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
First Name
Member
Last Name
Member
Title/Position
Member's Voting Power (Expressed as a percentage) Membership Type ACO Participant Legal Business, if applicable
Michael Aaron D.O. 6.25% ACO Participant Representative Shore Heart Group, PA
Satish Bhutani M.D. 6.25% ACO Participant Representative Meridian Medical Group Primary Care, PC
Anna DeDona D.O. 6.25% ACO Participant Representative SOCH Medical Group, PC
Anthony DeTulio M.D. 6.25% ACO Participant Representative Meridian Medical Group Primary Care, PC
Scott Druckman D.O. 6.25% ACO Participant Representative Meridian Medical Group Primary Care, PC
Kent Fung M.D. 6.25% ACO Participant Representative Meridian Medical Group Primary Care, PC
Dominick Grosso D.O. 6.25% ACO Participant Representative Dominick Grosso, D.O., LLC
John Gumina M.D. 6.25% ACO Participant Representative Meridian Medical Group Primary Care, PC
Mark Pass M.D. 6.25% ACO Participant Representative Jersey Shore Geriatrics, Inc.
Michael Rothberg M.D. 6.25% ACO Participant Representative SOCH Medical Group, PC
Jay Vida D.O. 6.25% ACO Participant Representative SOCH Medical Group, PC
Neal Winzelberg M.D. 6.25% ACO Participant Representative Coastal Gastroenterology Associates, PA
Arthur Vasen M.D. 6.25% Community Stakeholder Representative N/A
Ashokvardhan Veldanda M.D. 6.25% Community Stakeholder Representative N/A
Janet Eng   6.25% Medicare Beneficiary Representative N/A
James Clarke M.D. 6.25% 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 2021, $0
    • 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
  Shared Savings Distribution:
  • Third Agreement Period
    • Performance Year 2021
      • 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 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%

Quality Performance Results

2021 Quality Performance Results:

Quality performance results are based on CMS Web Interface

Measure # Measure Name Rate ACO Mean
001 Diabetes: Hemoglobin A1c (HbA1c) Poor Control2 16.60 12.46
134 Preventative Care and Screening: Screening for Depression and Follow-up Plan 61.67 74.38
236 Controlling High Blood Pressure 79.58 74.87
318 Falls: Screening for Future Fall Risk 74.40 87.03
110 Preventative Care and Screening: Influenza Immunization 73.90 80.52
226 Preventative Care and Screening: Tobacco Use: Screening and Cessation Intervention 82.35 80.97
113 Colorectal Cancer Screening 69.35 73.63
112 Breast Cancer Screening 71.60 75.11
438 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease 91.74 84.24
370 Depression Remission at Twelve Months N/A N/A
479   Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups2  0.1621  0.1540
 MCC1  All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions for ACOs (MCC)2  39.76  33.99

[2] A lower performance rate corresponds to higher quality.

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

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