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

Aledade Accountable Care 60, LLC

4550 Montgomery Ave, Ste 950N 
Bethesda, MD 20814
 

ACO Participants ACO Participant in Joint Venture
ACACIA FAMILY MEDICAL GROUP N
ANILKUMAR PATEL N
ANTONIO A TAN MD PROFESSIONAL CORPORATION N
ARROYO OAKS MEDICAL ASSOCIATES INC N
ARVINDER S. BIR MD, SEEMA BIR MD CORP N
ATHENA MEDICAL GROUP OF THE CENTRAL COAST INC N
BURROWS FAMILY PRACTICE INC N
CEJA & SINGH A MEDICAL CORPORATION N
COMCARE PRIMARY MEDICAL GROUP A CALIFORNIA GENERAL PARTNERSHIP N
DHARMAVIJAYPAL NARAYAN N
EDMUND H LEW, MD, INC N
GARCIA LEE AND CONCEPCION MEDICAL GROUP INC N
HILLCREST INTERNAL MEDICINE A MEDICAL CORPORATION N
IMPERIAL VALLEY FAMILY CARE MEDICAL GROUP APC N
INDUS HEALTHCARE, INC. N
KINGS MEDICAL GROUP PC N
KU JUEY RAYMOND CHANG INC. N
LAURA R MORGAN MD INC N
ML PROFESSIONAL CORPORATION N
NARAKANTI N RAO MD INC N
NINA MAW MAW N
PAJARO VALLEY MEDICAL CLINIC INC N
PATRICIA L JAMES MD INC N
PATRICK GOLDEN N
PAUL PERCIVAL, MD INC N
PLAZITA MEDICAL CLINIC INC N
PREFERRED MEDICAL GROUP INC N
PRESTIGE MEDICAL ASSOCIATES, INC. N
PRICE MEDICAL CORPORATION N
PRIMARY CARE CONSULTANTS INC A MEDICAL GROUP N
RAINCROSS MEDICAL GROUP N
ROBERT STEPHENSON N
RUPINDER MANN M D INC N
SARA HAMIDI MD INC N
SENIORS CHOICE MEDICAL GROUP INC N
SINGH A. BOUN, MD & NICK LEE, MD, A PROFESSIONAL CORPORATION N
SUMMIT HEALTH GROUP INC N
VALLE VERDE MEDICAL GROUP INC N
VOLTAIRE S VELARDE MD INC N
YOUR MEDICAL GROUP INC N

First Name Last Name Member's Voting Power (Expressed as a percentage or number) Membership Type Practice Legal Business Name
Sumana Reddy 1 ACO Participant Representative ACACIA FAMILY MEDICAL GROUP
Antonio Tan 1 ACO Participant Representative ANTONIO A TAN MD PROFESSIONAL CORPORATION
Lawrence Hwang 1 ACO Participant Representative ARROYO OAKS MEDICAL ASSOCIATES INC
Hakop Gevorkyan 1 ACO Participant Representative COMCARE PRIMARY MEDICAL GROUP A CALIFORNIA GENERAL PARTNERSHIP
Arvinder Bir 1 ACO Participant Representative ARVINDER S. BIR MD, SEEMA BIR MD CORP
Patricia James 1 ACO Participant Representative PATRICIA L JAMES MD INC
Raman Verma 1 ACO Participant Representative ML PROFESSIONAL CORPORATION
Rupinder Mann 1 ACO Participant Representative RUPINDER MANN M D INC
Carmen Zuniga 1 ACO Participant Representative PATRICK GOLDEN
Paul Percival 1 ACO Participant Representative PAUL PERCIVAL, MD INC
Unnati Sanpat Singh 1 ACO Participant Representative IMPERIAL VALLEY FAMILY CARE MEDICAL GROUP APC
Asela Wickremasinghe 1 ACO Participant Representative KINGS MEDICAL GROUP PC
Narakanti Rao 1 ACO Participant Representative NARAKANTI N RAO MD INC
Christopher O'Grady 1 ACO Participant Representative PAJARO VALLEY MEDICAL CLINIC INC
Anilkumar Patel 1 ACO Participant Representative ANILKUMAR PATEL
Shirley Dickinson 1 ACO Participant Representative PLAZITA MEDICAL CLINIC INC
Robert Chan 1 ACO Participant Representative PREFERRED MEDICAL GROUP INC
Treise Chesnut 1 ACO Participant Representative PRESTIGE MEDICAL ASSOCIATES, INC.
Christopher Price 1 ACO Participant Representative PRICE MEDICAL CORPORATION
Ray Kusumoto 1 ACO Participant Representative Your Medical Group Inc
Sharnjet Purewal 1 ACO Participant Representative PRIMARY CARE CONSULTANTS INC A MEDICAL GROUP
Carl Knopke 1 ACO Participant Representative RAINCROSS MEDICAL GROUP
Francisco Garcia 1 ACO Participant Representative GARCIA LEE AND CONCEPCION MEDICAL GROUP INC
Singh Boun 1 ACO Participant Representative SINGH A. BOUN, MD & NICK LEE, MD, A PROFESSIONAL CORPORATION
Donnelly Wilkes 1 ACO Participant Representative SUMMIT HEALTH GROUP INC
Eloy Romero 1 ACO Participant Representative VALLE VERDE MEDICAL GROUP INC
Nina Maw Maw 1 ACO Participant Representative NINA MAW MAW
Robert Stephenson 1 ACO Participant Representative ROBERT STEPHENSON
Sara Hamidi 1 ACO Participant Representative SARA HAMIDI MD INC
Stefan Willging 1 ACO Participant Representative HILLCREST INTERNAL MEDICINE A MEDICAL CORPORATION
Amit Paliwal 1 ACO Participant Representative INDUS HEALTHCARE, INC.
Edmund Lew 1 ACO Participant Representative EDMUND H LEW, MD, INC
Voltaire Velarde 1 ACO Participant Representative VOLTAIRE S VELARDE MD INC
Diem Chang 1 ACO Participant Representative KU JUEY RAYMOND CHANG INC.
Pardeep Singh 1 ACO Participant Representative CEJA & SINGH A MEDICAL CORPORATION
Daniel Vargas 1 ACO Participant Representative ATHENA MEDICAL GROUP OF THE CENTRAL COAST INC
Oliver Burrows 1 ACO Participant Representative BURROWS FAMILY PRACTICE INC
Prathima Narayan 1 ACO Participant Representative DHARMAVIJAYPAL NARAYAN
Gavin White 1 Other Aledade
Martha Tatum 1 Medicare Beneficiary Representative N/A
  • Executive Director: Gavin White
  • Medical Director: Dr. Sumana Reddy
  • 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, $ 2,557,907

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 Quality Measure Number
Measure Name
Rate
ACO Mean
ACO-8 [1]
Risk Standardized, All Condition Readmission
14.33
15.07
ACO-38 [1,2]
Risk-Standardized Acute Admission Rates for Patients with Multiple Chronic Conditions
45.40
49.50
ACO-43 [3]
Ambulatory Sensitive Condition Acute Composite (AHRQ* Prevention Quality Indicator (PQI #91))
0.90
0.95
ACO-13
Falls: Screening for Future Fall Risk
84.69
84.97
ACO-14
Preventive Care and Screening: Influenza Immunization
80.94
76.03
ACO-17
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
60.00
81.67
ACO-18
Preventive Care and Screening: Screening for Depression and Follow-up Plan
67.95
71.46
ACO-19
Colorectal Cancer Screening
64.09
72.59
ACO-20
Breast Cancer Screening
73.07
74.05
ACO-42
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
81.40
83.37
ACO-40
Depression Remission at Twelve Months
2.56
13.99
ACO-27
Diabetes Mellitus: Hemoglobin A1c Poor Control
16.08
14.70
ACO-28
Hypertension (HTN): Controlling High Blood Pressure
67.53
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