Public Reporting

ACO Name and Location:

SOMOS ACCOUNTABLE CARE ORGANIZATION LLC

2910 Exterior St 1st Floor

The Bronx, NY 10463


ACO Primary Contact:

Jelani Fernandez, Operation Coordinator

646-823-0549

jfernandez@somoscommunitycare.org


Organizational Information

ACO Participants:

ACO Participants ACO Participant in Joint Venture

1211 WPR MEDICAL SERVICES PC

N

139 MEDICAL FACILITY P C

N

43RD ST FAMILY PRACTICE PLLC

N

93-17 MEDICAL OFFICE PC

N

A.W MEDICAL OFFICE, P.C

N

ABBYDEK FAMILY MEDICAL PRACTICE PC

N

ACADEMY MEDICAL CARE PC

N

ADVANCED EYE PHYSICIAN PLLC

N

ADVANCED GASTROENTEROLOGY PRACTICE PLLC

N

ADVANCED HEMATOLOGY ONCOLOGY, PLLC

N

ADVANCED ONCOLOGY PC

N

AJITH KARAYIL

N

ALBERTO COMAS ESPINAL

N

ALCEDO CRUZ

N

ALEXANDER SHAPSIS

N

ALL AXIS MEDICAL PC

N

AMERICA MEDICAL GROUP PC

N

AMERICAN MEDICAL TODAY PC

N

AMR NAYEL

N

AMR NAYEL MD PC

N

ANDRES HERNANDEZ-ABREU

N

ANDRES URENA

N

ANN LONG

N

ANTHONY FOONG MD PC

N

ARTHUR R DOVE MD PC

N

ATLANTIC GASTROENTEROLOGY PC

N

AVRAHAM Y HENOCH MD PC

N

BABU PATEL

N

BABU PATEL MDPC

N

BABUBHAI I PATEL PHYSICIAN PC

N

BABUBHAI PATEL

N

BALANCE MEDICAL PROFESSIONAL PRIMARY SERVICES PLLC

N

BHAVANA JAPI

N

BINGJING ROBERTS MD PLLC

N

BRIDGE POINT MEDICAL ASSOCIATES LLC

N

BRIGHT MEDICAL PC

N

BROADWAY INTERNAL MEDICINE P.C

N

BRONX COMMUNITY MEDICINE, PLLC

N

BUFORD-NORCROSS PRIMARY CARE, P.C.

N

BUKHMAN MD PC

N

C & W MEDICAL, LLC

N

CAMBRIDGE NEPHROLOGY PLLC

N

CANDIDA CATUCCI MD PC

N

CANDIDO NORBERTO

N

CARDIOLOGY UNLIMITED PC

N

CCN GENERAL MEDICINE PLLC

N

CECILIA CALDERON

N

CHAO LU

N

CHARLES HWU

N

CHATHAM MEDICAL PC

N

CHAUDHRY GHUMMAN

N

CHENG GONJON

N

CHINATOWN COMMUNITY MEDICAL PC

N

CHINATOWN GENERAL SURGERY/STEVEN WONG, M. D., P.C.

N

CHINATOWN KIDNEY CARE, PLLC

N

CHINATOWN MEDICAL PHYSICIAN, PC

N

CHIXIN FANG

N

CHIXIN FANG MEDICAL PC

N

CHRISTOPHER CHOW DPM PC

N

CITY MEDICAL HEALTHCARE ASSOCIATES PLLC

N

CLUNY LEFEVRE

N

COMPASSIONATE MEDICAL CARE PLLC

N

COMPREHENSIVE FAMILY MEDICAL CARE

N

COMPREHENSIVE NEUROLOGICAL SERVICES, P.C.

N

COMPREHENSIVE PAIN MANAGEMENT PC

N

COMPREHENSIVE PRIMARY FAMILY MEDICAL CARE OF NY, PLLC

N

CONCOURSE VILLAGE PRIMARY CARE PLLC

N

CORONA MEDICAL PRACTICE, PC

N

CS LEUNG REHABILITATION MEDICINE PLLC

N

CTU MEDICAL PC

N

CUIDADO MEDICO Y GERIATRICO OF QUEENS PC

N

DA WANG

N

DAVID KRUMHOLZ

N

DAVID KRUMHOLZ MD PC

N

DAVID ZHANG

N

DAYSTAR MEDICAL SERVICES PC

N

DELONG LIU,M.D.& MIN XU,M.D.,P.C.

N

DOCTOR CHAN MEDICAL PRACTICE PC

N

DOCTOR DIEGO PHYSICIAN PC

N

DOCTOR YIO MEDICAL SERVICE PC

N

DOMINICK K BIOH MD PC

N

DR ANMING LUO PHYSICIAN PC

N

DR WW DERMATOLOGY PLLC

N

DR. MA'S MANHATTAN MEDICAL REHABILITATION, PC

N

DR. MA'S MEDICAL REHAB., P.C.

N

DREAMWORK MEDICAL, PLLC

N

EASTERN PARK MEDICAL SERVICES,P.C.

N

ELISCER GUZMAN

N

EMPIRE MEDICINE AND REHABILITATION

N

ESSEN MEDICAL ASSOCIATES,PC

N

ESSEN MEDICAL URGICARE, PLLC

N

EVELYN LLANOS MD PC

N

EVERGREEN MEDICAL CLINIC PC

N

FATIMA PEDIATRIC MEDICAL CARE PC

N

FAUSTO GONZALEZ

N

FELIX FLORIMON

Y

FIRA NIHAMIN

Y

FLUSHING ANESTHESIA PAIN MANAGEMENT PLLC

N

FLUSHING NEUROLOGY SERVICES PC

N

FLUSHING RADIATION ONCOLOGY SERVICES, PLLC

N

FONG LU PHYSICIAN PC

N

FORT WASHINGTON MEDICAL OFFICE PC

N

FORTUNATO SANTI DIFRANCO MD PC

N

FRANCISCO DELARA

N

GAO MEDICAL PLLC

N

GENERAL MEDICAL SERVICES OF QUEENS PC

N

GI LIVER DIAGNOSTICS LLC

N

GLOBAL MEDICAL ASSOCIATES, PLLC

N

GLOBAL MEDICAL CARE ASSOCIATES PLLC

N

GODWIN MEDICAL PC

N

GOOD CARE MEDICAL,P.C.

N

GOODLAND MEDICAL P.C.

N

GRACE MEDICAL CARE, PLLC

N

GRAND CONCOURSE MEDICAL PRACTICE PC

N

GRAND CORNELL CARDIOLOGY PC

N

GUSTAVO MELAMEDOFF

N

HAIFAN CHEN

N

HAO YE

N

HARRISON F MITCHELL M D P C

N

HEALTH DEVELOPMENT & RESTORATIVE MEDICINE PC

N

HEALTHY LIVING. DAVID BEN MEIR MD. MPH. GENERAL MEDICINE PLLC

N

HENRY CHEN

N

HISPANIOLA MEDICAL CARE, PC

N

HO YIM

N

HS MEDICAL CARE LLP

N

HUI GUAN

N

HUIKANG LAI

N

IMPERIAL MEDICAL PC

N

INSPIRA DERMATOLOGY PLLC

N

ISAIAH PINCKNEY

Y

JACKSON MEDICAL, PLLC

N

JANA HEALTH CARE PHYSICIAN PC

N

JANLIAN MEDICAL GROUP,LLC

N

JANNY OZUNA MENDEZ

N

JASON SZEPOK KONG DO PC

N

JEAN D AUGUSTINE

Y

JEAN MACENAT

N

JEROME MEDICAL OFFICE, PC

N

JIAN CUI, DERMATOLOGY, P.C.

N

JIAN Q LIANG DPM P C

N

JIANGPING GAN

Y

JIANJUN LI GI MEDICAL PC

N

JIMMY VAN DPM PC

N

JOAN LI, MD PC

N

JOHN G. YUAN M.D., P.C.

N

JOSE D ARISTY MD PC

N

JOSE GORIS

N

JOSEPHINE HUANG MD, PLLC

N

JUAN ALBA

N

JUNCTION MEDICAL OFFICE, P.C.

N

KATHY TAN

N

KEITH C CHANG MD PLLC

N

KEVIN GUO, MEDICAL PC

N

KEVIN N T LIN, MD., P.C.

N

KHALID CHAUGHTAI

Y

KIN LUI

N

KINGS PARK PRIMARY MEDICAL CARE PC

N

KNICKERBOCKER MEDICAL CARE P.C.

N

KUMAR MEDICAL CARE PC

N

KUMAR PHYSICIAN OFFICE PC

N

LAURELTON HEART SPECIALIST PC

N

LAWRENCE LIANG

N

LAWRENCE Y. LIANG MEDICAL PC

N

LEI WONG

Y

LEONID BUKHMAN

N

LEWIS W. MARSHALL JR. MD PC

N

LINLI YAN-ROSENBERG, PHYSICIAN, P.C.

N

LONG ISLAND HOME VISITING PHYSICIAN, PC

N

LONGEVOUS MEDICAL HEALTH CARE PC

N

LONG'S MEDICAL REHAB PC

N

LUIZA GUSEYNOV,PHYSICIAN,PLLC

N

LV MEDICAL ASSOCIATE PC

N

MAGNUM PHYSICIANS PC

N

MAHMOOD KARIMI, NJ MD PA

N

MANHATTAN ADVANCED MEDICAL PLLC

N

MARISSA T SANTOS, MD PC

N

MB MEDICAL ASSOCIATES PC

N

MEDEXPLUS MEDICAL PC

N

MEDICAL AND SURGICAL EYE SPECIALIST PLLC

N

MEDICAL PROCARE, PLLC

N

MEDINOVA PHYSICIANS PLLC

N

MEERA S. BOPPANA,MD.PC

N

MERGIE DESIR MD, PLLC

N

MESBAH MEDICAL PC

N

METRO TRUES CARE MEDICAL, P.C.

N

METROPOLIS MEDICAL PC

N

MICHAEL LI MD PLLC

N

MICHAEL RABINOWITZ MD PC

N

MICHAEL RICHTER

N

MILLENNIUM MEDICAL GROUP PC

N

MINSHENG PAIN MANAGEMENT & ANESTHESIA, PLLC

N

MOHAMMAD RAHMAN

N

MOHAMMED RAHMAN

N

MOTT WOMEN HEALTHCARE PLLC

N

MOUNTVIEW MEDICAL PC

N

MUHAMMAD HAQUE

N

MUHAMMAD SANNI ADAM MD PC

N

MW SURGERY, PC

N

NEIL MULCHANDANI

N

NEW STAR MEDICAL P.C.

N

NEW START FAMILY MEDICAL PC

N

NEW YORK PRIMARY CARE MEDICINE PC

N

NEW YORK PULMONARY & SLEEP MEDICINE PC

N

NG MEDICAL PLLC

N

NIGHT AND DAY MEDICAL ASSOCIATES PC

N

NIKI PATEL MD PC

N

NY OTOLARYNGOLOGY PLLC

N

NYC MEDICAL OF QUEENS PC

N

OPTIMAL PHYSICAL MEDICINE AND REHABILITATION OF NEW YORK CITY PC

N

OPTIMUM FAMILY MEDICINE PC

N

OPTIMUM PRIMARY CARE MEDICAL PC

N

ORG MEDICAL PLLC

N

PATHGENIX DIAGNOSTICS LLC

N

PATRICIA W. HERMOGENES, MD PC

N

PAUL MANTIA

N

PERVAIZ QURESHI

N

PREMIER PHYSICIANS OF NEW YORK PLLC

N

PREMIER RENAL CARE, P.C.

N

PREMIUM MEDICAL CARE, P.C.

N

PURNIMA M KOTHARI PHYSICIAN PC

N

QAZI K HAIDER MD PC

N

Q-CARE AFFORDABLE MEDICAL CARE, PLLC

N

QUALITY MEDICAL PROVIDER PC

N

QUEENS CROSSING DERMATOLOGY, PLLC

N

QUEENS MEDICAL CARE PC

N

QUEENS MEDICAL OFFICE, P.C.

N

RAFAEL GUILLEN

N

RAFAEL RODRIGUEZ

N

RAJESH PATEL

N

RAMON TALLAJ

N

RANA SULEMAN

N

RENEE CAI

N

RICHARD CHAN

N

ROBERT H. WU. MD, PC.

N

ROBERTO ZAMBON

N

RODOLFO GUZMAN

N

ROOSEVELT MEDICAL SERVICES PC

N

RRG MEDICAL PRACTICE, PC

N

RS NUCLEAR MEDICINE PC

N

RUBEN CARVAJAL

N

RUBEN U. CARVAJAL MDPC

N

S. HASAN PHYSICIAN PC

N

SAULIUS J SKEIVYS MD PC

N

SEONGPAN PHYSICIAN PC

N

SHAHLA MALLICK

Y

SHANG MEDICAL PLLC

N

SHAO YUE TAN

N

SHARAD SONI PHYSICIAN P.C.

N

SHEUNG LUI

N

SHINING LIGHT FAMILY HEALTH NP PC

N

SIMELA MEDICAL ARTS PC

N

SINCERE MEDICAL CARE PC

N

SING CHAN

N

SIXTO CARO

N

SMS MEDICAL SERVICES, PLLC

N

SOHO OTOLARYNGOLOGY PC

N

SPRINGSEA PHYSICIAN PC

N

SSS FAMILY MEDICINE PC

N

STANLEY COHEN

Y

STEPHEN WAN, MD,PLLC

N

SUNRISE MEDICAL CARE PC

N

SUPREME MEDICAL CARE PLLC

N

SYLVESTER OZOUDE

Y

THE HEIGHTS MEDICAL PLLC

N

THOMAS MOLNAR

N

TIEN CARDIOLOGY ASSOCIATE, P.C.

N

TRIBECA RADIATION PLLC

N

TUVIDA MEDICAL PRACTICE, PLLC

N

UNIQUE FAMILY MEDICINE,P.C

N

UNITED MEDICAL PRACTICE PC

N

UNIVERSITY MEDICAL OFFICE, PLLC

N

UPPER WEST SIDE MEDICAL ASSOCIATES PC

N

VICTORIA PHYSICAL MEDICINE PC

N

WEI GUO LIN PHYSICIAN PC

N

WEIMIN QU MD PC

N

WELLCARE PHYSICIAN CONSULTING, PC

N

WENSONG LI MEDICINE PC

N

WESTCHESTER AVENUE FAMILY MEDICINE PC

N

WILLIAM CHEUNG

N

WILLIAM G JOHNSON MD PC

N

WILLIAM JOHNSON

Y

WILLIAMSBURGH INTERNAL MEDICINE P.C.

N

WILSON C. CHAU PHYSICIAN, PLLC

N

WILSON CHAU

Y

Wilson Ko, M.D., F.a.c.s., P.C.

N

WOODSIDE MEDICAL PRACTICE, P.C.

N

XIANG BIN KONG MEDICAL PC

N

XIAOYUAN ZHAO PHYSICIAN PLLC

N

XIE JIANLIN GASTROENTEROLOGY & HEPATOLOGY PLLC

N

XINRU QIAN M.D. P.C.

N

XUESHU ZHANG

N

YANFENG CHEN

N

YEAHSEON BRUININGS MD FAMILY PRACTICE PLLC

N

YI S CHEN, D.O., PLLC

N

YONG KANG MEDICAL PLLC

N

YONG SHENG LIN MD PLLC

N

YPP NEW MODERN MEDICINE PLLC

N

YUN FENG

N

ZWH MEDICAL CARE PC

N

ZYCARE MEDICAL ASSOCIATE PLLC

N



ACO Governing Body:


First Name Last Name Title/ Position Voting Power (As Number): Membership Type ACO Participant Legal Business Name/DBA (If applicable)

Ramon

Tallaj

Board Chairman

1

ACO Participant Representative

A.W MEDICAL OFFICE, P.C

David

Zhang

President

1

ACO Participant Representative

DAVID ZHANG

Jose

Goris

Treasurer

1

ACO Participant Representative

JOSE A GORIS, MD PC

Sumir

Sahgal

Secretary

1

ACO Participant Representative

ESSEN MEDICAL ASSOCIATES,PC

Oscar

Fukilman

CEO

1

ACO Participant Representative

OSCAR FUKILMAN

Justin

Yu

Community Stakeholder Representative

1

Medicare Beneficiary Representative

N/A

Henry

Chen

Executive Director

1

ACO Participant Representative

HENRY CHEN


Key ACO Clinical and Administrative Leadership:

ACO Executive: Dr Oscar Fukilman, CEO

Medical Director: Sumir Sahgal, MD

Executive Director/ Contract Committee: Henry Chen, MD

Compliance Officer: David Zhang, MD, PhD

Quality Assurance/Improvement Officer: Sumir Sahgal, MD


Associated Committees and Committee Leadership:


Committee Name Committee Leader Name and Position

Contract Committee

Chair: Henry Chen, MD

Compliance Committee

Chair: Victor Peralta, MD

Audit Committee

Chair: Zili He, MD

Information Technology Committee

Chair: Sumir Sahgal, MD

Credentialing Committee

Chair: David Zhang, MD, PhD

Quality Assurance & Performance Improvement Committee

Chair: Sumir Sahgal, MD

Finance Committee

Chair: Jose Goris, MD

Nomination Committee

Chair: David Zhang, MD, PhD

Utilization Committee

Chair: ZhengBo Huang, MD

By-Laws Committee

Chair: Jianlin Wu, MD

Community Advisory Committee

Chair: Justin Yu

Education & Scientific Committee

Chair: Wensong Li, MD

Business Development Committee

Chair: Fufu He, MD

Membership & Communications Committee

Chair: Rui Er Teng, MD

1st Vice President

Chair: Jose Goris, MD

Treasurer

Chair: Jose Goris, MD


Types of ACO participants, or Combinations of Participants, that formed the ACO:

  • ACO professionals in a group practice arrangement
  • Networks of individual practices of ACO professionals

Shared Savings and Losses

Amount of Shared Savings/Losses:

  • Fourth Agreement Period
    • Performance Year 2022, $9,191,591.37
  • Third Agreement Period
    • Performance Year 2021, $10,049,024.66
  • Second Agreement Period
    • Performance Year 2020, $18,313,627.76
  • First Agreement Period
    • Performance Year 2019, $3,161,977.37 (pro-rated)

Shared Savings Distribution:

  • Fourth Agreement Period
    • Performance Year 2022
      • Proportion invested in infrastructure: 35%
      • Proportion invested in redesigned care processes/resources: 0%
      • Proportion of distribution to ACO participants: 65%
  • Third Agreement Period
    • Performance Year 2021
      • Proportion invested in infrastructure: 35%
      • Proportion invested in redesigned care processes/resources: 0%
      • Proportion of distribution to ACO participants: 65%
  • Second Agreement Period
    • Performance Year 2020
      • Proportion invested in infrastructure: 35%
      • Proportion invested in redesigned care processes/resources: 0%
      • Proportion of distribution to ACO participants: 65%
  • First Agreement Period
    • Performance Year 2019
      • Proportion invested in infrastructure: 35%
      • Proportion invested in redesigned care processes/resources: 0%
      • Proportion of distribution to ACO participants: 65%

Quality Performance Results

2022 Quality Performance Results:


Measure # Measure Name Reported Performance Rate Current Year Mean Performance Rate (SSP ACOs)

Quality ID# 001

Diabetes: Hemoglobin A1c (HbA1c) Poor Control [1]

12.06

10.71

Quality ID# 134

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

71.06

76.97

Quality ID# 236

Controlling High Blood Pressure

70.67

76.16

Quality ID# 318

Falls: Screening for Future Fall Risk

68.52

87.83

Quality ID# 110

Preventative Care and Screening: Influenza Immunization

70.25

77.34

Quality ID# 226

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

73.91

79.27

Quality ID# 113

Colorectal Cancer Screening

59.03

75.32

Quality ID# 112

Breast Cancer Screening

62.95

78.07

Quality ID# 438

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

81.17

86.37

Quality ID# 370

Depression Remission at Twelve Months

18.18

16.03

Measure# 479

Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups [1]

0.1551

0.1510

Measure# 484

Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions [1]

23.18

30.97


For Previous Years’ Financial and Quality Performance Results, please visit data.cms.gov.

Please note, the ACO-40 Depression Remission at 12 months quality measure is not included in public reporting due to low sample size. The Centers for Medicare & Medicaid Services (CMS) also waived the requirement for ACOs to field a CAHPS for ACOs survey for PY 2020 through the Physician Fee Schedule Final Rule for Calendar Year 2021. Additionally, CMS reverted ACO-8 Risk-Standardized, All Condition Readmission and ACO-38 Risk-Standardized Acute Admission Rates for Patients with Multiple Chronic Conditions to pay-for-reporting, given the impact of the coronavirus disease 2019 (COVID-19) public health emergency (PHE) on these measures.


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.
  • 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.