Public Reporting

ACO Name and Location

GENESIS MEDICAL ACCOUNTABLE CARE ORGANIZATION LLC

2255 East Mossy Oaks Road Suite 500
Spring TX, 77389

ACO Primary Contact

Farshanda Williams
Phone: 281-440-5300
Email: fwilliams@genesisdoctors.com

Organizational Information

ACO Participants:

ACO Participants	ACO Participant in Joint Venture
FORT BEND GERIATRICS, PA	N
LINDSEY E TIJERINA MD PA	N
SOUTHWEST PRIMARY CARE PA	N
HUSSAMADDIN AL-KHADOUR MD PA	N
JAMIR E MIRELES MD LLC	N
RODRIGUEZ CLINICAL TRIALS, LLC	N
SMITH & KLEIN, PA	N
BELLAIRE FAMILY CLINIC PA	N
DAVID P ELLENT PLLC	N
JOSIER M. NISNISAN MD, PLLC	N
SALIM GOPALANI, MD. P.A.	N
NORTH HOUSTON FAMILY MEDICINE PLLC	N
HAMMAD ZAIDI MD PA	N
MONTES MEDICAL, PLLC	N
WILLIAM NGUYEN	N
AMAN ALI JAFAR, MD PA	N
JEFF J WANG DO PA	N
SAAD SHAM MAS MD PLLC	N
ANIBAL F ROSSEL MD PA	N
SUMAN C RAVURI MD PA	N
ELIZABETH YANG MD PA	N
JULIO C ARAUZ MD PA	N
SHAVER MEDICAL CLINIC P.A.	N
KOMEDIX MEDICAL ASSOCIATES PA	N
IMRAN BAIG MD PA	N
PREMIER INTERNAL MEDICINE	N
ASSOCIATES,P.A. RAMON A PINEDA MD PA	N
PEARLAND DIAGNOSTIC CLINIC, PA	N
BAYTOWN OCCUPATIONAL AND FAMILY	N
MEDICINE PA JOSE MAYEN NUNEZ	N
SAIRA HIRANI	N
TEXAS ALLIANCE MEDICAL GROUP PA	N

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
Ellent, MD	David	President	20%	Participant Representative	Genesis Medical Group
Yang, MD	Elizabeth	Vice-President	20%	Participant Representative	Elizabeth Yang, MD
Chon, MD	Steven	Medical Director & Treasurer	20%	Participant Representative	Genesis Medical Group
Shah, MD	Viren	Secretary	20%	Participant Representative	Southwest Primary Care
Pate	Gerry	Beneficiary	20%	Beneficiary Representative	N/A

Key ACO Clinical and Administrative Leadership:

ACO Executive: Farshanda Williams
Medical Director: Steven Chon, MD
Compliance Officer: Farshanda Williams
Quality Assurance/Improvement Officer: Melody Molloy, RN

Associated Committees and Committee Leadership:

Committee Name	Committee Leader Name and Position
Compliance Committee	Farshanda Williams, Compliance Officer

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

• ACO Professionals if a group practice arrangement. Network of individual practices of ACO professionals.

Shared Savings and Losses

Amount of Shared Savings/Losses:

• Second Agreement Period
  • Performance Year
    • N/A
• First Agreement Period
  • Performance Year
    • N/A

Shared Savings Distribution:

• Second Agreement Period
  • N/A
• First Agreement Period
  • N/A

Quality Performance Results

2022 Quality Performance Results
This information is not yet available for reporting.

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