NC MSSP 2022
Alexander Mullineaux
ACO Primary Contract
202-803-7979
Location
Location

Aledade Accountable Care 22, LLC
4550 Montgomery Ave, Ste 950N
Bethesda, MD 20814
 

ACO Participants ACO Participant in Joint Venture
AFTER HOURS URGENT CARE, P.A. N
ANJAN MEDICAL MANAGEMENT PLLC N
APPALACHIAN FAMILY PRACTICE, PA N
BALLANTYNE MEDICAL ASSOCIATES PLLC N
BETHANY MEDICAL CENTER N
BRIAN CAREY MD PA INC N
BRICK CITY PRIMARY CARE PLLC N
BURKE PRIMARY CARE LLC N
CARE2U MEDICAL SERVICES. N
CRYSTAL COAST FAMILY PRACTICE N
DAWSON MED PC N
DOCTOR G FAMILY MEDICAL SERVICES N
EAST CAROLINA MEDICAL ASSOCIATES PC N
FAMILY CARE ASSOCIATES OF MONTGOMERY COUNTY PA N
FAMILY HEALTHCARE OF LAKE NORMAN PC N
FAMILY MEDICINE & REHABILITATION CENTER PC N
FAMILY MEDICINE ASSOCIATES OF LINCOLN COUNTY PLLC N
FARMVILLE INTERNAL MEDICINE PA N
FERNCREEK PRIMARY CARE, PC N
FRANKLIN FAMILY PRACTICE PA N
HAZELWOOD FAMILY MEDICINE PLLC N
HIGH COUNTRY FAMILY MEDICINE PA N
HIREN R PATEL MD PC N
HOPE MILLS URGENT CARE & MEDICAL CLINIC, PLLC N
INTERNAL MEDICINE ASSOCIATES OF GASTONIA PA N
INTRACOASTAL INTERNAL MEDICINE N
JOHN BAKER N
LCD MEDICAL PLLC N
LUKE MEDICAL CLINIC, P.A. N
MID CAROLINA FAMILY MEDICINE, P.A. N
MLP CHURCH MD FAMILY PRACTICE INC N
MOUNTAIN LAUREL FAMILY PRACTICE, PLLC N
NORTH WHITEVILLE URGENT CARE & FAMILY PRACTICE PA N
NORTHWEST FAMILY PHYSICIANS PA N
POLYCLINIC MEDICAL CENTER INC N
PRANA HEALTH PLLC N
PROGRESSIVE MEDICAL ASSOCIATES PLLC N
RAPID CARE PLLC N
RICHTER FAMILY MEDICINE AND WELLNESS N
ROBERSONVILLE PHYSICIANS PC N
RUTH W GUYER MD PA N
SENIOR CARE SYSTEMS, P.A. N
SHALOM MEDICAL PC N
STARMED URGENT & FAMILY CARE, P.A. N
SWISHER INTERNAL MEDICINE PLLC N
TERRY PIEPER N
VIBRANCE MEDICAL SPA & WELLNESS CENTER, PLLC N
WNC INTERNAL MEDICINE, PLLC N

First Name Last Name Member's Voting Power (Expressed as a percentage or number) Membership Type Practice Legal Business Name
PUSHPA PATEL 1 ACO Participant Representative AFTER HOURS URGENT CARE, P.A.
ANTHONY NJAPA 1 ACO Participant Representative ANJAN MEDICAL MANAGEMENT PLLC
TIMOTHY DAILEY 1 ACO Participant Representative APPALACHIAN FAMILY PRACTICE, PA
STEVEN BAUER 1 ACO Participant Representative BALLATYNE MEDICAL ASSOCIATES
ELISE CAREY 1 ACO Participant Representative BETHANY MEDICAL CENTER
BRIAN CAREY 1 ACO Participant Representative BRIAN CAREY MD - TRYON FAMILY PRACTICE
PHILLIP LLOYD 1 ACO Participant Representative BRICK CITY PRIMARY CARE PLLC
SCOTT GALLAGHER 1 ACO Participant Representative BURKE PRIMARY CARE
ASHLEY WIGGINS 1 ACO Participant Representative CARE2U MEDICAL
GREGORY REICHERT 1 ACO Participant Representative CRYSTAL COAST FAMILY PRACTICE
UMAR BOWERS 1 ACO Participant Representative DAWSON MED PC
THOMAS GUGUIERE 1 ACO Participant Representative DOCTOR G FAMILY MEDICAL SERVICES
ABAYOMI OSUNKOYA 1 ACO Participant Representative EAST CAROLINA MEDICAL ASSOCIATES
JOHN WOODYEAR 1 ACO Participant Representative FAMILY CARE ASSOCIATES OF MONTGOMERY COUNTY PA
LINDA WINEGARDNER 1 ACO Participant Representative FAMILY HEALTHCARE OF LAKE NORMAN
JUNAID AHMED 1 ACO Participant Representative FMRC CLINICS
DANIEL KOCH 1 ACO Participant Representative FAMILY MEDICINE ASSOCIATES OF LINCOLN COUNTY
CHARLOTTE GOODWYN 1 ACO Participant Representative FARMVILLE INTERNAL MEDICINE
PRAVIN PATEL 1 ACO Participant Representative FERNCREEK PRIMARY CARE, PC
GUSTAV WILDE 1 ACO Participant Representative FRANKLIN FAMILY PRACTICE
MICHAEL BROWN 1 ACO Participant Representative HAZELWOOD FAMILY MEDICINE
KEVIN KURTZ 1 ACO Participant Representative HIGH COUNTRY FAMILY MEDICINE PA
HIRAN PATEL 1 ACO Participant Representative HIREN R PATEL MD PC
TOBY OKONS 1 ACO Participant Representative HOPE MILLS URGENT CARE & MEDICAL CLINIC, PLLC
CONNIE STANLEY 1 ACO Participant Representative INTERNAL MEDICINE ASSOCIATES OF GASTONIA PA
ANDRE LEONARD 1 ACO Participant Representative INTRACOASTAL INTERNAL MEDICINE
SHERI OBRIEN 1 ACO Participant Representative JOHN BAKER
CHRISTY LONGO 1 ACO Participant Representative LCD MEDICAL PLLC
GREGORY GLASS 1 ACO Participant Representative LUKE MEDICAL CLINIC
JUDY LEMONDS 1 ACO Participant Representative MID CAROLINA FAMILY MEDICINE
KEITH CHURCH 1 ACO Participant Representative MLP CHURCH MD FAMILY PRACTICE INC
LEANNE YOUNG-FRITCHIE 1 ACO Participant Representative MOUNTAIN LAUREL FAMILY PRACTICE, PLLC
BELINDA TEACHEY 1 ACO Participant Representative NORTH WHITEVILLE URGENT CARE & FAMILY PRACTICE PA
GINGER LOVE 1 ACO Participant Representative NORTHWEST FAMILY PHYSICIANS
ABDUL GARUBA 1 ACO Participant Representative POLYCLINIC MEDICAL CENTER, INC.
RAHUL KAKKAR 1 ACO Participant Representative PRANA HEALTH PLLC
STACY LE 1 ACO Participant Representative PROGRESSIVE MEDICAL ASSOCIATES PLLC
SURIYA JAYAWARDENA 1 ACO Participant Representative RAPID CARE PLLC
KAREN RICHTER 1 ACO Participant Representative RICHTER FAMILY MEDICINE AND WELLNESS
THOMAS GENNOSA 1 ACO Participant Representative ROBERSONVILLE PHYSICIANS PC
RUTH GUYER 1 ACO Participant Representative RUTH W GUYER MD PA
CLEM SURAK 1 ACO Participant Representative SENIOR CARE SYSTEMS, P.A.
BENJAMIN MOZIE 1 ACO Participant Representative SHALOM MEDICAL PC
DANA GORDON 1 ACO Participant Representative STARMED URGENT & FAMILY CARE , P.A.
JENETTE SWISHER 1 ACO Participant Representative SWISHER INTERNAL MEDICINE PLLC
TERRY PIEPER 1 ACO Participant Representative TERRY PIEPER
MYRIAM DANIEL 1 ACO Participant Representative VIBRANCE MEDICAL SPA & WELLNESS CENTER, PLLC
OFELIA BALTA 1 ACO Participant Representative WNC INTERNAL MEDICINE, PLLC
Alexander Mullineaux 1 Other Aledade
Gary Coates 1 Medicare Beneficiary Representative N/A
  • ACO Executive: Alexander Mullineaux
  • Medical Director: Umar Bowers 
  • Compliance Officer: Ms. 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, $ 5,448,836
  • Performance Year 2019, $17,143,066
  • Performance Year 2018, $0

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%
  • Performance Year 2019
    • 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 Name
Rate
ACO Mean
ACO-8
Risk Standardized, All Condition Readmission
14.86
15.07
ACO-38
Risk-Standardized Acute Admission Rates for Patients with Multiple Chronic Conditions
47.47
49.50
ACO-43
Ambulatory Sensitive Condition Acute Composite (AHRQ* Prevention Quality Indicator (PQI #91))
1.08
0.95
ACO-13
Falls: Screening for Future Fall Risk
75.31
84.97
ACO-14
Preventive Care and Screening: Influenza Immunization
69.73
76.03
ACO-17
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
72.00
81.67
ACO-18
Preventive Care and Screening: Screening for Depression and Follow-up Plan
70.32
71.46
ACO-19
Colorectal Cancer Screening
76.23
72.59
ACO-20
Breast Cancer Screening
81.07
74.05
ACO-42
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
80.13
83.37
ACO-40
Depression Remission at Twelve Months
16.67
13.99
ACO-27
Diabetes Mellitus: Hemoglobin A1c Poor Control
9.55
14.70
ACO-28
Hypertension (HTN): Controlling High Blood Pressure
66.03
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

ACO Participation Waiver

The following information describes each arrangement for which our ACO seeks protection under the ACO Participation Waiver, including any material amendment or modification to a disclosed arrangement. 

Parties in the arrangement Date of arrangement Items, services, goods, or facility provided
BETHANY PRIMARY CARE 02/02/2021 - 04/30/2021 $150.00
ELLICOTT CITY PRIMARY CARE PHYSICIANS PA 02/02/2021 - 04/30/2021 $92.00
FRANCONIA FAMILY MEDICINE PC 02/02/2021 - 04/30/2021 $50.00
GOVERNORS FAMILY PRACTICE PA 02/02/2021 - 04/30/2021 $150.00
HEALTH ALLIANCE ASSOCIATES, INC. 02/02/2021 - 04/30/2021 $50.00
INTERNAL MEDICINE ASSOCIATES PA 02/02/2021 - 04/30/2021 $50.00
LANSDOWNE TRAVEL AND FAMILY MEDICINE LLC 02/02/2021 - 04/30/2021 $50.00
PARTNERMD MARYLAND PC 02/02/2021 - 04/30/2021 $50.00
PARTNER MD PC 02/02/2021 - 04/30/2021 $134.00
PIYUSH R PATEL MD PC 02/02/2021 - 04/30/2021 $50.00
PREMIERE PHYSICIANS P.A. 02/02/2021 - 04/30/2021 $100.00
PRIME MD LLC 02/02/2021 - 04/30/2021 $50.00