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QIP - 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
5701GUAM DIALYSIS CENTER-TAMUNING652500633 GOV CARLOS G CAMACHO ROADGUAM MEDICAL PLAZA SUITE 106BARRIGADAGU9691317100%1009%99Achievement295%8795%79Achievement868%100052%900Achievement97%95020%588Achievement9%10101073%No reduction04/28/1993OTHER CHAIN(number of facilities <20 )10/08/2002
5702GUAM RENAL CARE652501265 CHALAN SANTO PAPAHAGATNAGU9691017100%645%77Achievement10100%7094%71Achievement767%78558%853Achievement97%72615%593Achievement8%10101094%No reduction05/03/1996OTHER CHAIN(number of facilities <20 )10/08/2002
5703RENAL CENTERS OF GUAM652503600 HARMON LOOP SUITE 104DEDEDOGU9692917100%884%82Achievement899%8496%79Achievement663%97050%897Achievement89%89415%619Achievement7%10101085%No reduction04/23/2008OTHER CHAIN(number of facilities <20 )07/26/2008
5704TUMON KIDNEY CENTER6525041406 NORTH MARINE CORP DRIVE, SUITE AUPPER TUMONGU9691317100%440Achievement798%470Achievement044%5570Achievement319%4750Achievement2%10101067%No reduction07/01/2011OTHER CHAIN(number of facilities <20 )08/02/2011
5705COMMONWEALTH HEALTH CENTER660001662300PO BOX 500409 CK HEMO UNITSAIPANMP9695017100%672%61Achievement091%6497%58Achievement560%65164%616Achievement96%5803%436Achievement7%0101058%No reduction01/01/2005INDEPENDENT01/01/2005
5706ST JUDE RENAL CARE FACILITY662501PO BOX 502878 CHALAN KIYASAIPANMP969501782%413%29Achievement079%4379%29Achievement559%46955%321Achievement027%43122%232Achievement3%10101043%0.5%04/17/2007INDEPENDENT06/02/2008
5707LAKE JACKSON DIALYSIS AND KIDNEY CENTER672500450 THIS WAY STREETLAKE JACKSONTX7756614100%680%90Achievement899%7798%92Achievement458%94747%1038Achievement89%91614%733Achievement6%10101082%No reduction11/18/2004INDEPENDENT02/15/2006
5708TRANSMOUNTAIN DIALYSIS6725015255 TRANSMOUNTAIN ROADSUITE B 18EL PASOTX7992414100%967%101Achievement10100%10799%107Achievement973%120072%1172Achievement89%113213%830Achievement9%10101097%No reduction01/04/2005DAVITA03/11/2011
5709US RENAL CARE MISSION DIALYSIS6725021300 SOUTH BRYAN ROADSUITE 107MISSIONTX7857214100%11721%125Achievement899%11996%123Achievement561%141754%1401Achievement514%131514%983Achievement5%10101079%No reduction01/14/2005INDEPENDENT07/18/2009
5710JACINTO DIALYSIS CENTER67250311515 MARKET STREETJACINTO CITYTX7702914100%614%82Achievement10100%6996%73Achievement560%78561%874Achievement105%7465%601Achievement8%10101094%No reduction12/13/2004DAVITA10/02/2004
5711GAMBRO HEALTHCARE ROCK PRAIRIE ROAD6725041605 ROCK PRAIRIE ROADSUITE 101COLLEGE STATIONTX7784514100%552%64Achievement798%6198%61Achievement870%68074%711Achievement103%6374%500Achievement9%10101088%No reduction12/07/2004GAMBRO HEALTHCARE03/11/2011
5712FMC OF FOREST PARK6725056010 FOREST PARK, SUITE 100DALLASTX752351482%815%81Achievement899%8394%84Achievement149%87146%934Achievement612%81118%654Achievement4%10101070%No reduction01/21/2005FRESENIUS MEDICAL CARE06/09/2009
5713HOUSTON STREET DIALYSIS FACILITY6725062011 EAST HOUSTON, SUITE 102DSAN ANTONIOTX7820214100%8110%81Achievement10100%7599%74Achievement044%81742%719Achievement102%7756%466Achievement5%10101085%No reduction02/14/2005OTHER CHAIN(number of facilities <20 )12/10/2009
5714TRI COUNTY DIALYSIS FACILITY67250714832 MAIN STREETLYTLETX7805214100%570%44Achievement10100%5698%47Achievement973%65074%523Achievement101%6023%367Achievement10%101010100%No reduction02/18/2005US RENAL CARE, INC.07/02/2006
5715SUN CITY DIALYSIS CENTER672508600 NEWMAN STREETEL PASOTX7990214100%1243%119Achievement10100%97100%91Achievement1082%114973%1038Achievement96%111115%752Achievement10%101010100%No reduction02/28/2005DAVITA10/25/2011
5716CROSBY DIALYSIS FACILITY6725096107 FM 2100CROSBYTX775321464%230%22Achievement10100%23100%22Achievement448%25227%236Improvement417%23922%161Achievement4%10101070%No reduction06/03/2005FRESENIUS MEDICAL CARE08/23/2005
5717PLEASANTON ROAD DIALYSIS FACILITY6725101515 PLEASANTON ROADSAN ANTONIOTX7822114100%1334%141Achievement899%13899%136Achievement767%160370%1573Achievement102%15373%1102Achievement9%10101091%No reduction05/05/2005OTHER CHAIN(number of facilities <20 )07/02/2006
5718MERIDIAN DIALYSIS CENTER672511201 WEST FAIRMONT PARKWAY, SUITE ALA PORTETX7757114100%275%22Achievement10100%2690%20Achievement354%30955%257Achievement122%27122%176Achievement2%10101076%No reduction05/19/2005DAVITA02/02/2005
5719BONHAM DIALYSIS672513201 WEST 5TH STREETBONHAMTX7541814100%1410%20Achievement10100%15100%20Achievement972%15862%211Achievement89%14424%144Achievement9%1010094%No reduction08/24/2005DAVITA02/15/2006
5720USRC SAN BENITO DIALYSIS672514295 NORTH SAM HOUSTONSAN BENITOTX7858614100%6412%69Achievement798%64100%68Achievement457%78356%772Achievement97%7417%546Achievement7%10101082%No reduction08/24/2005US RENAL CARE, INC.10/11/2007
5721NORTHWEST MEDICAL CENTER DIALYSIS6725155284 MEDICAL DRIVESUITE 135SAN ANTONIOTX7822914100%1172%123Achievement10100%88100%98Achievement971%109867%1140Achievement103%10367%798Achievement10%101010100%No reduction08/10/2005DAVITA11/21/2006
5722RIVERCENTER DIALYSIS6725161123 NORTH MAIN STREETSUITE 150SAN ANTONIOTX7821214100%740%71Achievement10100%78100%71Achievement457%85455%776Achievement102%8023%542Achievement7%10101091%No reduction08/18/2005DAVITA01/08/2008
5723TARRANT COUNTY CAMPUS DIALYSIS6725175000 CAMPUS DRIVEFORT WORTHTX761191491%1031%126Achievement899%11598%132Achievement238%129928%1407Improvement416%121317%982Achievement3%10101070%No reduction09/30/2005FRESENIUS MEDICAL CARE12/07/2005
5724NORTH SHEPHERD DIALYSIS CENTER LLC6725187272 NORTH SHEPHERDHOUSTONTX7709114100%651%89Achievement496%7899%91Achievement560%88061%1019Achievement612%83910%706Achievement6%1051068%No reduction08/30/2005INDEPENDENT01/02/2011
5725SOUTHCROSS DIALYSIS CENTER6725194602 EAST SOUTHCROSS BOULEVARDSAN ANTONIOTX7822214100%623%76Achievement798%6299%75Achievement252%68547%865Achievement102%6481%610Achievement6%10101079%No reduction08/23/2005DAVITA05/02/2005
5726LANCASTER DIALYSIS6725202424 WEST PLEASANT RUNLANCASTERTX7514614100%330%33Achievement10100%39100%36Achievement149%39153%365Achievement89%36610%252Achievement5%1010082%No reduction09/12/2005DAVITA05/02/2005
5727LAS PALMAS DIALYSIS CENTER672521803 CASTROVILLE ROADSUITE 415SAN ANTONIOTX7823714100%438%50Achievement798%47100%49Achievement560%51666%520Achievement102%4944%367Achievement8%10101085%No reduction10/06/2005DAVITA07/02/2005
5728DAVITA - SOUTH SHORE DIALYSIS CENTER672522212 I-45 SOUTHSUITE G-3LEAGUE CITYTX7757314100%756%65Achievement10100%64100%57Achievement971%67464%582Achievement103%6095%399Achievement10%101010100%No reduction10/05/2005DAVITA03/16/2011
5729MARYMOUNT DIALYSIS CENTER6725232391 NORTHEAST LOOP 410SUITE #211SAN ANTONIOTX7821714100%881%88Achievement798%90100%89Achievement868%102057%954Achievement103%9617%637Achievement9%10101088%No reduction10/13/2005DAVITA07/02/2005
5730ANGLETON KIDNEY CENTER672524102 EAST HOSPITAL DRIVEANGLETONTX7751514100%312%43Achievement10100%41100%44Achievement458%47957%501Achievement711%4518%354Achievement6%10101088%No reduction10/28/2005INDEPENDENT07/02/2005
5731ARLINGTON DIALYSIS6725251250 EAST PIONEER PARKWAYSUITE 700ARLINGTONTX7601014100%522%52Achievement10100%6094%50Achievement353%62554%565Achievement88%5624%397Achievement6%10101088%No reduction10/31/2005DAVITA08/02/2005
5732LIBERTY DIALYSIS LANCASTER6725263250 WEST PLEASANT RUN ROAD #280LANCASTERTX7514614100%503%62Achievement10100%55100%59Achievement765%60361%712Achievement89%5815%507Achievement8%10101094%No reduction10/24/2005INDEPENDENT10/06/2005
5733SNG BARLITE6725277500 BARLITE, SUITE 103SAN ANTONIOTX782241491%974%76Achievement10100%7799%77Achievement1081%103276%959Achievement102%9661%656Achievement10%10101097%No reduction10/27/2005OTHER CHAIN(number of facilities <20 )05/25/2011
5734GRACIAS DIALYSIS6725292506 WEST MOUNT HOUSTON ROAD, SUITE AHOUSTONTX7703814100%3111%46Achievement194%3298%40Achievement354%28048%480Achievement221%25517%323Achievement3%010045%0.5%11/22/2005DAVITA03/07/2006
5735FMC HILLSBORO KIDNEY CENTER6725301507 HILLVIEWHILLSBOROTX7664514100%390%42Achievement10100%40100%42Achievement1083%47384%488Achievement103%4304%358Achievement10%101010100%No reduction11/28/2005FRESENIUS MEDICAL CARE07/02/2005
5736GRAPEVINE DIALYSIS6725311600 WEST NORTHWEST HIGHWAY, SUITE 100GRAPEVINETX760511464%713%64Achievement10100%5498%43Achievement868%75763%617Achievement96%6986%439Achievement9%10101085%No reduction11/15/2005DAVITA01/16/2008
5737SNG SAN SABA672532315 NORTH SAN SABA, SUITE 101SAN ANTONIOTX782071491%8215%72Achievement10100%76100%71Achievement458%90767%827Achievement88%8311%595Achievement6%10101085%No reduction12/15/2005OTHER CHAIN(number of facilities <20 )08/02/2007
5738MAVERICK COUNTY DIALYSIS6725343420 AMY STRETEAGLE PASSTX788521491%912%99Achievement10100%84100%89Achievement972%97678%1054Achievement96%9506%748Achievement9%10101094%No reduction01/20/2006US RENAL CARE, INC.08/02/2008
5739BAYOU CITY DIALYSIS67253510655 EASTEX FREEWAYHOUSTONTX7709314100%529%65Achievement798%6597%63Achievement1076%72768%721Achievement102%6986%496Achievement10%10101091%No reduction01/11/2006DAVITA01/02/2006
5740UPPER VALLEY DIALYSIS6725367933 NORTH MESASUITE HEL PASOTX7993214100%674%76Achievement10100%79100%78Achievement1077%86167%878Achievement105%84110%628Achievement10%101010100%No reduction03/10/2006DAVITA05/11/2010
5741SUMMIT DIALYSIS6725373150 POLK STREETHOUSTONTX7700314100%502%43Achievement10100%49100%44Achievement561%53659%486Achievement416%49911%340Achievement5%10101085%No reduction03/10/2006DAVITA02/02/2007
5742WILLOWBROOK DIALYSIS67253812120 JONES ROAD, SUITE GHOUSTONTX7707014100%681%74Achievement798%5795%64Achievement664%64855%697Achievement515%62321%494Achievement6%10101079%No reduction03/10/2006DAVITA10/02/2005
5743LA PORTE DIALYSIS FACILITY6725391307 WEST FAIRMONT PARKWAY, SUITE ALA PORTETX7757114100%140%15Achievement10100%14100%15Achievement1075%17836%166Achievement714%16145%113Improvement9%10101097%No reduction05/23/2006FRESENIUS MEDICAL CARE02/02/2006
5744FMC OF PLEASANT RUN DIALYSIS672540900 POLK STREETDE SOTOTX7511514100%840%72Achievement10100%8697%71Achievement044%93445%811Achievement710%85610%578Achievement4%10101082%No reduction06/02/2006FRESENIUS MEDICAL CARE02/02/2006
5745FRESENIUS MEDICAL CARE TRI-CITY672541734 NORTH ALAMO ROADALAMOTX7851614100%774%80Achievement10100%8399%81Achievement560%95960%907Achievement105%9203%649Achievement8%10101094%No reduction05/24/2006FRESENIUS MEDICAL CARE03/26/2010
5746FMC OF WEST PLANO6725424405 TRADITION TRAILPLANOTX7509314100%836%84Achievement899%7199%75Achievement561%84968%814Achievement711%7697%568Achievement6%10101082%No reduction07/14/2006FRESENIUS MEDICAL CARE02/13/2007
5747TARRANT DIALYSIS CENTER-WEATHERFORD672543504 SANTE FEWEATHERFORDTX7608614100%287%58Achievement10100%3297%59Achievement662%33350%594Achievement226%30232%380Improvement4%10101082%No reduction07/10/2006OTHER CHAIN(number of facilities <20 )09/21/2006
5748RENAL CARE GROUP SULPHUR SPRINGS6725441401 MEDICAL DRIVESULPHUR SPRINGSTX7548214100%442%46Achievement798%45100%44Achievement252%49456%516Achievement96%4693%364Achievement6%10101079%No reduction07/19/2006RENAL CARE GROUP INC.03/02/2006
5749FRESENIUS MEDICAL CARE OF DEL RIO6725452201 NORTH BEDELL, SUITE DDEL RIOTX7884014100%1053%97Achievement899%108100%95Achievement1074%128061%1082Achievement104%119512%779Achievement10%10101094%No reduction07/19/2006FRESENIUS MEDICAL CARE03/02/2006
5750FRESENIUS MEDICAL CARE OF NORTHSIDE6725462530 JACKSBORO HIGHWAYFORT WORTHTX761141482%442%43Achievement10100%46100%42Achievement456%52846%420Achievement97%46412%269Achievement7%10101085%No reduction09/22/2006FRESENIUS MEDICAL CARE12/08/2010

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cms cms

created Oct 23, 2012

updated May 07, 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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