ACO Name and Location

California Clinical Partners Accountable Care Organization, LLC

1155 S. Congress Ave
West Palm Beach, FL 33406

ACO Primary Contact

Contact Name:
Thomas J. Leach
Primary Contact Phone Number:
(820) 602-0470
Primary Contact Email Address:

ACO PARTICIPANTS

ACO Participants	ACO Participant in Joint Venture
Abayomi A. Odubela, M.D. A Professional Corporation	N
Abid Hussain MD PC	N
Alwin William Bagingito MD INC	N
Amin Attia	N
Arwinnah Bautista Md, Pc	N
Ana Reyna	N
Atiga Family Practice	N
Bridget R. Briggs, MD Inc.	N
Caring Physicians Medical Group, Inc	N
Chula Vista Internal Medicine	N
Citrus Valley Medical Center	N
Corona Medical Center, A Professional Corporation	N
Crown Island Family Practice, A Medical Corporation	N
David R. Jensen MD, A Professional Corporation	N
Desilva Medical, Inc	N
David Zebrack DO INC	N
Douglas F. Carrasco DO INC	N
Dr. Ana R Reyna, A Professional Corporation	N
Fadia Attia	N
Gabriel T Fabella MD INC	N
Galleria Medical Clinic INC	N
Grace Family Health Inc	N
Garrison Family Medical Group	N
Grace Family Health, INC	N
H Kolli MD Medical Corporation	N
Hemchand Kolli, MD INC	N
Hizon Medical Corporation	N
Inland Heart Doctors Medical Group	N
Ira R. Braverman, M.D. INC	N
Irineo Tiangco	N
Jasmine K Leong MD Professional Corp	N
Jason A Black MD, Inc	N
John R Pedrotty Jr MD A Professional Corp	N
Kamran Qureshi	N
Ken Roth Md & Rolf Ehlers MD San Diego Internal Med	N
Linda S Falconio MD, INC	N
Lisa M Considine DO, INC	N
Livingwater’s Medical Clinic, INC	N
Majid Shahbaz MD, INC	N
Manikanda Raja MD, A Professional Medical Corp	N
Marcos Borrero MD, INC	N
Maria Flora Trimor Tamoria	N
Maria Theresa Villa	N
MD Care And Associates INC	N
Metro Family Physicians Medical Group Inc	N
Michael Chai MD, INC	N
Naser W Azar MD, INC	N
North County Internists Medical Corporation	N
Pamela Desilva	N
Patricia Ann Bogema DO INC	N
Peter Strutz	N
Pinnacle Medical Group Hicks PC	N
Radhey S. Bansal, MD. INC	N
Renato De La Rosa MD, INC	N
Ric Garrison	N
Richard Uhler Do, INC	N
Riverside Medical Clinic INC	N
Rm Flores, Md Inc	N
Rolando A Atiga Md A Professional Corporation	N
Rocio Flores	N
Rupal B, Shah MD., INC	N
Russel Greif	N
Salvatore Tarantino	N
San Diego Internist and Ped	N
Sharna B Shachar MD A Professional Medical Corp	N
Sharpcare Medical Group APC	N
Shivinder S. Deol MD, INC	N
Sivalingam Medical Corporation, INC	N
South Bay Family Medical Group, INC	N
Southern California Physician Network, INC	N
Sylvia A Gisi, M.D. INC	N
Temecula Valley Primary Care Physicians	N
Timothy Killeen	N
Troy Niguidula MD INC	N
Valerie C Altavas MD	N
Venu Prabaker MD INC	N
William J Padilla	N

ACO Governing Body

ACO ID: A4709
ACO Legal Business Name: California Clinical Partners Accountable Care Organization, LLC

Member First Name

Member Last Name

Member Title/Position

Member Voting Power (Expressed as a percentage)

Membership Type

ACO Participant TIN Legal Business Name

1

Radhey

Bansal

Voting Member

6.66%

ACO Participant Representative

Radhey S. Bansal, MD. INC

2

Ravi

Berry

Voting Member

6.66%

ACO Participant Representative

Riverside Medical Clinic INC

3

Ruben

Castillo

Voting Member

6.66%

Medicare Beneficiary Representative

N/A

4

Sylvia

Gisi

Voting Member

6.66%

ACO Participant Representative

Silvia A. Gisi, M.D. INC

5

Jerry

Hizon

Voting Member

6.66%

ACO Participant Representative

Hizon Medical Corporation

6

Kamal

Jemmoua

Voting Member

6.66%

Stake Holder

N/A

7

Tony

Kwon

Voting Member

6.66%

ACO Participant Representative

Riverside Medical Clinic

8

Lori

Lane

Voting Member

6.66%

Stake Holder

N/A

9

Abayomi

Odubela

Voting Member

6.66%

ACO Participant Representative

Abayomi Odubela, M.D. A Professional Corporation

10

Lily

Phillips

Voting Member

6.66%

ACO Participant Representative

Grace Family Medical Group

11

Venu

Prabaker

Voting Member

6.66%

ACO Participant Representative

Venu Prabaker MD INC

12

Pamela

Desilva

Voting Member

6.66%

ACO Participant Representative

Pamela Desilva

13

Irineo

Tiangco

Voting Member

6.66%

ACO Participant Representative

Galleria Medical Clinic

14

Jonathan

Yun

Voting Member

6.66%

ACO Participant Representative

Livingwater’s Medical Clinic

15

Brad

Neet

Voting Member

6.66%

Stakeholder

N/A

Key ACO clinical and administrative leadership

Position

Name

ACO Executive

David Klebonis

Medical Director

Gerardo Hizon

Compliance Officer

David Klebonis

Quality Assurance/Improvement Officer

Thomas J. Leach

Associated Committees and Committee Leadership: N/A

Types of ACO Participants, or combinations of participants, that formed the ACO

A network of individual practices of ACO professionals.

Shared Savings and Losses

Amount of Shared Savings/Losses

First Agreement Period

— Performance Year 2022 $23,838,057

— Performance Year 2021 $21,125,675.47

— Performance Year 2020 $15,379,221

— Performance Year 2019 $5,115,885

Shared Savings Distribution

First Agreement Period

Performance Year 2022 $23,838,057
— Proportion invested in infrastructure: 35%
— Proportion invested in redesigned care processes/resources: 15%
— Proportion of distribution to ACO participants: 50%

Performance Year 2021 $21,125,675.47
— Proportion invested in infrastructure: 35%
— Proportion invested in redesigned care processes/resources: 15%
— Proportion of distribution to ACO participants: 50%

Performance Year 2020 $11,534,415.75
— Proportion invested in infrastructure: 35%
— Proportion invested in redesigned care processes/resources: 15%
— Proportion of distribution to ACO participants: 50%

Performance Year 2019 $3,836,914
— Proportion invested in infrastructure: 35%
— Proportion invested in redesigned care processes/resources: 15%
— Proportion of distribution to ACO participants: 50%

2021 Quality Performance Results:

Quality performance results are based on CMS Web Interface.

ACO Quality Measure	Measure Name	Rate	ACO Mean
Measure #: 001	Diabetes: Hemoglobin A1c (HbA1c) Poor Control	11.27	10.71
Measure #: 134	Preventative Care and Screening: Screening for Depression and Follow-up Plan	68.76	76.97
Measure #: 236	Controlling High Blood Pressure	80.83	76.16
Measure #: 318	Falls: Screening for Future Fall Risk	70.46	87.83
Measure #: 110	Preventative Care and Screening: Influenza Immunization	70.00	77.34
Measure #: 226	Preventative Care and Screening: Tobacco Use: Screening and Cessation Intervention	84.44	79.27
Measure #: 113	Colorectal Cancer Screening	70.12	75.32
Measure #: 112	Breast Cancer Screening	76.72	78.07
Measure #: 438	Statin Therapy for the Prevention and Treatment of Cardiovascular Disease	88.16	86.37
Measure #: 370	Depression Remission at Twelve Months	20	16.03
Measure #: 321	CAHPS for MIPS	N/A	N/A
Measure #: 479	Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups	0.1509	0.1510
Measure #: 484	Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions	24.72	30.97
CAHPS-1	Getting Timely Care, Appointments, and Information	77.17	83.96
CAHPS-2	How Well Providers Communicate	91.37	93.47
CAHPS-3	Patient’s Rating of Provider	90.5	92.06
CAHPS-4	Access to Specialists	69.8	77.00
CAHPS-5	Health Promotion and Education	59.15	62.68
CAHPS-6	Shared Decision Making	49.9	60.97
CAHPS-7	Health Status and Functional Status	74.18	73.06
CAHPS-8	Care Coordination	81.31	85.46
CAHPS-9	Courteous and Helpful Office Staff	89.8	91.97
CAHPS-11	Stewardship of Patient Resources	22.8	25.62

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

Payment Rule Waivers

• Skilled Nursing Facility (SNF) 3-day Rule Waiver:
- Our ACO uses the SNF 3-Day Rule Waiver, pursuant to 42 CFR 425.612.

PUBLIC REPORTING

ACO Name and Location

California Clinical Partners Accountable Care Organization, LLC

ACO Primary Contact

ACO PARTICIPANTS

ACO Governing Body

Key ACO clinical and administrative leadership

Associated Committees and Committee Leadership: N/A

Types of ACO Participants, or combinations of participants, that formed the ACO

Shared Savings and Losses

Shared Savings Distribution

Payment Rule Waivers