CA MSSP 2020
Gavin White
ACO Executive Director
202-803-7979
Location
Location

Aledade Accountable Care 61, LLC

4550 Montgomery Ave, Ste 950N
Bethesda, MD 20814
 

ACO Participants ACO Participant in Joint Venture
ARMAN HEKMATI M.D. N
ARROYO MEDICAL GROUP, INC N
ARROYO OAKS MEDICAL ASSOCIATES INC N
ARUN VILLIVALAM MD INC N
ARVINDER S. BIR MD, SEEMA BIR MD CORP N
BRYAN BENEFIEL N
CENTRAL COAST FAMILY CARE MEDICAL ASSOCIATES OF SANTA MARIA INC N
CHAITANYA N. MAHIDA M.D., INC N
CHRISTI CHENG MD INC N
CUCAMONGA VALLEY MEDICAL GROUP, INC. N
DARYL R DUTTER MD INC N
ERIC G LEVY MEDICAL CORPORATION N
ERIC R. HANSEN, D.O., PROFESSIONAL CORPORATION N
FAMILY FIRST MEDICAL CARE A PROFESSIONAL CORPORATION N
FCS MEDICAL CORPORATION N
GONZALO GONZALEZ MARTINEZ MD INC N
GOPIKA GANGUPANTULA MD INC N
INTERNAL MEDICINE SPECIALISTS INC N
JAMES DALEY N
KELADA PHYSICIANS GROUP INC N
KENT HUFFORD N
KINGS MEDICAL GROUP PC N
LISA THOMSEN N
MARSHALL MEDICAL CENTER N
MIDTOWN INTERNAL MEDICINE GROUP N
NARAKANTI N RAO MD INC N
OKERBLOM VOEGELE AND HOLE MD A PROFESSIONAL CORPORATION N
ORANGEBURG MEDICAL GROUP N
PAJARO VALLEY MEDICAL CLINIC INC N
PAUL PERCIVAL, MD INC N
PETER ALAN KRAUSE MEDICAL CORPORATION N
PREFERRED MEDICAL GROUP INC N
PRICE MEDICAL CORPORATION N
PRITHVI SHANKAR, M.D., INC N
RAHUL PATEL N
RAINCROSS MEDICAL GROUP N
REEN MEDICAL GROUP, INC.. N
RELIABLE MEDICAL ASSOCIATES N
RIVER OAKS MEDICAL GROUP INC N
RUPINDER MANN M D INC N
SENIORS CHOICE MEDICAL GROUP INC N
SHERMAN OAKS FAMILY MEDICINE INC N
SINGH A. BOUN, MD & NICK LEE, MD, A PROFESSIONAL CORPORATION N
SPRUCE MULTISPECIATLY GROUP N
TERRY L. FRANKLIN, M.D. N
THOMAS M. DAWES, JR. A MEDICAL CORPORATION N
TUSHAR MODI, MD., INC. N
YOUR MEDICAL GROUP INC N

 

Member Last Name Member First Name Member Title/Position Member's Voting Power (Expressed as a percentage or number) Membership Type ACO Participant Legal Business Name and D/B/A, if applicable
Hwang Lawrence Voting Member 1 ACO Participant Representative Arroyo Oaks Medical Group Inc
Theis Laura Voting Member 1 ACO Participant Representative CENTRAL COAST FAMILY CARE MEDICAL ASSOCIATES OF SANTA MARIA INC
Mowjood Rahmi Voting Member 1 ACO Participant Representative Cucamonga Valley Medical Group, Inc.
Moore Debora Voting Member 1 ACO Participant Representative

THOMAS M. DAWES, JR. A MEDICAL CORPORATION

Villivalam Arun Voting Member 1 ACO Participant Representative ARUN VILLIVALAM MD INC
Hansen Eric Voting Member 1 ACO Participant Representative

ERIC R HANSEN DO PROFESSIONAL CORPORATION

Thomsen Lisa Voting Member 1 ACO Participant Representative LISA THOMSEN
Krause Peter Voting Member 1 ACO Participant Representative

PETER ALAN KRAUSE MEDICAL CORPORATION

Patel Rahul Voting Member 1 ACO Participant Representative Rahul Patel
Mann Rupinder Voting Member 1 ACO Participant Representative RUPINDER MANN M D INC
Franklin Terry Voting Member 1 ACO Participant Representative TERRY L. FRANKLIN, M.D.
Modi Tushar Voting Member 1 ACO Participant Representative TUSHAR MODI, MD., INC.
Castro Ed Voting Member 1 ACO Participant Representative FCS MEDICAL CORPORATION
Diego Silvia Voting Member 1 ACO Participant Representative FAMILY FIRST MEDICAL CARE A PROFESSIONAL CORPORATION
Kheraj DIlshad Voting Member 1 ACO Participant Representative Paul J Percival MD, INC
Lopez Carlos Voting Member 1 ACO Participant Representative INTERNAL MEDICINE SPECIALISTS INC
Wickremasinghe Asela Voting Member 1 ACO Participant Representative Kings Medical Group Pc
Rao Narakanti Voting Member 1 ACO Participant Representative NARAKANTI N RAO MD INC
Okerblom Robert Voting Member 1 ACO Participant Representative

OKERBLOM VOEGELE AND HOLE MD A PROFESSIONAL CORPORATION

O'Grady Christopher Voting Member 1 ACO Participant Representative PAJARO VALLEY MEDICAL CLINIC INC
Price Christopher Voting Member 1 ACO Participant Representative Price Medical Corporation
Knopke Carl Voting Member 1 ACO Participant Representative Raincross Medical Group
Dutter Daryl Voting Member 1 ACO Participant Representative Daryl R Dutter MD Inc
Teymouri Saman Voting Member 1 ACO Participant Representative RIVER OAKS MEDICAL GROUP INC
Kelada John Paul Voting Member 1 ACO Participant Representative Kelada Physician's Group, Inc.
Ahmed Afia Voting Member 1 ACO Participant Representative SENIORS CHOICE MEDICAL GROUP INC
Cashdan Donna Voting Member 1 ACO Participant Representative Sherman Oaks Family Medicine Inc
Boun Singh Voting Member 1 ACO Participant Representative SINGH A. BOUN, MD & NICK LEE, MD, A PROFESSIONAL CORPORATION
Lynch Michael Voting Member 1 ACO Participant Representative Spruce Multispecialty Group
Gangupantula Sachin Voting Member 1 ACO Participant Representative Gopika Gangupantula MD INC
Wolford Paul Voting Member 1 Medicare Beneficiary Representative N/A
Malzone Megan Voting Member 1 ACO Participant Representative Arroyo Medical Group, Inc
Bir Seema Voting Member 1 ACO Participant Representative Arvinder S. Bir MD, SEEMA BIR MD CORP
Benefiel Bryan Voting Member 1 ACO Participant Representative BRYAN C BENEFIEL MD
Cheng Christi Voting Member 1 ACO Participant Representative Christi Cheng Md Inc
Levy Eric Voting Member 1 ACO Participant Representative Eric G Levy Medical Corporation
Mahida Chaitanya Voting Member 1 ACO Participant Representative CHAITANYA N. MAHIDA M.D., INC
Hekmati Arman Voting Member 1 ACO Participant Representative ARMAN HEKMATI M.D.
Martinez Gonzalo Voting Member 1 ACO Participant Representative GONZALO GONZALEZ MARTINEZ MD INC
Ceridon Samuel Voting Member 1 ACO Participant Representative Marshall Medical Center
Lehman David Voting Member 1 ACO Participant Representative Midtown Internal Medicine Group
Unk Andi Voting Member 1 ACO Participant Representative ORANGEBURG MEDICAL GROUP
Chan Robert Voting Member 1 ACO Participant Representative PREFERRED MEDICAL GROUP INC
Kusumoto Ray Voting Member 1 ACO Participant Representative Your Medical Group Inc
Reen Amikjit Voting Member 1 ACO Participant Representative REEN MEDICAL GROUP, INC..
Shankar Prithvi Voting Member 1 ACO Participant Representative PRITHVI SHANKAR, M.D., INC
White Gavin Voting Member 1 Other N/A
  • Executive Director: Gavin White
  • Medical Director: Dr. Larry Hwang
  • Compliance Officer: Sarah Chasson
  • Quality Assurance / Improvement Officer: Dr. Emily Maxson
  • Compliance Committee: Sarah Chasson
  • Networks of individual practices of ACO professionals

First Agreement Period

  • Performance Year 2020, $ 2,182,833

First Agreement Period

  • Performance Year 2020
    • Proportion invested in infrastructure: 10%
    • Proportion invested in redesigned care processes/resources: 30%
    • Proportion of distribution to ACO participants: 60%
2020 Quality Performance Results
ACO Measure Number
Measure Name
Rate
Mean
ACO-8 [1]
Risk Standardized, All Condition Readmission
15.33
15.33
ACO-38 [1,2]
Risk-Standardized Acute Admission Rates for Patients with Multiple Chronic Conditions
48.72
49.50
ACO-43 [3]
Ambulatory Sensitive Condition Acute Composite (AHRQ* Prevention Quality Indicator (PQI #91))
0.86
0.95
ACO-13
Falls: Screening for Future Fall Risk
92.21
84.97
ACO-14
Preventive Care and Screening: Influenza Immunization
80.63
76.03
ACO-17
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
88.24
81.67
ACO-18
Preventive Care and Screening: Screening for Depression and Follow-up Plan
86.64
71.46
ACO-19
Colorectal Cancer Screening
62.00
72.59
ACO-20
Breast Cancer Screening
76.61
74.05
ACO-42
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
84.35
83.37
ACO-40
Depression Remission at Twelve Months
15.91
13.99
ACO-27
Diabetes Mellitus: Hemoglobin A1c Poor Control
19.06
14.70
ACO-28
Hypertension (HTN): Controlling High Blood Pressure
75.54
72.87

For Previous Years’ Financial and Quality Performance Results, Please Visit data.cms.gov 

 

Payment Rule Waivers

Waiver for Payment for Telehealth Services: 

  • Our ACO clinicians provide telehealth services using the flexibilities under 42 CFR § 425.612(f) and 42 CFR § 425.613.
     
Fraud and Abuse Waivers