CA MSSP 2021 Enhanced
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
ABDUL KHAN N
ANDRES ARELLANO N
ARMAN HEKMATI M.D. N
ARROYO MEDICAL GROUP, INC N
ARUN VILLIVALAM MD INC N
BRYAN BENEFIEL N
CENTRAL COAST FAMILY CARE MEDICAL ASSOCIATES 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
INDROJ MEDICAL GROUP INC. N
INTERNAL MEDICINE SPECIALISTS INC N
JAMES DALEY N
KELADA PHYSICIANS GROUP INC N
KENT HUFFORD N
LIFE CONNECT MEDICAL, INC N
LISA THOMSEN N
MARSHALL MEDICAL CENTER N
MIDTOWN INTERNAL MEDICINE GROUP N
OKERBLOM VOEGELE AND HOLE MD A PROFESSIONAL CORPORATION N
ORANGEBURG MEDICAL GROUP N
PETER ALAN KRAUSE MEDICAL CORPORATION N
PRITHVI SHANKAR, M.D., INC N
RAHUL PATEL N
REEN MEDICAL GROUP, INC.. N
RELIABLE MEDICAL ASSOCIATES N
RIVER OAKS MEDICAL GROUP INC N
SHERMAN OAKS FAMILY MEDICINE INC N
SPRUCE MULTISPECIATLY GROUP N
SUNMED HEALTH AND WEIGHT MANAGEMENT A PROFESSIONAL MED CORP N
TERRY L. FRANKLIN, M.D. N
THOMAS M. DAWES, JR. A MEDICAL CORPORATION N
TUSHAR MODI, MD., INC. N

Member Last Name Member First Name Member's Voting Power (Expressed as a percentage or number) Membership Type Practice Legal Business Name
Khan Abdul 1 ACO Participant Representative ABDUL KHAN
White Gavin 1 Other Aledade
Arellano Andres 1 ACO Participant Representative ANDRES ARELLANO
Hekmati Arman 1 ACO Participant Representative ARMAN HEKMATI M.D.
Malzone Megan 1 ACO Participant Representative ARROYO MEDICAL GROUP, INC
Villivalam Arun 1 ACO Participant Representative ARUN VILLIVALAM MD INC
Benefiel Bryan 1 ACO Participant Representative BRYAN BENEFIEL
Theis Laura 1 ACO Participant Representative CENTRAL COAST FAMILY CARE MEDICAL ASSOCIATES INC
Mahida Chaitanya 1 ACO Participant Representative CHAITANYA N. MAHIDA M.D., INC
Cheng Christi 1 ACO Participant Representative CHRISTI CHENG MD INC
Ferro Melissa 1 ACO Participant Representative CUCAMONGA VALLEY MEDICAL GROUP, INC.
Dutter Daryl 1 ACO Participant Representative DARYL R DUTTER MD INC
Levy Eric 1 ACO Participant Representative ERIC G LEVY MEDICAL CORPORATION
Hansen Eric 1 ACO Participant Representative ERIC R. HANSEN, D.O., PROFESSIONAL CORPORATION
Diego Silvia 1 ACO Participant Representative FAMILY FIRST MEDICAL CARE A PROFESSIONAL CORPORATION
Castro Edward 1 ACO Participant Representative FCS MEDICAL CORPORATION
Martinez Gonzalo 1 ACO Participant Representative GONZALO GONZALEZ MARTINEZ MD INC
Gangupantula Sachin 1 ACO Participant Representative GOPIKA GANGUPANTULA MD INC
Mahajan Summit 1 ACO Participant Representative INDROJ MEDICAL GROUP INC.
Lopez Carlos 1 ACO Participant Representative INTERNAL MEDICINE SPECIALISTS INC
Kelada John Paul 1 ACO Participant Representative KELADA PHYSICIANS GROUP INC
Khanchustambham Raju 1 ACO Participant Representative LIFE CONNECT MEDICAL, INC
Thomsen Lisa 1 ACO Participant Representative LISA THOMSEN
Cerdion Samuel 1 ACO Participant Representative MARSHALL MEDICAL CENTER
Lehman David 1 ACO Participant Representative MIDTOWN INTERNAL MEDICINE GROUP
Wolford Paul 1 Medicare Beneficiary Representative N/A
Okerblom Robert 1 ACO Participant Representative OKERBLOM VOEGELE AND HOLE MD A PROFESSIONAL CORPORATION
Porter Russell 1 ACO Participant Representative ORANGEBURG MEDICAL GROUP
Krause Peter 1 ACO Participant Representative PETER ALAN KRAUSE MEDICAL CORPORATION
Shankar Prithvi 1 ACO Participant Representative PRITHVI SHANKAR, M.D., INC
Patel Rahul 1 ACO Participant Representative RAHUL PATEL
Reen Amikjit 1 ACO Participant Representative REEN MEDICAL GROUP, INC..
Talamaci Timi 1 ACO Participant Representative RELIABLE MEDICAL ASSOCIATES
Teymouri Saman 1 ACO Participant Representative RIVER OAKS MEDICAL GROUP INC
Martinez Susana 1 ACO Participant Representative SENIORS CHOICE MEDICAL GROUP INC
Cashdan Donna 1 ACO Participant Representative SHERMAN OAKS FAMILY MEDICINE INC
Lynch Michael 1 ACO Participant Representative SPRUCE MULTISPECIATLY GROUP
Sunio Gilbert 1 ACO Participant Representative SUNMED HEALTH AND WEIGHT MANAGEMENT A PROFESSIONAL MED CORP
Franklin Terry 1 ACO Participant Representative TERRY L. FRANKLIN, M.D.
Dawes Thomas 1 ACO Participant Representative THOMAS M. DAWES, JR. A MEDICAL CORPORATION
Modi Tushar 1 ACO Participant Representative TUSHAR MODI, MD., INC.
  • Executive Director: Gavin White
  • Medical Director: Dr. Silvia Diego
  • 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 2021, $13,752,632
  • Performance Year 2020, $2,182,833

First Agreement Period

  • Performance Year 2021
    • Proportion invested in infrastructure: 10%
    • Proportion invested in redesigned care processes/resources: 30%
    • Proportion of distribution to ACO participants: 60%
  • Performance Year 2020
    • Proportion invested in infrastructure: 10%
    • Proportion invested in redesigned care processes/resources: 30%
    • Proportion of distribution to ACO participants: 60%
2021 CMS WEB INTERFACE QUALITY PERFORMANCE RESULTS:
Measure #
Measure Name
Rate
Mean
Measure #: 1
Diabetes: Hemoglobin A1c (HbA1c) Poor Control2
17.88
12.46
Measure #: 134
Preventative Care and Screening: Screening for Depression and Follow-up Plan
79.50
74.38
Measure #: 236
Controlling High Blood Pressure
67.90
74.87
Measure #: 318
Falls: Screening for Future Fall Risk
85.58
87.03
Measure #: 110
Preventive Care and Screening: Influenza Immunization
75.92
80.52
Measure #: 226
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
73.33
80.97
Measure #: 113
Colorectal Cancer Screening
76.95
73.63
Measure #: 112
Breast Cancer Screening
79.69
75.11
Measure #: 438
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
88.19
84.24

Please note, the Quality ID #: 370 Depression Remission at 12 months quality measure is not included in public reporting due to low sample size.

 

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