Meridian Accountable Care Organization

ACO Name and Location

Meridian Accountable Care Organization, LLC
Previous Names: N/A
343 Thornall Street
8th Floor, Physician Services
Edison, NJ 08837

ACO Primary Contact

James Clarke, MD
732-765-6317
Jim.ClarkeMD@HMHN.org

Organizational Information
ACO Participants:

ACO Participants

ACO Participant in
Joint Venture

ADULT AND GERIATRIC MEDICINE PC Y
ADVANCED DIGESTIVE CENTER, INC Y
ALFRED WOLKOMIR Y
ALLERGY & ASTHMA ASSOCIATES, INC. Y
AMERICAN HEART CENTER PC Y
ANDREW L. SIMON M.D., F.A.C.S, P.A. Y
ANTONIOS TSOMPANIDIS DO PC Y
ASSOCIATES IN FOOT AND ANKLE Y
ATLANTIC CARDIOLOGY LLC Y
ATLANTIC MEDICAL, LLC Y
ATLANTIC SURGICAL GROUP PA Y
ATLAS MEDICAL CARE,LLC Y
BRUCE A. DECOTIIS MD PA Y
CENTRAL JERSEY PULMONARY & MEDICAL ASSOCIATES, LLC Y
CHARLES R SPATZ Y
CHARLES SPATZ Y
COASTAL CARDIOVASCULAR CONSULTANTS, PA Y
COASTAL COMPREHENSIVE HEALTHCARE, LLC Y
COASTAL EAR NOSE AND THROAT LLC Y
COASTAL FOOT & ANKLE, LLC Y
COASTAL GASTROENTEROLOGY ASSOCIATES, P.A. Y
COASTAL IMAGING LLC Y
COMSTI MEDICAL LLC Y
DAVID CHELI MD PA Y
DAVID I KLEINFELD, MD, PA Y
DIGESTIVE DISEASE SPECIALISTS OF CENTRAL JERSEY P.C. Y
DOMINICK GROSSO Y
DOMINICK GROSSO Y
DON CHOI Y
DOUGLAS CHUDZIK Y
DOUGLAS CHUDZIK Y
DR. EVAN KELNER, DPM, PA Y
EAR NOSE THROAT AND FACIAL PLASTIC SURGERY ASSOCIATES PC Y
EATONTOWN MEDICAL ASSOCIATES PA Y
EVAN ADLER DPM Y
GARDEN STATE FOOT & ANKLE CENTER LLC Y
GARY LENGEL Y
HEALTH VILLAGE IMAGING LLC Y
HEATHER CRAWFORD, D.P.M., L.L.C. Y
INDIRA BOLLAMPALLY Y
INDIRA BOLLAMPALLY Y
JERSEY MEDICAL ASSOCIATES INC Y
JERSEY SHORE GERIATRICS INC Y
JERSEY SHORE OPHTHALMOLOGY RETINA CONSULTANTS LLC Y
JERSEY SHORE PODIATRIC ASSOCIATES Y
JOHN A SCHMIDT JR MD Y
JOHN SCHMIDT Y
KRETOV MEDICAL ARTS LLC Y
L. GUALBERTI GIRGIS MD AND J. GUALBERTI MD Y
LAWRENCE FRIEMAN MD PA Y
LAWRENCE J MENDITTO DPM PC Y
MARUTI FAMILY & SLEEP MEDICINE LLC Y
MERIDIAN LABORATORY PHYSICIANS, PA Y
MERIDIAN MEDICAL GROUP FACULTY PRACTICE PC Y
MERIDIAN MEDICAL GROUP PRIMARY CARE PC Y
MERIDIAN MEDICAL GROUP-RETAIL CLINIC PC Y
MERIDIAN MEDICAL GROUP-SPECIALTY CARE PC Y
MERIDIAN TRAUMA ASSOCIATES, P.C. Y
MICHAEL L SHER MD LLC Y
MONMOUTH CARDIOLOGY ASSOCIATES, LLC Y
MONMOUTH SLEEP & PULMONARY ASSOCIATES, LLC Y
MONMOUTH-OCEAN NEUROLOGY PC Y
NAVESINK MEDICAL ASSOCIATES LLC Y
NEPTUNE INTERNAL MEDICINE, LLC Y
NEW JERSEY UROLOGIC INSTITUE PA Y
OCEAN COUNTY RETINA PC Y
OCEAN FOOT AND ANKLE, PC Y
OCEAN MEDICAL MD, P.A. Y
OCEAN PULMONARY ASSOCIATES, P.A. Y
PACITA C. SY, M.D., LLC Y
PAPPAS FAMILY MEDICAL CENTER, LLC Y
PATHWAYS NEUROPSYCHOLOGY ASSOCIATES Y
PAUL SILBERT Y
PAUL SILBERT Y
PINELAND ASSOCIATES IN OBSTETRICS-GYNECOLOGY,PA Y
PRIMARY CARE AND PREVENTIVE MEDICINE Y
RAMTOWN MEDICAL CENTER, LLC Y
RED BANK RADIOLOGISTS,PA Y
RICHARD EICHEL, MD LLC Y
ROBERT DEMARTIN Y
ROBERT E SUSSMAN DPM PC Y
ROBERT P RABINOWITZ DO PA Y
SAGAR Y. PATEL M.D. LLC Y
SAMRA PLASTIC AND RECONSTRUCTIVE SURGERY LLC Y
SANDIP PARIKH MD LLC Y
SCHUBER C S FAN MD PA Y
SHIVENDRA PANDEY MD PC Y
SHORE ENDOCRINOLOGY ASSOCIATES LLC Y
SHORE HEART GROUP, PA Y
SHORE RADIATION ONCOLOGY LLC Y
SOCH MEDICAL GROUP PC Y
SOUTHERN OCEAN OTOLARYNGOLOGY,PA Y
SRINIVAS PAVULURI MD PA Y
SUSAN DICK Y
SUSAN DICK Y
TARUN SHAH Y
UROLOGY ASSOCIATES, PA Y
V.K. PERKARI M.D. LLC Y
VEIN CENTER FOR WOMEN PC Y
WILLIAM ADAMS Y
WILLIAM C. ANANIA, DPM, PC Y

ACO Governing Body:

Member
Last Name
Member
First Name
Member
Title/Position
Member's Voting Power (Expressed as a percentage or number) Membership Type ACO Participant Legal Business Name and D/B/A, if applicable
Aaron Michael D.O. 1 ACO Participant Representative Shore Heart Group, PA
Bhutani Satish M.D. 1 ACO Participant Representative Meridian Medical Group Primary Care, PC
DeDona Anna D.O. 1 ACO Participant Representative SOCH Medical Group, PC
DeTulio Anthony M.D. 1 ACO Participant Representative Meridian Medical Group Primary Care, PC
Druckman Scott D.O. 1 ACO Participant Representative Meridian Medical Group Primary Care, PC
Fung Kent M.D. 1 ACO Participant Representative Meridian Medical Group Primary Care, PC
Grosso Dominick D.O. 1 ACO Participant Representative Dominick Grosso, D.O., LLC
Gumina John M.D. 1 ACO Participant Representative Meridian Medical Group Primary Care, PC
Pass Mark M.D. 1 ACO Participant Representative Jersey Shore Geriatrics, Inc.
Rothberg Michael M.D. 1 ACO Participant Representative SOCH Medical Group, PC
Vida Jay D.O. 1 ACO Participant Representative SOCH Medical Group, PC
Winzelberg Neal M.D. 1 ACO Participant Representative Coastal Gastroenterology Associates, PA
Vasen Arthur M.D. 1 Community Stakeholder Representative N/A
Veldanda Ashokvardhan M.D. 1 Community Stakeholder Representative N/A
Eng Janet   1 Medicare Beneficiary Representative N/A
Clarke James M.D. 1 Other (ACO Representative) N/A

Key ACO Clinical and Administrative Leadership:
ACO Executive: William Oser, MD
Medical Director: James Clarke, MD
Compliance Officer: Thomas Flynn
Quality Assurance/Improvement Officer: John Gumina, MD

Associated Committees and Committee Leadership:

Committee Name

Committee Leader Name and Position

Meridian ACO Board

James Clarke, MD

Meridian ACO Membership Committee

Patrick Young

Meridian ACO Quality Committee

John Gumina, MD

Types of ACO Participants, or Combinations of Participants, That Formed the ACO:

  • Partnerships or joint venture arrangements between hospitals and ACO professionals

Shared Savings and Losses

Amount of Shared Savings/Losses:

  • Third Agreement Period
    • Performance Year 2020, $0
    • Performance Year 2019, $0
  • Second Agreement Period
    • Performance Year 2019, $0
    • Performance Year 2018, $0
    • Performance Year 2017, $0
    • Performance Year 2016, $0
  • First Agreement Period
    • Performance Year 2015, $0
    • Performance Year 2014, $0
    • Performance Year 2013, $7,296,256

Note: Our ACO participated in multiple performance years during Calendar Year 2019. Shared savings/losses amount reported for Performance Year 2019 therefore represents net shared savings or losses across all performance years in 2019 and is shown under all agreement periods in which the ACO operated during Calendar Year 2019.

Shared Savings Distribution:

  • Third Agreement Period
    • Performance Year 2020
      • Proportion invested in infrastructure: N/A
      • Proportion invested in redesigned care processes/resources: N/A
      • Proportion of distribution to ACO participants: N/A
    • Performance Year 2019
      • Proportion invested in infrastructure: N/A
      • Proportion invested in redesigned care processes/resources: N/A
      • Proportion of distribution to ACO participants: N/A
  • Second Agreement Period
    • Performance Year 2019
      • Proportion invested in infrastructure: N/A
      • Proportion invested in redesigned care processes/resources: N/A
      • Proportion of distribution to ACO participants: N/A
    • Performance Year 2018
      • Proportion invested in infrastructure: N/A
      • Proportion invested in redesigned care processes/resources: N/A
      • Proportion of distribution to ACO participants: N/A
    • Performance Year 2017
      • Proportion invested in infrastructure: N/A
      • Proportion invested in redesigned care processes/resources: N/A
      • Proportion of distribution to ACO participants: N/A
    • Performance Year 2016
      • Proportion invested in infrastructure: N/A
      • Proportion invested in redesigned care processes/resources: N/A
      • Proportion of distribution to ACO participants: N/A
  • First Agreement Period
    • Performance Year 2015
      • Proportion invested in infrastructure: N/A
      • Proportion invested in redesigned care processes/resources: N/A
      • Proportion of distribution to ACO participants: N/A
    • Performance Year 2014
      • Proportion invested in infrastructure: N/A
      • Proportion invested in redesigned care processes/resources: N/A
      • Proportion of distribution to ACO participants: N/A
    • Performance Year 2013
      • Proportion invested in infrastructure: 12%
      • Proportion invested in redesigned care processes/resources: 0%
      • Proportion of distribution to ACO participants: 88%

Note: Our ACO participated in multiple performance years during Calendar Year 2019. Distribution of shared savings reported for Performance Year 2019 therefore represents the distribution of the net shared savings across all performance years in 2019 and is shown under all agreement periods in which the ACO operated during Calendar Year 2019.

Quality Performance Results

2020 Quality Performance Results:

ACO Quality Measure Number Measure Name Rate ACO Mean
ACO-43 Ambulatory Sensitive Condition
Acute Composite (AHRQ* Prevention Quality Indicator (PQI #91))
0.78 0.95
ACO-13 Falls: Screening for Future Fall
Risk
73.13 84.97
ACO-14 Preventive Care and Screening:
Influenza Immunization
73.70 76.03
ACO-17 Preventive Care and Screening:
Tobacco Use: Screening and
Cessation Intervention
75.86 81.67
ACO-18 Preventive Care and Screening:
Screening for Depression and
Follow-up Plan
58.99 71.46
ACO-19 Colorectal Cancer Screening 70.56 72.59
ACO-20 Breast Cancer Screening 60.63 74.05
ACO-42 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease 90.03 83.37
ACO-27 Diabetes: Hemoglobin A1c Poor Control (>9%) 18.36 14.70
ACO-28 Controlling High Blood Pressure 74.85 72.87

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.

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

X
We use cookies to improve your site experience. By using this site,
you agree to our Terms & Conditions. Also, please read our Privacy Policy.
Accept All Cookies