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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
601SOUTH HAYWARD DIALYSIS CENTER052845254 JACKSON STREETHAYWARDCA9454417100%624%70Achievement798%6195%65Achievement250%66444%722Achievement515%62120%504Achievement4%10101073%No reduction04/23/1999DAVITA01/02/1980
602FMC-INGLEWOOD052846336 EAST HILLCREST AVENUE, SUITE 100INGLEWOODCA903011873%676%82Achievement194%7195%79Achievement354%75948%853Achievement612%72010%607Achievement5%10101049%0.5%06/16/1999FRESENIUS MEDICAL CARE05/10/2000
603FMC-WEST COVINA KIDNEY CENTER0528471540 WEST COVINA PARKWAYWEST COVINACA9179018100%267%28Achievement496%28100%26Achievement1077%27569%275Achievement104%2544%193Achievement10%10101082%No reduction06/24/1999FRESENIUS MEDICAL CARE10/07/1999
604FMC-RIVERSIDE0528483470 LA SIERRA AVENUE, SUITE EASTRIVERSIDECA9250318100%146%18Achievement10100%15100%17Achievement148%15849%150Achievement710%14014%96Achievement4%10101082%No reduction07/16/1999FRESENIUS MEDICAL CARE10/07/1999
605ORANGEVALE DIALYSIS CENTER0528509267 GREENBACK LANE #A2ORANGEVALECA9566217100%418%40Achievement795%4082%38Improvement458%47649%431Achievement123%40122%281Achievement3%10101070%No reduction09/08/1999DAVITA01/07/2004
606DAVITA-CRESCENT HEIGHTS DIALYSIS CENTER0528528151 BEVERLY BOULEVARDLOS ANGELESCA900481891%840%88Achievement899%8698%80Achievement252%98660%933Achievement514%90216%651Achievement4%10101073%No reduction10/27/1999DAVITA11/10/1999
607OAKDALE KIDNEY CENTER, LLC0528531405 WEST F STREET SUITE BOAKDALECA9536117100%260%32Achievement10100%32100%30Achievement1089%34773%351Achievement102%32414%236Achievement10%101010100%No reduction10/08/1999OTHER CHAIN(number of facilities <20 )09/16/2001
608MOHAN DIALYSIS CENTER OF INDUSTRY05285415757 EAST VALLEY BOULEVARDCITY OF INDUSTRYCA9174418100%330%37Achievement10100%30100%32Achievement766%33544%385Achievement89%32216%256Achievement8%10101094%No reduction01/26/2000INDEPENDENT06/15/2000
609FMC-RANCHO CUCAMONGA05285510532 ACACIA STREET, SUITE B2-B3RANCHO CUCAMONGACA9173018100%230%19Achievement10100%2795%20Achievement868%25077%183Achievement318%21114%121Achievement6%10101088%No reduction02/07/2000FRESENIUS MEDICAL CARE11/06/1999
610DAVITA-WASHINGTON PLAZA DIALYSIS CENTER052856516-522 EAST WASHINGTON BOULEVARDLOS ANGELESCA9001518100%606%63Achievement798%5898%63Achievement767%68567%699Achievement97%6487%490Achievement8%10101085%No reduction01/26/2000DAVITA11/06/1999
611FLORIN DIALYSIS CENTER0528577000 STOCKTON BOULEVARDSACRAMENTOCA9582317100%785%83Achievement10100%8092%78Achievement868%90758%860Achievement104%84816%581Achievement9%10101097%No reduction03/10/2000DAVITA06/26/2009
612DAVITA-KENNETH HAHN PLAZA DIALYSIS CENTER05285811854 SOUTH WILMINGTON AVENUELOS ANGELESCA9005918100%579%57Achievement10100%57100%57Achievement868%65858%663Achievement96%6328%474Achievement9%1010094%No reduction03/02/2000DAVITA02/24/2000
613GLENDALE KIDNEY CENTER0528591427 SOUTH GLENDALE AVENUEGLENDALECA912051891%850%81Achievement10100%6897%70Achievement767%94566%939Achievement89%8713%666Achievement8%10101091%No reduction04/25/2000INDEPENDENT02/24/2000
614FMC-DIALYSIS SERVICES OF CHANNEL ISLANDS0528602679 SOUTH SAVIERS ROAD, SUITE BOXNARDCA930331891%806%84Achievement10100%81100%82Achievement664%96455%945Achievement104%9326%689Achievement8%10101091%No reduction05/15/2000FRESENIUS MEDICAL CARE11/06/1999
615FMC-SOUTH ORANGE COUNTY0528612020 EAST FIRST STREET, SUITE 110SANTA ANACA9270518100%139%22Achievement194%1695%22Achievement1093%16486%214Achievement103%1525%146Achievement10%10101073%No reduction06/26/2000FRESENIUS MEDICAL CARE02/24/2000
616FMC-NORTH ORANGE COUNTY052862511 NORTH BROOKHURST STREET, SUITE 100ANAHEIMCA9280118N/A100%11N/AN/A1083%12N/A1089%10588%113Achievement104%980%79Achievement10%101010100%No reduction08/08/2000FRESENIUS MEDICAL CARE04/22/2000
617RAI-NORTH RIVERSIDE-RIALTO0528631850 NORTH RIVERSIDE AVENUE, SUITE 150RIALTOCA9237618100%562%63Achievement798%61100%65Achievement456%65957%718Achievement88%61111%507Achievement6%10101079%No reduction06/28/2000FRESENIUS MEDICAL CARE12/15/2005
618FMC-SAN YSIDRO DIALYSIS CENTER0528643010 DEL SOL BOULEVARDSAN DIEGOCA9215418100%9115%89Achievement10100%90100%89Achievement662%108964%1019Achievement101%10373%726Achievement8%10101094%No reduction08/17/2000FRESENIUS MEDICAL CARE11/10/1999
619DAVITA-CENTURY CITY DIALYSIS CENTER (ADULT)05286510630 SANTA MONICA BOULEVARDLOS ANGELESCA9002518100%8712%85Achievement10100%7097%63Achievement560%95466%864Achievement612%89313%546Achievement6%10101088%No reduction08/01/1998DAVITA08/02/1998
620SAN YSIDRO DIALYSIS0528661445 30TH STREET, SUITE ASAN DIEGOCA9215418100%976%89Achievement10100%8898%80Achievement560%100157%885Achievement96%9409%630Achievement7%10101091%No reduction01/03/2001DAVITA10/06/2005
621EAST PALMDALE DIALYSIS CENTER0528672710 EAST PALMDALE BOULEVARDPALMDALECA9355018100%320%30Achievement073%3384%31Achievement766%36064%336Achievement514%32815%229Achievement6%1051056%No reduction05/08/2001INDEPENDENT10/14/2000
622QUEENS DIALYSIS UNIT, INC.0528681135 SOUTH SUNSET AVENUE, SUITE 103WEST COVINACA9179018100%5411%54Achievement695%5684%57Improvement145%61141%643Improvement710%54614%449Achievement4%10101070%No reduction04/23/2001INDEPENDENT12/29/2000
623DAVITA-PALMDALE REGIONAL DIALYSIS0528691643 EAST PALMDALE BOULEVARDPALMDALECA9355018100%783%65Achievement10100%8593%67Achievement972%91662%739Achievement515%84623%515Achievement7%10101091%No reduction07/03/2001DAVITA01/02/2001
624SATELLITE DIALYSIS SUNNYVALE052870155 NORTH WOLFE ROADSUNNYVALECA9408617100%595%60Achievement10100%46100%49Achievement457%63261%671Achievement416%59813%470Achievement4%10101082%No reduction06/04/2001SATELLITE HEALTHCARE04/10/2004
625CENTRAL COAST KIDNEY DISEASE CENTER0528712263 SOUTH DEPOT STREETSANTA MARIACA9345518100%1017%112Achievement999%9989%93Improvement870%117361%1033Achievement613%110222%722Achievement7%10101088%No reduction07/17/2001INDEPENDENT12/23/2000
626FLORENCE DIALYSIS CENTER052872351 WEST FLORENCE AVENUELOS ANGELESCA9000318100%560%59Achievement595%5690%58Improvement766%63657%665Achievement711%59313%473Achievement7%10101076%No reduction05/23/2001INDEPENDENT10/06/2000
627DAVITA-DIALYSIS CENTER OF THOUSAND OAKS052873375 ROLLING OAKS DRIVE, SUITE 100THOUSAND OAKSCA9136118100%5715%54Achievement798%5696%49Achievement1077%67977%595Achievement104%6045%414Achievement10%10101091%No reduction10/26/2001DAVITA02/14/2001
628SATELLITE DIALYSIS SOUTH SAN FRANCISCO052874205 KENWOOD WAYSOUTH SAN FRANCISCOCA9408017100%696%64Achievement798%65100%61Achievement1079%80177%726Achievement711%75210%522Achievement9%10101088%No reduction01/16/2002SATELLITE HEALTHCARE01/04/2006
629RENAL CAREPARTNERS OF LOS ANGELES0528759808 VENICE BOULEVARD, SUITE 200CULVER CITYCA9023218100%646%69Achievement10100%6296%69Achievement1075%69963%748Achievement710%64717%518Achievement9%10101097%No reduction12/04/2001INDEPENDENT02/16/2010
630OROVILLE DIALYSIS CLINIC0528763012 OLIVE HIGHWAYOROVILLECA9596617100%5210%68Achievement191%5790%67Improvement1077%64676%773Achievement89%6065%536Achievement9%10101070%No reduction01/09/2002DIALYSIS CLINIC, INC.07/25/2004
631YUBA SUTTER DIALYSIS0528772115 EAST ONSTOTT ROADYUBA CITYCA9599117100%540%62Achievement295%6298%62Achievement766%81270%742Achievement711%74013%514Achievement7%10101067%No reduction11/20/2001INDEPENDENT12/02/2011
632FMC-SAN BERNARDINO052878636 EAST BRIER DRIVE, SUITE 150SAN BERNARDINOCA9240818N/A109N/A10100%118Achievement1078%10488Achievement711%9461Achievement9%10101095%No reduction01/30/2002FRESENIUS MEDICAL CARE09/26/2001
633HACIENDA DIALYSIS CENTER0528792020 SOUTH HACIENDA BOULEVARD, SUITE GHACIENDA HEIGHTSCA9174518100%470%54Achievement798%4896%52Achievement767%55969%594Achievement613%5388%423Achievement7%10101082%No reduction12/17/2001INDEPENDENT11/15/2001
634FMC-BELLFLOWER05288010116 ROSECRANS AVENUEBELLFLOWERCA9070618100%117%14Achievement10100%12100%14Achievement1084%12269%144Achievement100%11922%99Achievement10%101010100%No reduction01/30/2002FRESENIUS MEDICAL CARE07/17/2001
635NEWPORT BEACH DIALYSIS0528813333 WEST COAST HIGHWAY, SUITE 101NEWPORT BEACHCA9266318100%801%85Achievement597%7795%81Achievement1075%90866%925Achievement416%85625%645Achievement7%10101076%No reduction04/01/1999OTHER CHAIN(number of facilities <20 )04/02/1999
636FMC-WEST LOS ANGELES052882301 NORTH PRAIRIE AVENUE, SUITE 100INGLEWOODCA9030118100%160%13Achievement10100%1710Achievement561%19289%126Achievement417%1757%85Achievement5%10101085%No reduction03/12/2002FRESENIUS MEDICAL CARE12/11/2001
637DAVITA-SAN DIEGO EAST052883292 EUCLID AVENUE, SUITE 100SAN DIEGOCA9211418100%812%64Achievement10100%68100%54Achievement249%77240%574Improvement104%7045%386Achievement6%10101088%No reduction05/29/2002DAVITA10/06/2005
638WHITTIER KIDNEY DIALYSIS CENTER05288416417 EAST WHITTIER BOULEVARDWHITTIERCA9060318100%700%71Achievement10100%63100%62Achievement1075%71672%732Achievement88%6748%517Achievement9%10101097%No reduction06/05/2002INDEPENDENT06/20/2002
639FMC-DIALYSIS SERVICES OF PARADISE0528856919 PARADISE VALLEY ROADSAN DIEGOCA9213918100%963%90Achievement899%9597%92Achievement559%109250%962Achievement104%10167%661Achievement8%10101088%No reduction07/25/2002FRESENIUS MEDICAL CARE07/02/2002
640FMC-DIALYSIS SERVICES OF COLLEGE0528864660 EL CAJON BOULEVARD, SUITE 110SAN DIEGOCA9211518100%468%36Achievement10100%4797%36Achievement045%55245%361Achievement105%5048%246Achievement5%10101085%No reduction07/24/2002FRESENIUS MEDICAL CARE07/02/2002
641SATELLITE DIALYSIS WINDSOR0528878911 LAKEWOOD DRIVE, STE16WINDSORCA9549217100%3618%28Achievement10100%33100%24Achievement870%40157%341Achievement97%35412%232Achievement9%10101097%No reduction09/04/2002SATELLITE HEALTHCARE07/19/2011
642PARKWAY KIDNEY CENTER0528882200 PLAZA PARKWAY, SUITE B1-B4MODESTOCA953501782%4510%49Achievement093%4696%49Achievement353%59960%580Achievement026%54527%407Achievement2%10101040%1.0%09/04/2002OTHER CHAIN(number of facilities <20 )07/02/2002
643FMC-NORTH LONG BEACH052889145 WEST VICTORIA STREETLONG BEACHCA9080518N/A810N/AN/A1010N/AN/A10569%107N/A105%9916%74Achievement10%101010100%No reduction07/22/2002FRESENIUS MEDICAL CARE11/09/2001
644FMC-ANTELOPE VALLEY05289044950 VALLEY CENTRAL WAY, SUITE 108LANCASTERCA9353618100%138Achievement10100%117Achievement1075%15074Achievement613%12050Achievement8%10101094%No reduction11/20/2002FRESENIUS MEDICAL CARE08/27/2002
645WELLBOUND OF SAN JOSE LLC0528911525 MERIDIAN AVENUE SUITE 101SAN JOSECA9512517100%3811%55AchievementN/A00N/AN/A9272N/A514%8452Achievement5%N/AN/A1078%No reduction12/20/2002SATELLITE HEALTHCARE09/01/2005
646SOLEDAD DIALYSIS CENTER052892901 LOS COCHES DRIVESOLEDADCA9396017100%853%77Achievement10100%7997%73Achievement1077%91369%842Achievement103%8322%593Achievement10%101010100%No reduction10/22/2002DAVITA01/02/2002
647TEMPLE CITY DIALYSIS FACILITY, INC.0528939945 LOWER AZUSA ROADTEMPLE CITYCA9178018100%436%34Achievement10100%4092%36Achievement1075%48072%398Achievement515%44018%283Achievement8%10101094%No reduction01/13/2003INDEPENDENT11/23/2002
648RAI-MONROE-INDIO05289446-767 MONROE STREET, SUITE 101INDIOCA9220118100%805%80Achievement10100%8597%77Achievement972%98259%891Achievement89%93816%630Achievement9%10101097%No reduction09/11/2002FRESENIUS MEDICAL CARE11/29/2005
649DAVITA-LAKE ELSINORE DIALYSIS CENTER05289532291 MISSION TRAILLAKE ELSINORECA925301882%438%49Achievement10100%4796%51Achievement869%49653%516Achievement96%45111%354Achievement9%10101091%No reduction11/18/2002DAVITA09/10/2002
650DAVITA-CERRITOS DIALYSIS05289619222 PIONEER BOULEVARD, SUITE 101CERRITOSCA9070318100%4916%64Achievement496%4898%59Achievement766%51968%732Achievement88%48315%502Achievement8%05068%No reduction01/02/2003DAVITA08/17/2002

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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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