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:

[email protected]

Public Reporting PDF

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 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 2021 $21,125,675.47
  • — Proportion invested in infrastructure: N/A
  • — Proportion invested in redesigned care processes/resources: N/A
  • — Proportion of distribution to ACO participants: 50%
  • Performance Year 2020 $11,534,415.75
  • — Proportion invested in infrastructure: N/A
  • — Proportion invested in redesigned care processes/resources: N/A
  • — Proportion of distribution to ACO participants: 50%
  •  Performance Year 2019 $3,836,914
  • — Proportion invested in infrastructure: N/A
  • — Proportion invested in redesigned care processes/resources: N/A
  • — 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 9.77 12.46
Measure #: 134 Preventative Care and Screening: Screening for Depression and Follow-up Plan 84.34 74.38
Measure #: 236 Controlling High Blood Pressure 76.04 74.87
Measure #: 318 Falls: Screening for Future Fall Risk 87.12 87.03
Measure #: 110 Preventative Care and Screening: Influenza Immunization 84.28 80.52
Measure #: 226 Preventative Care and Screening: Tobacco Use: Screening and Cessation Intervention 95.00 80.97
Measure #: 113 Colorectal Cancer Screening 77.14 73.63
Measure #: 112 Breast Cancer Screening 80.49 75.11
Measure #: 438 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease 89.64 84.24
Measure #: 321 CAHPS for MIPS N/A N/A
Measure #: 479 Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups 0.1646 01.540
Measure #: MCC1 All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions for ACOs (MCC) 27.60 33.99
CAHPS-1 Getting Timely Care, Appointments, and Information 75.75 84.67
CAHPS-2 How Well Providers Communicate 90.66 93.56
CAHPS-3 Patient’s Rating of Provider 90.72 92.19
CAHPS-4 Access to Specialists 74.81 78.80
CAHPS-5 Health Promotion and Education 52.51 61.61
CAHPS-6 Shared Decision Making 52.71 60.89
CAHPS-7 Health Status and Functional Status 71.51 71.78
CAHPS-8 Care Coordination 80.52 85.66
CAHPS-9 Courteous and Helpful Office Staff 85.95 91.88
CAHPS-11 Stewardship of Patient Resources 13.44 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:
    •  Our ACO uses the SNF 3-Day Rule Waiver, pursuant to 42 CFR 425.612.