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MSSPA5047 · PY2024 · state n/a
Zenith Independent Physicians, PLLC
★★★☆☆
quality 78.8/100 (XSPAN star)
Lives (aligned)
3,272
CMS revenue (total spend)
$38.4M
Benchmark
$44.7M
Shared savings earned
$2.5M
paid to the ACO by CMS (PY2024)
Savings generated
$6.3M
gross vs benchmark
Per-capita spend
$11,982
Acute admits /1k
248
ED visits /1k
647
30-day readmit rate
16.4%
Shared savings you retain / yr
$1.4M
3.5% of CMS revenue · keep 55%
FFS care-mgmt revenue / yr
$950.6K
2.5% of CMS revenue
Combined XSpan impact / yr
$2.3M
6.0% of CMS revenue
1 · Reduce avoidable utilization
From this ACO's own PY2024 utilization & unit costs. Gross avoidable cost: $2.1M/yr.
Avoidable acute admits reduced15%
$1.4M/yr
30-day readmissions reduced20%
on 16.44% measured rate$357.2K/yr
ED visits deflected10%
$269.3K/yr
SNF admits reduced8%
$103.4K/yr
ED cost per visit$1,300
2 · How MSSP pays you
FFS shared savings + separately-billable care-management codes.
Shared-savings rate you keep55%
BASIC 40% → ENHANCED 75%$1.2M/yr
Better care → higher rating → bonus
This ACO: 3★ today. Improving quality lifts your captured shared-savings share.
Extra share from quality gains+10 pts
$209.2K/yr
Care-management codes
$496.2K
Enrollment (of eligible)30%
$/member/month$62
~667 enrolled (68% eligible × 30%). Requires 2+ chronic conditions (~68% of Medicare FFS). Billable alongside RPM.
$454.4K
Enrollment (of eligible)25%
$/member/month$91
~409 enrolled (50% eligible × 25%). Device supply + 20-min treatment mgmt. Concurrent with CCM allowed.
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CY2024 national-average code rates — editable. In MSSP, care-management billing also counts toward ACO expenditures; net effect depends on your model.