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Complete QIP Data - Payment Year 2014

Row numberFacility NameCMS Certification NumberAlternate CCN 1Alternate CCN 2Alternate CCN 3Address 1Address 2CityStateZip CodeNetworkHemoglobin 12 g/dL Measure ScoreHemoglobin 12 g/dL Performance Period RateNumber of Hemoglobin Eligible Patients Performance PeriodHemoglobin 12 g/dL Baseline Period RateNumber of Hemoglobin Eligible Patients Baseline PeriodHemoglobin 12 g/dL Performance Score AppliedURR Measure ScoreURR Performance Period RateNumber of URR Eligible Patients Performance PeriodURR Baseline Period RateNumber of URR Eligible Patients Baseline PeriodURR Performance Score AppliedFistula Measure ScoreFistula Performance Period RateNumber of Fistula Patient Months Performance PeriodFistula Baseline Period RateNumber of Fistula Patient Months Baseline PeriodFistula Performance Score AppliedCatheter Measure ScoreCatheter Performance Period RateNumber of Catheter Patient Months Performance PeriodCatheter Baseline Period RateNumber of Catheter Patient Months Baseline PeriodCatheter Performance Score AppliedVascular Access Combined Measure ScoreICH CAHPS Admin ScoreNHSN Event Reporting ScoreMineral Metabolism Reporting ScoreTotal Performance ScorePY2014 Payment Reduction PercentageCMS Certification DateOwnership as of December 31, 2012Date of ownership record update
1FMC CAPITOL CITY012500255 SOUTH JACKSON STREETMONTGOMERYAL361048100%815%92Achievement10100%6999%72Achievement249%81941%813Improvement710%76313%592Achievement5%10101085%No reduction09/01/1976FRESENIUS MEDICAL CARE03/06/2012
2GADSDEN DIALYSIS012501409 SOUTH FIRST STREETGADSDENAL359018100%651%82Achievement10100%7290%81Achievement971%76357%956Achievement89%74414%667Achievement9%10101097%No reduction09/01/1976GAMBRO HEALTHCARE11/18/2009
3TUSCALOOSA UNIVERSITY DIALYSIS012502220 15TH STREETTUSCALOOSAAL354018100%810%90Achievement10100%8392%78Achievement148%96545%894Achievement104%9184%618Achievement6%10101088%No reduction10/21/1977GAMBRO HEALTHCARE11/17/2009
4PCD MONTGOMERY0125051001 FOREST AVENUEMONTGOMERYAL361068100%872%94Achievement10100%81100%72Achievement353%90843%832Achievement104%87112%572Achievement7%10101091%No reduction12/14/1977DAVITA03/16/2012
5DOTHAN DIALYSIS012506216 GRACELAND DRIVEDOTHANAL36305891%751%90Achievement798%5697%67Achievement457%72852%794Achievement104%6924%557Achievement7%10101079%No reduction11/28/1977GAMBRO HEALTHCARE10/24/2009
6FMC MOBILE0125072620 OLD SHELL ROADMOBILEAL366078100%623%64Achievement10100%69100%70Achievement147%72349%723Achievement105%6756%505Achievement6%10101088%No reduction01/04/1979FRESENIUS MEDICAL CARE03/06/2012
7BIRMINGHAM EAST DIALYSIS0125081105 EAST PARK DRIVEBIRMINGHAMAL352358100%632%64Achievement10100%6097%59Achievement149%67350%673Achievement612%63414%474Achievement4%10101082%No reduction06/28/1979GAMBRO HEALTHCARE01/02/1980
8FMC NORTH ALABAMA0125091311 NORTH MEMORIAL PARKWAY #200HUNTSVILLEAL35801891%812%84Achievement10100%57100%70Achievement767%71761%752Achievement104%66410%538Achievement9%10101094%No reduction07/16/1979FRESENIUS MEDICAL CARE03/06/2012
9FMC SELMA012512905 MEDICAL CENTER PARKWAYSELMAAL367018100%482%50Achievement798%47100%50Achievement044%56245%556Achievement613%54114%397Achievement3%10101070%No reduction08/25/1980FRESENIUS MEDICAL CARE01/02/1980
10FMC LANGDALE0125138 MEDICAL PARKVALLEYAL36854882%472%48Achievement10100%54100%52Achievement1089%59986%592Achievement103%5654%428Achievement10%1010091%No reduction02/12/1981FRESENIUS MEDICAL CARE10/10/2009
11FMC OPELIKA0125152609 VILLAGE PROFESSIONAL DRIVESTE 2OPELIKAAL36801891%771%89Achievement10100%62100%81Achievement1080%75782%870Achievement104%7263%626Achievement10%10101097%No reduction09/07/1982FRESENIUS MEDICAL CARE03/06/2012
12DSI SOUTH DIALYSIS0125163201 3RD AVENUE SOUTHBIRMINGHAMAL352228100%354%25Achievement10100%29100%26Achievement232%34018%291Improvement711%32111%204Achievement5%10101085%No reduction12/02/1982NATIONAL RENAL INSTITUTES03/06/2012
13ATHENS DIALYSIS01251715953 ATHENS LIMESTONE DRIVEATHENSAL356138100%5210%72Achievement10100%5094%66Achievement869%61962%793Achievement96%5954%556Achievement9%1010094%No reduction01/21/1983GAMBRO HEALTHCARE03/06/2012
14FMC SCOTTSBORO01251920998 JOHN T REID HIGHWAYSCOTTSBOROAL35768882%433%38Achievement10100%48100%36Achievement1084%54669%384Achievement104%5052%260Achievement10%10101094%No reduction11/05/1984FRESENIUS MEDICAL CARE03/06/2012
15FMC TROY012520606 BOTTS AVENUETROYAL36081882%580%60Achievement597%59100%56Achievement147%69146%652Achievement612%67618%467Achievement4%10101061%No reduction11/19/1984FRESENIUS MEDICAL CARE03/06/2012
16DCI DOTHAN0125211630 COLUMBIA HIGHWAYDOTHANAL363038100%941%88Achievement899%8196%70Achievement353%92347%825Achievement88%8719%586Achievement6%10101082%No reduction03/11/1985DIALYSIS CLINIC, INC.03/06/2012
17FMC HUNTSVILLE0125222325 PANSY STREETSUITE CHUNTSVILLEAL35801864%554%55Achievement10100%6097%62Achievement662%66757%600Achievement710%6138%379Achievement7%10101079%No reduction08/20/1985FRESENIUS MEDICAL CARE03/06/2012
18PHENIX CITY DIALYSIS0125231900 OPELIKA ROADPHENIX CITYAL368678100%642%63Achievement10100%5896%52Achievement353%64750%563Achievement96%6186%395Achievement6%10101088%No reduction09/23/1985DAVITA03/06/2012
19FMC EAST MOBILE0125241217 GOVERNMENT STREETMOBILEAL366048100%1011%83Achievement10100%69100%42Achievement662%83853%385Achievement105%8038%263Achievement8%10101094%No reduction12/01/1985FRESENIUS MEDICAL CARE03/06/2012
20FMC WEST MOBILE0125256601 WALL STREETSUITE AMOBILEAL366958100%560%71Achievement10100%6299%73Achievement868%71568%717Achievement102%6686%489Achievement9%10101097%No reduction12/02/1985FRESENIUS MEDICAL CARE03/06/2012
21RCG PRINCETON012526708 COTTON AVENUE SOUTHWESTBIRMINGHAMAL352118100%1004%116Achievement10100%72100%78Achievement250%97754%914Achievement103%9256%632Achievement6%10101088%No reduction09/18/1985RENAL CARE GROUP INC.03/06/2012
22DCI ENTERPRISE0125273861 SALEM ROADENTERPRISEAL363308100%700%73Achievement10100%6997%73Achievement561%81654%828Achievement97%77412%587Achievement7%10101091%No reduction07/04/1986DIALYSIS CLINIC, INC.04/02/2009
23FMC CAHABA VALLEY012528120 CAHABA VALLEY PARKWAYSuite 150PELHAMAL35124882%4410%58Achievement10100%46100%52Achievement663%50557%522Achievement105%4869%337Achievement8%10101088%No reduction09/17/1986RENAL CARE GROUP INC.09/17/2004
24FLORENCE DIALYSIS012529422 EAST DRIVE HICKS BOULEVARDFLORENCEAL356308100%949%89Achievement10100%7196%55Achievement041%79143%687Achievement96%7337%482Achievement5%10101085%No reduction09/16/1986GAMBRO HEALTHCARE03/06/2012
25RAI EAST 11TH ST ANNISTON012530522 EAST 11TH STREET1ST FLOORANNISTONAL362078100%515%64Achievement10100%6698%65Achievement458%74556%734Achievement96%6874%520Achievement7%10101091%No reduction01/07/1987INDEPENDENT03/06/2012
26FMC JACKSON (TOMBIGBEE)012531215 WALKER SPRINGS ROADJACKSONAL36545882%532%57Achievement10100%57100%56Achievement354%62550%619Achievement104%5997%443Achievement7%10101085%No reduction01/29/1987FRESENIUS MEDICAL CARE03/06/2012
27DCI EUFAULA012532123 A EAST BARBOUR STREETEUFAULAAL360278100%393%40Achievement10100%38100%39Achievement559%43354%458Achievement103%4205%326Achievement8%10101094%No reduction11/25/1987DIALYSIS CLINIC, INC.03/06/2012
28WALKER COUNTY DIALYSIS012533589 HIGHWAY 78 WESTJASPERAL355018100%254%28Achievement10100%22100%24Achievement663%28053%277Achievement104%25814%191Achievement8%10101094%No reduction12/29/1987NATIONAL RENAL INSTITUTES03/06/2012
29BESSEMER KIDNEY CENTER012534975 9TH AVENUE SOUTHWESTSUITE 500BESSEMERAL350228100%514%54Achievement10100%57100%53Achievement045%63349%591Achievement97%60211%416Achievement5%10101085%No reduction03/22/1988RENAL CARE GROUP INC.10/29/2008
30PCD PRATTVILLE0125351815 GLYNWOOD DRIVEPRATTVILLEAL360668100%400%45Achievement798%42100%46Achievement045%48653%517Achievement89%4613%366Achievement4%1010070%No reduction01/26/1990DAVITA03/06/2012
31FMC MONTCLAIR0125363918 MONTCLAIR ROADSUITE 110BIRMINGHAMAL352138100%595%60Achievement10100%63100%57Achievement353%76043%679Achievement96%7279%479Achievement6%10101088%No reduction09/12/1990RENAL CARE GROUP INC.09/17/2004
32FMC PRICHARD0125374016 HIGHWAY 45WHISTLERAL36613882%542%55Achievement10100%56100%56Achievement972%59661%612Achievement103%5516%435Achievement10%10101094%No reduction04/23/1990FRESENIUS MEDICAL CARE03/06/2012
33RCG ANDALUSIA012538403 WEST BYPASSANDALUSIAAL364208100%310%36Achievement597%3194%34Achievement1082%31966%407Achievement101%3068%286Achievement10%10101085%No reduction06/26/1991RENAL CARE GROUP INC.09/11/2008
34FMC MONROEVILLE (WHETSTONE)012540676 SOUTH ALABAMA AVENUEMONROEVILLEAL364608100%260%31Achievement10100%29100%32Achievement1074%32080%342Achievement100%3060%240Achievement10%101010100%No reduction09/18/1991FRESENIUS MEDICAL CARE08/10/2011
35FMC DADEVILLE01254152 WATERWORKS ROADDADEVILLEAL368538100%207%30Achievement496%24100%29Achievement1086%27075%331Achievement103%2526%232Achievement10%10101082%No reduction03/11/1992FRESENIUS MEDICAL CARE07/11/2000
36RAINBOW CITY DIALYSIS0125422800 RAINBOW DRIVERAINBOW CITYAL359068100%453%61Achievement10100%4789%47Achievement458%52651%573Achievement710%49519%395Achievement6%10101088%No reduction05/05/1992GAMBRO HEALTHCARE01/02/1980
37DEMOPOLIS DIALYSIS012543511 SOUTH CEDAR STREETDEMOPOLISAL367328100%610%51Achievement10100%5591%46Achievement045%65054%545Achievement104%6073%387Achievement5%10101085%No reduction05/20/1992GAMBRO HEALTHCARE10/28/2011
38OZARK DIALYSIS012544214 HOSPITAL AVENUEOZARKAL363608100%313%37Achievement10100%3195%37Achievement456%36954%414Achievement100%3394%290Achievement7%10101091%No reduction08/04/1992GAMBRO HEALTHCARE06/21/2011
39TUSCALOOSA DIALYSIS012545805 OLD MILL STREETTUSCALOOSAAL354018100%780%85Achievement10100%7597%77Achievement147%93150%923Achievement105%8907%636Achievement6%1010085%No reduction08/11/1992GAMBRO HEALTHCARE08/02/2009
40FMC TUSKEGEE012546802 EAST MARTIN LUTHER KING HIGHWAYTUSKEGEEAL360838100%4610%59Achievement798%46100%57Achievement1083%53465%631Achievement105%52512%448Achievement10%10101091%No reduction05/18/1993FRESENIUS MEDICAL CARE09/01/2010
41FMC EASTERN SHORE012547124 PROFESSIONAL PARK DRIVEFAIRHOPEAL36532882%514%50Achievement10100%4598%48Achievement456%54662%513Achievement88%53311%352Achievement6%10101082%No reduction08/01/1993FRESENIUS MEDICAL CARE02/08/2011
42FAYETTE DIALYSIS0125482450 TEMPLE AVENUE NORTHFAYETTEAL355558100%230%32Achievement10100%24100%30Achievement870%27469%335Achievement105%2654%229Achievement9%10101097%No reduction11/12/1993GAMBRO HEALTHCARE04/23/2010
43DIALYSIS AFFILIATES OF SOUTH ALABAMA0125491205 BELLEVILLE AVENUEBREWTONAL364268100%210%20Achievement895%2175%20Improvement333%22310%231Improvement263%21182%159Improvement3%051068%No reduction03/17/1994INDEPENDENT10/24/2009
44GREENE COUNTY DIALYSIS012550544 HIGHWAY 43EUTAWAL35462873%370%41Achievement10100%3697%38Achievement037%44354%430Achievement88%43011%295Achievement4%1010070%No reduction06/30/1994GAMBRO HEALTHCARE04/29/2010
45SHEFFIELD DIALYSIS0125511120 SOUTH JACKSON HIGHWAY SUITE 107SHEFFIELDAL356608100%467%44Achievement10100%4693%44Achievement868%53566%491Achievement100%4901%339Achievement9%10101097%No reduction01/01/1995GAMBRO HEALTHCARE10/24/2009
46PCD ELMORE COUNTY012553125 HOSPITAL DRIVEWETUMPKAAL360928100%254%24Achievement10100%2492%25Achievement148%30562%271Achievement88%2899%187Achievement5%10101085%No reduction01/30/1995DAVITA02/26/2011
47NNA OF ALABAMA, INC0125567067 VETERANS PARKWAY SUITE 120PELL CITYAL351258N/A90%21N/A10100%13100%21Achievement765%15561%221Achievement89%1628%148Achievement8%10101091%No reduction06/01/1995FRESENIUS MEDICAL CARE05/20/2010
48PCD EAST MONTGOMERY0125576890 WINTON BLOUNT BOULEVARDMONTGOMERYAL361178100%340%35Achievement10100%3594%34Achievement140%37035%359Improvement514%32413%241Achievement3%10101079%No reduction06/01/1995DAVITA10/24/2009
49DCI DECATUR0125581601 6TH AVENUE SOUTH EASTDECATURAL356018100%827%82Achievement089%7988%82Achievement765%99155%916Achievement319%89628%642Achievement5%10101055%No reduction05/24/1995DIALYSIS CLINIC, INC.01/12/2000
50FMC UNIVERSITY SOUTH ALABAMA012559700 CLINIC DRIVEMOBILEAL36688873%623%64Achievement798%55100%54Achievement354%62742%617Achievement104%5906%441Achievement7%10101073%No reduction01/14/1995FRESENIUS MEDICAL CARE01/04/2011

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cms cms

created Oct 23, 2012

updated Jan 15, 2014

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Description

Includes data for number of eligible patients by measure, % patients with Hemoglobin >12, % patients with median URR >=65%, % of hemodialysis patients using an arteriovenous fistula during last treatment of the month, % of hemodialysis patients using an intravenous catheter during the last treatment of the month and for at least 89 days priorHemoglobin measure score, URR measure score, the Total Performance Score, and payment reduction percentage.

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