NC MSSP Legacy Enhanced

Alex Mullineaux

ACO Primary Contact

Location

Aledade Duwamish ACO, LLC
4550 Montgomery Ave, Ste 950N
Bethesda, MD 20814

ACO Participants	ACO Participant in Joint Venture
ADVANCE FAMILY AND SPORTS MEDICINE CENTER, PLLC	N
ALBEMARLE MEDICAL ASSOCIATES PLLC	N
ALEDADE CARE SOLUTIONS OF NORTH CAROLINA PC	N
ALFA MEDICAL CLINIC PA	N
ALLMED CLINIC PA	N
ALPHA MEDICAL CENTER, PA	N
ANTHONY MEDICAL CLINIC PA	N
ARDMORE FAMILY PRACTICE PA	N
ASHEVILLE INTERNAL MEDICINE, P.A.	N
ASHEVILLE MEDICINE & PEDIATRICS LTD	N
AULANDER MEDICAL PRACTICE PA	N
AVANCE CARE PA	N
BATISH MEDICAL SERVICES PLLC	N
BILTMORE MEDICAL ASSOCIATES PA	N
BOILING SPRING LAKES FAMILY MEDICINE PC	N
BRIAN CAREY MD PA INC	N
BRIE FOLKNER MD PC	N
BRUNSWICK FAMILY MEDICINE PA	N
BRYAN WECKEL MD FAMILY MEDICINE PLLC	N
BURGAW MEDICAL CENTER, P.C.	N
CABRAL INTERNAL MEDICINE PLLC	N
CAROLINA CLINIC FOR HEALTH AND WELLNESS PA	N
CAROLINA FAMILY CARE PA	N
CARY MEDICAL CLINIC, PC	N
CEDAR CREEK FAMILY MEDICINE PLLC	N
CHAD SMOKER MD PC	N
CHALLIE MINTON	N
CLAUDE LUVIS MD, PA	N
CLAY COMPREHENSIVE HEALTH SERVICES INC	N
CLIFFORD H MAULT DO P A	N
CLINTON MEDICAL CLINIC, INC.	N
CLUB HAVEN FAMILY PRACTICE PA	N
COASTAL CAROLINA FAMILY PRACTICE PA	N
COASTAL CAROLINA INTERNAL MEDICINE PA	N
COASTAL INTERNAL MEDICINE, P.A.	N
CROWN CLINIC PA	N
DENTON HEALTHCARE PLLC	N
DESANTIS FAMILY PRACTICE	N
DRY RIDGE FAMILY MEDICINE PLLC	N
EAST ASHEVILLE FAMILY HEALTH CARE PA	N
EASTERN CAROLINA MEDICAL CENTER, PC	N
EDWARD BUJOLD	N
ELKIN PEDIATRIC & ADULT MEDICINE PA	N
EVERGREEN HEALTH PROMOTION,P.A.	N
FAMILY CARE ASSOCIATES OF MONTGOMERY COUNTY PA	N
FAMILY HEALTHCARE OF LAKE NORMAN PC	N
FAMILY MEDICINE ASSOCIATES OF LINCOLN COUNTY PLLC	N
FAYETTEVILLE AREA HEALTH EDUCATION FOUNDATION INC	N
FIRST CARE MEDICAL CLINIC	N
G&G HEALTHCARE,PC WHITEVILLE	N
GASTON FAMILY CARE, P.A.	N
GASTON MEDICAL ASSOCIATES PA	N
GASTONIA MEDICAL SPECIALTY CLINIC PA	N
HART FAMILY PRACTICE PA	N
HAZELWOOD FAMILY MEDICINE PLLC	N
HIGH COUNTRY FAMILY MEDICINE PA	N
HOLLY RIDGE HEALTHCARE PA	N
HOPE FAMILY MEDICINE PLLC	N
HUDSON PRIMARY CARE PA	N
ISLAND FAMILY MEDICINE PLLC	N
JAGDISH LAL MD PA	N
JAIME E TRUJILLO MD PA	N
JAMES J CASERIO MD PA	N
JAMES MCGRATH MD, PLLC	N
JOSETTE MARIA MD PA	N
KAREN L SMITH MD PA	N
LEO WARSHAUER	N
LEXINGTON FAMILY PHYSICIANS PA	N
LIFELINK MEDICAL GROUP PLLC	N
LINCOLN INTERNAL MEDICINE PA	N
MAGNOLIA FAMILY MEDICINE PC	N
MANULI INTERNAL MEDICINE PLLC	N
MARSHALL C. MURREY, MD	N
MASONBORO URGENT CARE, PC	N
MATTHEWS INTERNAL MEDICINE PLLC	N
MEDICS PRIMARY AND URGENT CARE PC	N
METROLINA INTERNAL MEDICINE PA	N
MLP CHURCH MD FAMILY PRACTICE INC	N
MORGANTON INTERNAL MEDICINE PA	N
MOUNTAIN DOCS FAMILY MEDICINE PA	N
NEWTON FAMILY PHYSICIANS PA	N
NORTHWEST FAMILY PHYSICIANS PA	N
OMNI CLINIC PA	N
PHYSICIANS EAST PA	N
PIEDMONT ADULT & PEDIATRIC MEDICINE ASSOCIATES PA	N
PIEDMONT FAMILY MEDICINE PA	N
PROMED HEALTHCARE, PLLC	N
RAKESH PATEL MD PLLC	N
RIVERDALE FAMILY MEDICINE, PA	N
ROWAN DIAGNOSTIC CLINIC PA	N
SENSENBRENNER PRIMARY CARE, PLLC	N
SHELBY MEDICAL ASSOCIATES PA	N
SMOKY MOUNTAIN URGENT CARE PC	N
SOUND MEDICAL PA	N
STEPHEN MCNEILL	N
SWETANG PATEL, MD, PA	N
SYLVA FAMILY PRACTICE PA	N
THE FAMILY HEALTH CENTERS PA	N
TRILLIUM FAMILY MEDICINE PLLC	N
UNIFOUR FAMILY PRACTICE PLLC	N
VALLEY INTERNAL MEDICINE INC	N
VAN L ADAMS MD PLLC	N
VIEWMONT INTERNAL MEDICINE PLLC	N
WAYNE FAMILY MEDICAL CENTER INC	N
WHITEVILLE MEDICAL ASSOCIATES	N

Member First Name	Member Last Name	Member Title/Position	Member's Voting Power (Expressed as a percentage)	Membership Type	Practice Legal Business Name
DAVID	ABERNATHY	Board Member	0.970873786	ACO Participant Representative	Morganton Internal Medicine PA
HEIDI	ADAMS	Board Member	0.970873786	ACO Participant Representative	Van L Adams MD PLLC
RUSTAN	ADCOCK	Board Member	0.970873786	ACO Participant Representative	The Family Health Centers PA
ABHAY	AGARWAL	Board Member	0.970873786	ACO Participant Representative	Cary Medical Clinic, PC
FOLA	AJAO	Board Member	0.970873786	ACO Participant Representative	Gaston Medical Associates PA
CHETAN	AMIN	Board Member	0.970873786	ACO Participant Representative	Piedmont Family Medicine PA
WILLIAM	ANTHONY	Board Member	0.970873786	ACO Participant Representative	Anthony Medical Clinic PA
ARTHUR	APOLINARIO	Board Member	0.970873786	ACO Participant Representative	Clinton Medical Clinic, Inc.
FREDERICK	ASARE	Board Member	0.970873786	ACO Participant Representative	Medics Primary And Urgent Care PC
CLIFTON	BAKER	Board Member	0.970873786	ACO Participant Representative	Denton Healthcare PLLC
ANUP	BANERJEE	Board Member	0.970873786	ACO Participant Representative	Gastonia Medical Specialty Clinic PA
SANJAY	BATISH	Board Member	0.970873786	ACO Participant Representative	Batish Medical Services PLLC
JOSHUA	BERNSTEIN	Board Member	0.970873786	ACO Participant Representative	Asheville Medicine & Pediatrics LTD
MUHAMMAD	BHATTI	Board Member	0.970873786	ACO Participant Representative	Wayne Family Medical Center Inc
JAMES	BLAIR	Board Member	0.970873786	ACO Participant Representative	Island Family Medicine PLLC
ELIZABETH	BRADLEY	Board Member	0.970873786	ACO Participant Representative	High Country Family Medicine PA
MICHAEL	BROWN	Board Member	0.970873786	ACO Participant Representative	Hazelwood Family Medicine PLLC
EDWARD	BUJOLD	Board Member	0.970873786	ACO Participant Representative	Edward Bujold
SARA	CALDWELL	Board Member	0.970873786	ACO Participant Representative	Asheville Internal Medicine, P.A.
BRIAN	CAREY	Board Member	0.970873786	ACO Participant Representative	Brian Carey MD PA Inc
JAMES	CASERIO Jr	Board Member	0.970873786	ACO Participant Representative	James J Caserio MD PA
TEJWANT	CHANDI	Board Member	0.970873786	ACO Participant Representative	Albemarle Medical Associates PLLC
MICHAEL	DESANTIS	Board Member	0.970873786	ACO Participant Representative	DeSantis Family Practice
DAVID	DURALIA	Board Member	0.970873786	ACO Participant Representative	Unifour Family Practice PLLC
SEMAAN	EL-KHOURY	Board Member	0.970873786	ACO Participant Representative	Aulander Medical Practice PA
CLARENCE	ELLIS	Board Member	0.970873786	ACO Participant Representative	Metrolina Internal Medicine PA
WALTER	EZEIGBO	Board Member	0.970873786	ACO Participant Representative	Advance Family and Sports Medicine Center, PLLC
BRIE	FOLKNER	Board Member	0.970873786	ACO Participant Representative	Brie Folkner MD PC
BRENDA	FORE	Board Member	0.970873786	ACO Participant Representative	East Asheville Family Health Care PA
ROY	GALLINGER	Board Member	0.970873786	ACO Participant Representative	Sylva Family Practice PA
AYMAN	GEBRAIL	Board Member	0.970873786	ACO Participant Representative	Coastal Internal Medicine, P.A.
DEEPAK	GELOT	Board Member	0.970873786	ACO Participant Representative	Carolina Family Care PA
MELVIN	GERALD	Board Member	0.970873786	ACO Participant Representative	G&G Healthcare, PC Whiteville
NAOMI	GREENBERG	Board Member	0.970873786	ACO Participant Representative	Evergreen Health Promotion, P.A.
DEVIN	GREGORY	Board Member	0.970873786	ACO Participant Representative	Coastal Carolina Family Practice PA
RICHARD	GUTSIN	Board Member	0.970873786	ACO Participant Representative	Magnolia Family Medicine PC
MUHAMMED	HANNAN	Board Member	0.970873786	ACO Participant Representative	Valley Internal Medicine Inc
ROBERT	HART	Board Member	0.970873786	ACO Participant Representative	Hart Family Practice PA
TERESA	HEAVNER	Board Member	0.970873786	ACO Participant Representative	Clay Comprehensive Health Services Inc
KIT	HELM	Board Member	0.970873786	ACO Participant Representative	Mountain Docs Family Medicine PA
MICHAEL	HIRSCH	Board Member	0.970873786	ACO Participant Representative	Viewmont Internal Medicine PLLC
DAVID	ISMAEL	Board Member	0.970873786	ACO Participant Representative	Cabral Internal Medicine PLLC
THOMAS	JOLLY	Board Member	0.970873786	ACO Participant Representative	Club Haven Family Practice PA
SUSHMA	KAPOOR	Board Member	0.970873786	ACO Participant Representative	Fayetteville Area Health Education Foundation Inc
ZAKIYA	KARIM	Board Member	0.970873786	ACO Participant Representative	Allmed Clinic PA
ABU	KARIM	Board Member	0.970873786	ACO Participant Representative	Lifelink Medical Group PLLC
SUSAN	KEEN	Board Member	0.970873786	ACO Participant Representative	Physicians East PA
GWENDOLYN	KNUCKLES	Board Member	0.970873786	ACO Participant Representative	Carolina Clinic For Health and Wellness PA
DANIEL	KOCH	Board Member	0.970873786	ACO Participant Representative	Family Medicine Associates of Lincoln County PLLC
JAGDISH	LAL	Board Member	0.970873786	ACO Participant Representative	Jagdish Lal MD PA
WILLIAM	LARSEN	Board Member	0.970873786	ACO Participant Representative	Northwest Family Physicians PA
VIVIAN	LEFTWICH	Board Member	0.970873786	ACO Participant Representative	Challie Minton
CHARMAINE	LUVIS	Board Member	0.970873786	ACO Participant Representative	Claude Luvis MD, PA
SEAN	MALONE	Board Member	0.970873786	ACO Participant Representative	Rowan Diagnostic Clinic PA
STEVEN	MANULI	Board Member	0.970873786	ACO Participant Representative	Manuli Internal Medicine PLLC
JOSETTE	MARIA	Board Member	0.970873786	ACO Participant Representative	Josette Maria MD PA
CLIFFORD	MAULT	Board Member	0.970873786	ACO Participant Representative	Clifford H Mault DO P A
RICHARD	MCBURNEY	Board Member	0.970873786	ACO Participant Representative	Hudson Primary Care PA
JAMES	MCGRATH	Board Member	0.970873786	ACO Participant Representative	James McGrath MD, PLLC
STEPHEN	MCNEILL	Board Member	0.970873786	ACO Participant Representative	Trillium Family Medicine PLLC
DAVID	MEYER	Board Member	0.970873786	ACO Participant Representative	Lincoln Internal Medicine PA
MITCHELL	MEYER	Board Member	0.970873786	ACO Participant Representative	Masonboro Urgent Care, PC
RUFFIN	MORGAN	Board Member	0.970873786	ACO Participant Representative	Lexington Family Physicians PA
ALEX	MULLINEAUX	Board Member/Chair	0.970873786	Other	Aledade
MARSHALL	MURREY	Board Member	0.970873786	ACO Participant Representative	Marshall C. Murrey, MD
TED	NIFONG	Board Member	0.970873786	ACO Participant Representative	Cedar Creek Family Medicine PLLC
FRANCIS	OBENG	Board Member	0.970873786	ACO Participant Representative	Alfa Medical Clinic PA
BEVERLY	OJEBUOBOH	Board Member	0.970873786	ACO Participant Representative	Omni Clinic PA
BABATUNDE	OJO	Board Member	0.970873786	ACO Participant Representative	Alpha Medical Center, PA
BENEDICT	OKWARA	Board Member	0.970873786	ACO Participant Representative	First Care Medical Clinic
OBINNA	ORIAKU	Board Member	0.970873786	ACO Participant Representative	Crown Clinic PA
MARY	PARKER	Board Member	0.970873786	ACO Participant Representative	MLP Church MD Family Practice Inc
RAKESH	PATEL	Board Member	0.970873786	ACO Participant Representative	Rakesh Patel MD PLLC
SWETANG	PATEL	Board Member	0.970873786	ACO Participant Representative	Swetang Patel, MD, PA
JAMES	PRIDGEN	Board Member	0.970873786	ACO Participant Representative	Holly Ridge Healthcare PA
MOSTAFA	REZK	Board Member	0.970873786	ACO Participant Representative	Burgaw Medical Center, P.C.
MICHAEL	RIBADENEYRA	Board Member	0.970873786	ACO Participant Representative	Shelby Medical Associates PA
JOHN	RICKABAUGH	Board Member	0.970873786	ACO Participant Representative	Sound Medical PA
JOSE	ROS	Board Member	0.970873786	ACO Participant Representative	Coastal Carolina Internal Medicine PA
ROBERT	ROSEN	Board Member	0.970873786	ACO Participant Representative	Ardmore Family Practice PA
EUGENE	SANGMUAH	Board Member	0.970873786	ACO Participant Representative	Matthews Internal Medicine PLLC
JOHN	SCHEITLER	Board Member	0.970873786	ACO Participant Representative	Piedmont Adult & Pediatric Medicine Associates PA
GARY	SCHENK	Board Member	0.970873786	ACO Participant Representative	Gaston Family Care, P.A.
MILLIE	SCRONCE	Board Member/Medicare Beneficiary Representative	0.970873786	Medicare Beneficiary Representative	Newton Family Physicians PA
JOHN	SENSENBRENNER	Board Member	0.970873786	ACO Participant Representative	Sensenbrenner Primary Care, PLLC
DANIEL	SEWARD	Board Member	0.970873786	ACO Participant Representative	Promed Healthcare, PLLC
CHARLES	SIMS	Board Member	0.970873786	ACO Participant Representative	Biltmore Medical Associates PA
KAREN	SMITH	Board Member	0.970873786	ACO Participant Representative	Karen L Smith MD PA
CHAD	SMOKER	Board Member	0.970873786	ACO Participant Representative	Chad Smoker MD PC
AMANDA	STEVENTON	Board Member	0.970873786	ACO Participant Representative	Avance Care PA
ALAN	STORY	Board Member/ACO Medical Director/Compliance Committee Lead	0.970873786	ACO Participant Representative	Newton Family Physicians PA
SLADE	SUCHECKI	Board Member	0.970873786	ACO Participant Representative	Brunswick Family Medicine PA
HENRY	TRAYLOR	Board Member	0.970873786	ACO Participant Representative	G&G Healthcare,PC Whiteville
ILENE	TRUJILLO	Board Member	0.970873786	ACO Participant Representative	Jaime E Trujillo MD PA
JOHN	TUCKER	Board Member	0.970873786	ACO Participant Representative	Smoky Mountain Urgent Care PC
PANKAJ	VYAS	Board Member	0.970873786	ACO Participant Representative	Eastern Carolina Medical Center, PC
STEPHEN	WALKER	Board Member	0.970873786	ACO Participant Representative	Elkin Pediatric & Adult Medicine PA
LEO	WARSHAUER	Board Member	0.970873786	ACO Participant Representative	Leo Warshauer
BRYAN	WECKEL	Board Member	0.970873786	ACO Participant Representative	Bryan Weckel MD Family Medicine PLLC
LINDA	WINEGARDNER	Board Member	0.970873786	ACO Participant Representative	Family Healthcare Of Lake Norman PC
KAREN	WOOD	Board Member	0.970873786	ACO Participant Representative	Boiling Spring Lakes Family Medicine PC
JOHN	WOODYEAR	Board Member	0.970873786	ACO Participant Representative	Family Care Associates of Montgomery County PA
MARIE	ZALDIVAR	Board Member	0.970873786	ACO Participant Representative	Riverdale Family Medicine, PA

ACO Executive: Alex Mullineaux
Medical Director: Alan Story
Compliance Officer: Amy Youtz
Quality Improvement / Assurance Officer: Emily Maxson

Committee Name Committee Leader Name and Position
Compliance Committee
Alan Story / Compliance Committee Leader

Networks of individual practices of ACO professionals

First Agreement Period

Performance Year 2021, $12,097,154
Performance Year 2020, $7,405,658
Performance Year 2019, $0

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%
Performance Year 2019
- Proportion invested in infrastructure: 0%
- Proportion invested in redesigned care processes/resources: 0%
- Proportion of distribution to ACO participants: 0%

2021 CMS WEB INTERFACE QUALITY PERFORMANCE RESULTS:

Measure #

Measure Name

Rate

ACO Mean

Measure #: 1

Diabetes: Hemoglobin A1c (HbA1c) Poor Control2

7.57

12.46

Measure #: 134

Preventative Care and Screening: Screening for Depression and Follow-up Plan

72.28

74.38

Measure #: 236

Controlling High Blood Pressure

73.27

74.87

Measure #: 318

Falls: Screening for Future Fall Risk

85.49

87.03

Measure #: 110

Preventative Care and Screening: Influenza Immunization

81.38

80.52

Measure #: 226

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

88.24

80.97

Measure #: 113

Colorectal Cancer Screening

76.97

73.63

Measure #: 112

Breast Cancer Screening

79.55

75.11

Measure #: 438

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

88.56

84.24

Measure #: 321

CAHPS for MIPS3

N/A

Measure #: 479

Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups2

0.1502

0.1540

Measure #: MCC1

All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions for ACOs (MCC)2

30.25

33.94

CAHPS-1

Getting Timely Care, Appointments, and Information

86.50

84.67

CAHPS-2

How Well Providers Communicate

92.32

93.56

CAHPS-3

Patient’s Rating of Provider

91.24

92.19

CAHPS-4

Access to Specialists

80.34

78.80

CAHPS-5

Health Promotion and Education

63.21

61.61

CAHPS-6

Shared Decision Making

60.65

60.89

CAHPS-7

Health Status and Functional Status

71.93

71.78

CAHPS-8

Care Coordination

85.09

85.66

CAHPS-9

Courteous and Helpful Office Staff

92.91

91.88

CAHPS-11

Stewardship of Patient Resources

26.81

24.71

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

Skilled Nursing Facility (SNF) 3-Day Rule Waiver: N/A

Waiver for Payment for Telehealth Services: N/A

Fraud and Abuse Waivers

ACO Pre-Participation Waiver:: N/A

ACO Participation Waiver: N/A

Committee Name	Committee Leader Name and Position
Compliance Committee	Alan Story / Compliance Committee Leader