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Balance ACO

ACO Details

ACO Service Area(s):  NY 

Balance ACO

5030 Broadway, Suite 808New YorkNew York 10034 

Executive Contact

Dr. Oscar Fukilman
Request Contact Details

Public Contact

Patricia Tobon
(917) 364-3198
ptobon@balanceaco.com
Overview

Balance ACO was started in July 2012. In its second year, this organization spent $19,843 on average for each of its 8,165 beneficiaries (including beneficiaries only in the ACO for a partial year). By comparison, in its benchmark year, it spent $18,003 per beneficiary, a difference of -$1,840. The ACO successfully reported, but failed to earn its participants any savings. This ACO lost Medicare $15,022,545 compared to its benchmark year.

This is a Track 1 Shared Savings ACO which means it has accepted only upside with no downside risk in exchange for a smaller maximum shared savings rate.

ACOs can request early payments to help finance the startup costs of the ACO. This ACO did not accept any advanced payments.

2014 Performance

Earned Savings

$0

Cost Reduction

(10.2)%

Quality Points

43.6 of 581

Medicare Shared Savings Program Quality Measures
All 33 measures must be reported to CMS but not all are used to calculate the performance.
More Information
DescriptionMeasuresPercentile
Patient/Caregiver Experience
 Getting Timely Care, Appointments, and Information ACO-1 
 
 
 
 
 
 
 

70-80th
 How Well Your Doctors Communicate ACO-2 
 
 
 
 
 
 
 

Above 90th
 Patients' Rating of Doctor ACO-3 
 
 
 
 
 
 
 

80-90th
 Access to Specialists ACO-4 
 
 
 
 
 
 
 

80-90th
 Health Promotion and Education ACO-5 
 
 
 
 
 
 
 

Above 90th
 Shared Decision Making ACO-6 
 
 
 
 
 
 
 

40-50th
 Health Status/Functional Status ACO-7 
 
 
 
 
 
 
 

Above 90th
Care Coordination/Patient Safety
 Risk Standardized, All Condition Readmissions ACO-8 
 
 
 
 
 
 
 

Below 30th
 ASC Admissions: COPD or Asthma in Older Adults ACO-9 
 
 
 
 
 
 
 

30-40th
 ASC Admission: Heart Failure ACO-10 
 
 
 
 
 
 
 

Below 30th
 Percent of PCPs who Qualified for EHR Incentive Payment ACO-11 
 
 
 
 
 
 
 

Below 30th
 Medication Reconciliation ACO-12 
 
 
 
 
 
 
 

Above 90th
 Falls: Screening for Fall Risk ACO-13 
 
 
 
 
 
 
 

Above 90th
Preventive Health
 Influenza Immunization ACO-14 
 
 
 
 
 
 
 

40-50th
 Pneumococcal Vaccination ACO-15 
 
 
 
 
 
 
 

30-40th
 Adult Weight Screening and Follow-up ACO-16 
 
 
 
 
 
 
 

60-70th
 Tobacco Use Assessment and Cessation Intervention ACO-17 
 
 
 
 
 
 
 

80-90th
 Depression Screening ACO-18 
 
 
 
 
 
 
 

Above 90th
 Colorectal Cancer Screening ACO-19 
 
 
 
 
 
 
 

40-50th
 Mammography Screening ACO-20 
 
 
 
 
 
 
 

40-50th
 Proportion of Adults who had blood pressure screened in past 2 years ACO-21 
 
 
 
 
 
 
 

80-90th
At-Risk Population Diabetes
 Patients who meet all the following measures
Low Density Lipoprotein (LDL) (<100 mg/dL), Aspirin Use, Hemoglobin A1c Control (HbA1c) (<8 percent), Blood Pressure (BP) < 140/90, Tobacco Non Use
ACO-23 ACO-26 ACO-22 ACO-24 ACO-25 
 
 
 
 
 
 
 

Below 30th
 Percent of beneficiaries with diabetes whose HbA1c in poor control (>9 percent) ACO-27 
 
 
 
 
 
 
 

70-80th
At-Risk Population Hypertension
 Percent of beneficiaries with hypertension whose BP < 140/90 ACO-28 
 
 
 
 
 
 
 

50-60th
At-Risk Population IVD
 Percent of beneficiaries with IVD with complete lipid profile and LDL control < 100mg/dl ACO-29 
 
 
 
 
 
 
 

40-50th
 Percent of beneficiaries with IVD who use Aspirin or other antithrombotic ACO-30 
 
 
 
 
 
 
 

60-70th
At-Risk Population HF
 Beta-Blocker Therapy for LVSD ACO-31 
 
 
 
 
 
 
 

80-90th
At-Risk Population CAD
 Patients who meet all the following measures
Drug Therapy for Lowering LDL Cholesterol, ACE Inhibitor or ARB Therapy for Patients with CAD and Diabetes and/or LVSD
ACO-32 ACO-33 
 
 
 
 
 
 
 

70-80th
ACO Statistics
Participants
Karayil, A
MediKids Pediatric, PC
Sahni
Zaman
Sami
Ododo
General Medical Services of Queens
Arthur R. Dove MD PC
Valdez, A
Valdez, V
Mohammed Ziaur Rahman
Martinez de Pimentel
Patel, Baldevbhai
Bukhman
Jimenez
Rodriguez
Arthur
Astoria Pediatric Center
Hidalgo, G
Santana
Ghumman
Bronx Pediatrics, PC
Ducent
Patel, Babu
Haque
Melamedoff
Olivero
Gamundi-Joaquin
Atallah-Lajam
Karimi
Oscar J. Fukilman, MD
Pinckney
Choi
Estevez
Das
Chaughtai
Figueroa-Delgado
Shah
Tafreshi-Oraee
Walter Rojas
Reyes, N
Bernstein
Weiss
Reyes, E
Decoo
Zambon
Zarkadas
Voitovitch-Khurgin
Simons
D''Augustine
Torres
Orellana
Pignanelli
Guzman, R
Cornielle
Florimon
Andres Urena MD
Alba
Gonjon
Belliard Estevez
Goris
Molina
De Lara
Hannan
Guillen
Mihail Medvedovsky Physician PC
Westside Medical
Knickerbocker Medical Care PC
Broadway Internal Medicine PC
First Medcare, Inc
Total Neuro Care PC
Total Medical, PC
International Pediatric Plus
Boston Road Pediatrics PC
Cruz
Ramirez
Martinez
Kogan
Rahman, M
Petrov
Calderon
Medvedovsky
Sultana Y. Rahman
Candido Norberto, MD
Alexander Shapsis, MD
Barbery
De La Cadena
Perez, L
Lazala
Mejia
Rosario
Huang
Adrian Gonzalez MD
Muhammed Haque
Acosta
Lefevre
Nayel
Julian
Chabla
Le Kiong Huang MDPC
Dunstan, Pulle, MD
Dario Castellanos, MD
Vocational Instruction Project Community Services Inc
Physicians General Services, Inc
Julio Albarran Marzan, MD PC
Cardiology Unlimited, PC
Juan Estevez, MD
Pignanelli, E
Light House Pediatrics
Max Pierre Francois, MD PC
Ruben U. Carvajal MDPC
Hispaniola Medical Care PC
Rodolfo Guzman, MD
Washington Heights Pediatrics
Cesar, Vera, MD
Woodlawn Medical Associates PC
Ravi, V
Cruz & Herrera, MDs PC
Alla
Hidalgo, M
Guzman, E
Valdivia
Espinal, A
Stanley B. Cohen, MD
Correa
Emmanuel Bapana
Macenat
Gonzalez, F
Hernandez
Patel, Babubhai
Tallaj
Veena Chadda, MD PC
Carvajal
Hanna
Perez, A
Stephan B. Perez
Eng
Dominick K. Bioh, M.D. P.C.
FDLC Pediatric medicine PLLC
Easy Care Queens Medical, PC
Queens Bronx Medical P.C
Samuel Melamed, MD
Jude Arthur, MD
First Step Pediatrics PC
Sherman Pediatrics @ Sunnyside
Imperial Medical PC
Fort Washington Medical Office
M B Medical Associates
Goris, J
A.W Medical Office, P.C
Babubhai I Patel Physician PC
Bukhman Md Pc
America Medical Group PC
Wadsworth Medical PC
Academy Medical Care, PC
House Call Medical Services of New York PLLC
Groupo Medico Dominicano
Atlantic Gastroenterology PC
JLDH Medical Service PLLC
NY Hispanic Family Medical
Loving Care Medical PC
Jerome Medical Office
Pediatrics 2000 III, PLLC
Concourse Village Primary Care PLLC
Batlle
Familia
Pimentel
Mahmood Karimi, NJ MD PA
Baldevbhai V Patel MD PC
Jose A. Goris, MD PC
Kzark Medical PC
Shazia Sami Medicine Pc
Ravi
Michael Correa,MD PC
Godwin Medical PC
RGuillenMD.PC
Bethel Medical Practice PC
Night and Day Medical Associates
Global Medical Care Associates PLLC
Best Care Ever Med Group, PC
University Medical Office, PLLC
Q-Care Affordable Medical Care
Health Development &Restorative Medicine, PC
1561 Westchester Avenue Medical Offices, Pllc
Woodside Medical Practice PC
Cuidado Medico Y Geriatrico Of Queens Pc
Boston Road Medical Center
CCN General Medicine,PLLC
Broadway Imedicine PLLC
Grand Concourse Medical Practice
Amsterdam Medical Practice, PLLC
Maximo Julian, MD PC
Raza Medical PC
Kalid Chaughtai, MD
Castellanos
Pediatria 2000 III, PLLC
Nina-Ortega
Rahman, R
Bright Medical PC
Rajesh Patel, MD
Mesbah Medical
Westchester Avenue Family Medicine
Magnum Physicians PC
House Calls Medical Group
YPP New Modern Medicine
Healthy Living David Ben Meir Mph General Medicine
Ola Pediatrics
New York Primary Care Medicine Pc
Vinay Shah MD
Dr Eric M Rishe MD
Decoo Medical Office PLLC
Prime Medcare PLLC
Stages Pediatrics
A.T. Adebayo, MD, PC
Raza
Albarran Marzan
Essen Medical Associates, P.C.
R.R.G. Medical Practice, PC
Sixto R. Caro MD
Gonzalez, C
Ares
Pena-Pena
Colon
Qureshi
Zunino
Aguayo-Figueroa
Silkia Figueroa Martinez
Urena
Mercardo
Janny A. Ozuna Mendez MD PLLC
Moarefi
139 Medical Facility
Dyckman Medical Care PC
Comprehensive Community Pediatrics
Briggs Family Pediatrics
Babu Patel, MD
AMR Nayel MD PC
Mary Z. Awad MD PC
BRONX-LEBANON HOSPITAL CENTER
Heritage Health and Housing, Inc.
Dr Martin Luther King Jr Health Center Inc.