: Trialand Aligned withof Conservative (NonPatient's Goalssurgical) TherapyTotal Knee Replacement:Venous Thromboembolic andPreventive CareCardiovascular RiskEvaluationCare is PersonalizedPatient-Centered Surgicaland Aligned withRisk Assessment andPatient's GoalsCommunicationQuestions or feedback? Contact us at ageDownloadableDatabaseRegistry- Registry- IndividualClaims- Registry- Registry- Registry- Registry- Registry- Registry- Registry- Page 8 of 18

Clinician Performance Information on Physician CompareMeasure #359360361362363387400Technical Measure Title 2Optimizing Patient Exposureto Ionizing Radiation:Utilization of a StandardizedNomenclature for ComputedTomography (CT) ImagingDescriptionOptimizing Patient Exposureto Ionizing Radiation: Countof Potential High DoseRadiation Imaging Studies:Computed Tomography (CT)and Cardiac NuclearMedicine StudiesOptimizing Patient Exposureto Ionizing Radiation:Reporting to a RadiationDose Index RegistryOptimizing Patient Exposureto Ionizing Radiation:Computed Tomography (CT)Images Available for PatientFollow-up and ComparisonPurposesOptimizing Patient Exposureto Ionizing Radiation: Searchfor Prior ComputedTomography (CT) StudiesThrough a Secure,Authorized, Media-Free,Shared ArchiveAnnual Hepatitis C Virus(HCV) Screening for Patientswho are Active Injection DrugUsersOne-Time Screening forHepatitis C Virus (HCV) forPatients at Risk402Tobacco Use and Help withQuitting Among Adolescents405Appropriate Follow-upImaging for IncidentalAbdominal LesionsMeaningful tabaseTransfer of HealthInformation andInteroperabilityRegistry- Transfer of HealthInformation andInteroperabilityRegistry- Transfer of HealthInformation andInteroperabilityRegistry- Transfer of HealthInformation andInteroperabilityRegistry- Transfer of HealthInformation andInteroperabilityRegistry- Preventive CareRegistry- Preventive CareRegistry- Prevention andTreatment of Opioidand Substance UseDisordersRegistry- Appropriate Use ofHealthcareIndividualClaims- Questions or feedback? Contact us at PhysicianCompare@Westat.com.Page 9 of 18

Clinician Performance Information on Physician CompareMeasure #Technical Measure Title 2406Appropriate Follow-upImaging for IncidentalThyroid Nodules in Patients408Opioid Therapy Follow-upEvaluation412Documentation of SignedOpioid Treatment Agreement414Evaluation or Interview forRisk of Opioid Misuse425Photodocumentation ofCecal Intubation426427430431436438Post-Anesthetic Transfer ofCare Measure: ProcedureRoom to a Post AnesthesiaCare Unit (PACU)Post-Anesthetic Transfer ofCare: Use of Checklist orProtocol for Direct Transferof Care from ProcedureRoom to Intensive Care Unit(ICU)Prevention of Post-OperativeNausea and Vomiting (PONV)- Combination TherapyPreventive Care andScreening: Unhealthy AlcoholUse: Screening & BriefCounselingRadiation Consideration forAdult CT: Utilization of DoseLowering TechniquesStatin Therapy for thePrevention and Treatment ofCardiovascular DiseaseMeaningful tabaseAppropriate Use ofHealthcareIndividualClaims- Registry- Registry- Registry- IndividualClaims- Transfer of HealthInformation andInteroperabilityRegistry- Transfer of HealthInformation andInteroperabilityRegistry- Preventive CareRegistry- Prevention andTreatment of Opioidand Substance UseDisordersRegistry- Appropriate Use ofHealthcareIndividualClaims- Management ofChronic ConditionsRegistry- Prevention andTreatment of Opioidand Substance UseDisordersPrevention andTreatment of Opioidand Substance UseDisordersPrevention andTreatment of Opioidand Substance UseDisordersTransfer of HealthInformation andInteroperabilityQuestions or feedback? Contact us at PhysicianCompare@Westat.com.Page 10 of 18

Clinician Performance Information on Physician CompareQualified Clinical Data Registry (QCDR) Quality MeasuresPhysician Compare is publicly reporting 11 QCDR measures submitted by clinicians on profile pages. 13 QCDRmeasures submitted by clinicians are included in the Downloadable Database. QCDR measures are reported aspercent performance scores.Measure #Technical Measure Title2AAN4ABG21ACEP24AQI29Screening for Psychiatric or Behavioral Health DisordersPre-operative OSA AssessmentPregnancy Test for Female Abdominal Pain PatientsPrevention of Post-Operative Vomiting (POV) Combination Therapy (Pediatrics)Surgical Safety Checklist - Applicable Safety ChecksCompleted Before Induction of AnesthesiaAdequate Off-loading of Diabetic Foot Ulcer at EachTreatment VisitAdequate Compression of Venous Leg Ulcers at eachtreatment visitVascular Assessment of patients with chronic leg ulcersAppropriate management of anticoagulation in the periprocedural period rate – EGDAppropriate indication for colonoscopyMonitoring Serum CreatinineScreening for Type 2 DiabetesPatient Centered Surgical Risk Assessment andCommunication for Cardiac NET31STS7CollectionTypeQCDRQCDRQCDRProfilePage -DownloadableDatabase QCDR- QCDR QCDR QCDR QCDR QCDR QCDRQCDRQCDR QCDR Questions or feedback? Contact us at PhysicianCompare@Westat.com.Page 11 of 18

Clinician Performance Information on Physician CompareAdvancing Care InformationPhysician Compare publicly reported 11 clinician advancing care information measures/attestations in theDownloadable Database. No 2017 advancing care information measures/attestations are reported on profile pages.As part of our phased approach to public reporting, Physician Compare is evaluating including advancing careinformation measures/attestations on Physician Compare profile pages in future years.Measure #Technical Measure Title 4Collection DRR3-TransPPHI1-Transe-PrescribingHealth Information ExchangeMedication ReconciliationProvide Patient AccessView, Download, or Transmit (VDT)Patient-Specific EducationSecure MessagingImmunization Registry ReportingSyndromic Surveillance ReportingSpecialized Registry ReportingSecurity Risk AnalysisWeb attestationWeb attestationWeb attestationWeb attestationWeb attestationWeb attestationWeb attestationAll collection typesAll collection typesAll collection typesAll collection typesProfilePage-DownloadableDatabase Overall Merit-based Incentive Payment System (MIPS) PerformancePer section 1848(q)(9)(A) of the Social Security Act, Physician Compare is required to publicly report overall MIPSperformance information. Physician Compare publicly reported 2017 final scores and performance category scoresfor quality, advancing care information, and improvement activities in the Downloadable Database. Data for the costperformance category are not available for public reporting because they do not meet the Physician Compareestablished public reporting standards (§414.1395(b)).Type of scoreFinal scoreQuality performance category scoreAdvancing care information performance category score 5Improvement activities performance category scoreCost performance category adableDatabase -This table lists the technical measure titles. Measures in the ACI performance category are not included on Physician Compareprofile pages. Therefore, there are no plain language titles for the ACI performance category measures.5Advancing care information (ACI) performance category scores above 0 are used to indicate on the Physician Compare profilepages that the clinician or group successfully reported the ACI performance category. A score of 50 or above, which is includedin the Downloadable Database, indicates that the clinician or group achieved the base score for the ACI performance category.(83 FR 59913)4Questions or feedback? Contact us at PhysicianCompare@Westat.com.Page 12 of 18

Clinician Performance Information on Physician CompareMeasures Plain LanguagePerformance information is publicly reported on profile pages using plain language. Using plain language allowspatients and caregivers to more easily understand the information. Measures that are only publicly reported in thePhysician Compare Downloadable Database do not have associated plain language titles.Measure #Technical Measure TitlePlain Language Measure TitleAAN4Screening for Psychiatric or Behavioral Health DisordersABG21AQI37Pre-operative OSA assessmentSurgical Safety Checklist – Applicable Safety ChecksCompleted Before Induction of AnesthesiaAdequate Off-loading of Diabetic Foot Ulcer at eachtreatment visitAdequate Compression of Venous Leg Ulcers at eachtreatment visitVascular Assessment of patients with chronic leg ulcersScreening patients with epilepsy for behavioral healthconditions.Checking for sleep apnea before giving anesthesia.Completing a safety checklist before giving ET31STS7Appropriate management of anticoagulation in theperi-procedural period rate – EGDAppropriate indication for colonoscopyMonitoring Serum CreatinineScreening for Type 2 DiabetesPatient Centered Surgical Risk Assessment andCommunication for Cardiac SurgeryUsing appropriate devices to keep weight off ofdiabetic foot ulcers.Using compression therapy to treat leg ulcers.Giving vascular assessments to patients with chronicfoot or leg ulcers.Giving instructions to patients who take blood thinnersafter upper digestive tract exams.Performing colonoscopies for appropriate reasons.Checking blood creatinine levels in patients takingmedicine that affects kidney function.Screening for type 2 diabetes.Talking about the risks of heart surgery with patients.Utilization DataAs required by section 104(e) of MACRA, Physician Compare publicly reported 2016 clinician utilization data for asubset of Healthcare Common Procedure Coding System (HCPCS) codes. The subset of publicly reported HCPCS codesare based on the top 5 codes reported by each available Medicare specialty, excluding evaluation and management(E & M) codes. A total of 216 HCPCS codes are included in the Physician Compare Downloadable Database.HCPCS 110011101116421172011721Code DescriptionAnesthesia for lens surgeryAnesthesia for procedure on gastrointestinal tract using an endoscopeAnesthesia for procedure in upper abdomen including use of an endoscopeAnesthesia for procedure on lower intestine using an endoscopeAnesthesia for open or endoscopic total knee joint replacementFine needle aspiration using imaging guidanceRemoval of skin and tissue first 20 sq cm or lessRemoval of single thickened skin growthRemoval of 2 to 4 thickened skin growthsBiopsy of single growth of skin and/or tissueBiopsy of each additional growth of skin and/or tissueRemoval of malignant growth (1.1 to 2.0 centimeters) of the face, ears, eyelids, nose, or lipsRemoval of tissue from 1 to 5 finger or toe nailsRemoval of tissue from 6 or more finger or toe nailsQuestions or feedback? Contact us at PhysicianCompare@Westat.com.Page 13 of 18

Clinician Performance Information on Physician CompareHCPCS 756251798520005570058571623116304763048Code DescriptionRepair of wound (2.6 to 7.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands,and/or feetTissue transfer repair of wound (10 sq centimeters or less) of eyelids, nose, ears, and/or lipsDestruction of skin growthDestruction of 2-14 skin growthsDestruction of up to 14 skin growthsPartial removal of breastInjections of tendon sheath, ligament, or muscle membraneAspiration and/or injection of large joint or joint capsuleAspiration and/or injection of major joint or joint capsule with recording and reporting using ultrasoundguidanceImpression and custom preparation of outer ear prosthesisRepair of nasal or cheek bone with bone graftFusion of spine bones with removal of disc at upper spinal column, anterior approachInsertion of posterior spinal instrumentation for spinal stabilization, 3 to 6 vertebral segmentsInsertion of spinal instrumentation for spinal stabilizationRepair of knee jointDiagnostic examination of nasal passages using an endoscopeEmergent insertion of breathing tube into windpipe cartilage using an endoscopeDiagnostic examination of voice box using flexible endoscopeInsertion of new or replacement of permanent pacemaker including upper and lower chamber electrodesReplacement of aortic valve using artificial valve on heart-lung machine, open procedureHarvest of veins for coronary artery bypass procedure using an endoscopeCombined multiple vein and artery heart artery bypassesCombined multiple vein and artery heart artery bypassesHeart artery bypass to repair one arteryInsertion of needle into vein for collection of blood sampleInsertion of central venous catheter for infusion, patient 5 years or olderInsertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years orolderInsertion of arterial catheter for blood sampling or infusion, accessed through the skinBiopsy or removal of lymph nodes of under the arm, open procedureLymph node imaging during surgeryBiopsy of mouthRemoval of growth of mouthDiagnostic examination of esophagus, stomach, and/or upper small bowel using an endoscopeBiopsy of the esophagus, stomach, and/or upper small bowel using an endoscopeDiagnostic examination of large bowel using an endoscopeBiopsy of large bowel using an endoscopeRemoval of polyps or growths of large bowel using an endoscopeRemoval of hemorrhoid by rubber bandingDiagnostic examination of the anus using an endoscopeRemoval of gallbladder using an endoscopeUltrasound measurement of bladder capacity after voidingDiagnostic examination of the bladder and bladder canal (urethra) using an endoscopeBiopsy of prostate glandAbdominal removal of uterus (250 grams or less) with removal of tubes and/or ovaries using an endoscopeInjections of substances into lower or sacral spinePartial removal of middle spine bone with release of spinal cord and/or nervesPartial removal of spine bone with release of spinal cord and/or nervesQuestions or feedback? Contact us at PhysicianCompare@Westat.com.Page 14 of 18

Clinician Performance Information on Physician CompareHCPCS ode DescriptionInjections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidanceInjections of lower or sacral spine facet joint using imaging guidanceInjections of lower or sacral spine facet joint using imaging guidanceRelease and/or relocation of median nerve of handRemoval of impact ear wax, one earX-ray of mandible, less than 4 viewsX-ray of jaw joints on both sides of the faceImaging of jaws and skull for orthodontic purposesX-ray imaging of teethX-ray of chest, 1 view, frontX-ray of chest, 2 views, front and sideX-ray of shoulder, minimum of 2 viewsX-ray of wrist, minimum of 3 viewsX-ray of hand, minimum of 3 viewsX-ray of fingers, minimum of 2 viewsX-ray of hip of one side of body, minimum of 2 viewsX-ray of knee, 3 viewsX-ray of knee, 4 or m

Downloadable Database (§414.1395(b)). A subset of this information is available on Physician Compare profile pages. Any information publicly reported on profile pages must also resonate with patients and caregivers, as shown through user testing. Per the Medicare and CHIP Reauthorization Act (MACRA), Physician Compare is required to