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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
101RRC NORTHRIDGE0126184400 WATERMELON ROADSuite ANORTHPORTAL354738100%475%39Achievement597%3593%27Achievement148%50647%308Achievement104%45015%208Achievement6%10101073%No reduction10/25/2006INDEPENDENT03/09/2012
102TUSCALOOSA NEPHROLOGY ASSOC HOME DIALYSIS0126191649 NORTH MCFARLAND BOULEVARDSUITE 203TUSCALOOSAAL354068100%230%24AchievementN/A00N/AN/A00N/AN/A00N/AN/AN/A10100%No reduction12/19/2006INDEPENDENT01/26/2007
103HOME DIALYSIS OF NORTH ALABAMA0126201216 SOMMERVILLE ROAD, SOUTHEASTDECATURAL356018100%1813%16AchievementN/A00N/AN/A00N/AN/A00N/AN/AN/A10100%No reduction02/15/2007INDEPENDENT02/14/2007
104RAI-SNOW ST-OXFORD012621711 SNOW STREETOXFORDAL362038100%692%82Achievement597%6195%64Achievement346%72633%771Improvement613%69824%543Achievement5%10101070%No reduction07/11/2007INDEPENDENT09/25/2010
105DAVITA TALLADEGA012622726 EAST BATTLE STREETSUITE ATALLADEGAAL351608100%320%25Achievement496%2596%23Achievement559%32462%256Achievement711%2984%174Achievement6%1010067%No reduction12/19/2007DAVITA08/10/2011
106DAVITA CENTER POINT DIALYSIS0126232337 1ST STREET NORTHEASTCENTER POINTAL352158100%310%33Achievement10100%3897%36Achievement1074%40061%407Achievement96%3605%277Achievement10%101010100%No reduction02/20/2008DAVITA02/16/2008
107FMC MIDFIELD DIALYSIS012624613 BESSEMER SUPER HIGHWAYBIRMINGHAMAL352288100%4211%37Achievement10100%46100%35Achievement025%51736%386Achievement88%48810%272Achievement4%10101082%No reduction01/29/2008RENAL CARE GROUP INC.01/27/2008
108RAI JACKSONVILLE012625331 HENRY ROAD, SOUTHWESTJACKSONVILLEAL362658100%330%35Achievement10100%37100%35Achievement148%46347%369Achievement105%43413%255Achievement6%10101088%No reduction08/19/2008RENAL ADVANTAGE08/21/2010
109FMC NORTHWEST ALABAMA KIDNEY CENTER012626638 TAHOE ROADWINFIELDAL355948100%140%13Achievement10100%12100%12Achievement869%15660%133Achievement103%1320%91Achievement9%10101097%No reduction06/25/2008FRESENIUS MEDICAL CARE05/02/2008
110HOME DIALYSIS OPTIONS OF BALDWIN COUNTY01262727880 NORTH MAIN STREET, SUITE ADAPHNEAL365268N/A82N/AN/A00N/AN/A6528N/AN/A5819N/AN/AN/A10100%No reduction10/21/2008DAVITA08/02/2008
111OPELIKA DIALYSIS CENTER0126282340 PEPPERELL PARKWAYOPELIKAAL368018N/A1010N/A10100%1210Achievement1075%11078Achievement101%9244Achievement10%101010100%No reduction10/29/2008DAVITA11/02/2008
112DAVITA RENAISSANCE0126291840 DARBY DRIVEFLORENCEAL356308100%166%17Achievement10100%14100%17Achievement972%18471%203Achievement102%1650%147Achievement10%1010097%No reduction10/15/2008DAVITA11/26/2008
113DAVITA WIREGRASS KIDNEY CENTER0126301450 ROSS CLARK CIRCLESUITE 200DOTHANAL363018100%575%58Achievement10100%6298%59Achievement1075%68761%686Achievement101%6371%492Achievement10%101010100%No reduction12/23/2008DAVITA12/24/2008
114GULF SHORES DIALYSIS CENTER0126313947 GULF SHORES PARKWAYGULF SHORESAL365428100%198%24Achievement10100%16100%22Achievement1076%16189%253Achievement104%1431%164Achievement10%1010097%No reduction04/22/2009DAVITA04/02/2009
115MUSCLE SHOALS DIALYSIS012632712 STATE STREETMUSCLE SHOALSAL356618N/A57N/AN/A87N/AN/A8277N/AN/A7356N/A101010100%No reduction09/16/2009DAVITA09/16/2009
116FMC PRATTVILLE012633692 COVERED BRIDGE PARKWAYPRATTVILLEAL360668100%240%18Achievement10100%25100%17Achievement251%27451%206Achievement416%23914%146Achievement3%10101079%No reduction09/15/2009FRESENIUS MEDICAL CARE09/16/2009
117FMC FOLEY012634230 EAST FERN AVENUEFOLEYAL365358100%168Achievement10100%198Achievement767%19072Achievement612%15748Achievement7%10101091%No reduction09/14/2009FRESENIUS MEDICAL CARE10/23/2009
118FMC JAGUAR012636575 STANTON ROADUNIT BMOBILEAL366178100%812%81Achievement798%8598%84Achievement039%97336%905Achievement104%9166%651Achievement5%10101076%No reduction04/07/2010FRESENIUS MEDICAL CARE09/24/2010
119DCI HIGHLAND PARK0126371912 CHERRY STREETMONTGOMERYAL361078100%376%31Achievement10100%3696%25Achievement144%43238%290Improvement416%39913%194Achievement3%10101079%No reduction07/16/2010DIALYSIS CLINIC, INC.07/24/2010
120FMC HOOVER0126382104 LORNA RIDGE LANEHOOVERAL352168100%207%15Achievement10100%22100%15Achievement032%23361%117Achievement221%19915%66Achievement1%10101073%No reduction08/03/2010FRESENIUS MEDICAL CARE08/04/2010
121FMC MONTEVALLO0126393883 HIGHWAY 25MONTEVALLOAL351158100%114AchievementN/A84N/A036%15132Achievement027%12017Achievement0%10101055%No reduction08/30/2010FRESENIUS MEDICAL CARE01/01/2011
122PICKENS COUNTY DIALYSIS012640289 WILLIAM EAST HILL DRIVESUITE ACARROLLTONAL354478100%250%20Achievement10100%2890%21Achievement354%35260%126Achievement88%3225%57Achievement6%10N/A083%No reduction01/05/2011DAVITA01/26/2011
123DCI EVERGREEN012641822 WILD AVENUEEVERGREENAL364018100%180%14Achievement194%1794%16Achievement236%22221%92Improvement88%20811%35Achievement5%10101058%No reduction01/27/2011DIALYSIS CLINIC, INC.02/04/2011
124DAVITA ENTERPRISE0126426002 BOLL WEEVIL CIRCLEENTERPRISEAL363308100%275Achievement10100%257Achievement559%29040Achievement102%24310Achievement8%10101094%No reduction03/02/2011DAVITA03/08/2011
125ENDEAVOR DIALYSIS0126431675 SPARKMAN DRIVEHUNTSVILLEAL358168100%270Achievement597%330Achievement1079%3700Achievement101%3300Achievement10%10101085%No reduction07/05/2011FRESENIUS MEDICAL CARE08/02/2011
126JEWEL DIALYSIS012644514 WEST TOWN PLAZABESSEMERAL350208100%210Achievement10100%240Achievement027%2690Achievement612%2220Achievement3%10101079%No reduction10/27/2011DAVITA11/24/2011
127MAGIC CITY DIALYSIS012645300 22ND STREET SOUTHBIRMINGHAMAL352338100%570Achievement798%480Achievement353%6490Achievement97%4970Achievement6%1010076%No reduction10/21/2011DAVITA11/21/2011
128STEEL CITY DIALYSIS0126461809 AVENUE HBIRMINGHAMAL352188100%190Achievement10100%260Achievement251%3010Achievement710%2550Achievement5%10101085%No reduction10/27/2011DAVITA12/01/2011
129CROWN DIALYSIS0126473007 27TH STREET NORTHBIRMINGHAMAL352078100%190Achievement10100%200Achievement036%2100Achievement105%1410Achievement5%10101085%No reduction11/03/2011DAVITA12/16/2011
130PCD GADSDEN012648800 GOODYEAR AVENUEGADSDENAL359038100%310Achievement10100%230Achievement041%3950Achievement027%2610Achievement0%10101070%No reduction11/18/2011INDEPENDENT11/18/2011
131PCD OF UNION SPRINGS012649112 WEST CONECUH AVENUEUNION SPRINGSAL360898100%250Achievement10100%240Achievement561%2810Achievement105%2010Achievement8%051089%No reduction12/14/2011INDEPENDENT02/23/2012
132LIMESTONE COUNTY DIALYSIS01265016236 LUCAS FERRY ROADATHENSAL356118100%150Achievement10100%170Achievement1083%1850Achievement100%1260Achievement10%101010100%No reduction02/09/2012DAVITA04/13/2012
133FMC FORESTDALE0126511004 FORESTDALE BOULEVARDBIRMINGHAMAL352148100%130Achievement10100%130Achievement029%1000Achievement318%610Achievement2%10101076%No reduction03/14/2012FRESENIUS MEDICAL CARE03/15/2012
134LEEDS DIALYSIS0126521650 MAXEY DRIVELEEDSAL350948100%120Achievement10100%120Achievement355%1040Achievement105%400Achievement7%10101091%No reduction02/29/2012DAVITA03/15/2012
135PHYSICIAN'S CHOICE OF LEE COUNTY0126535009 RIVERCHASE DRIVESUITE 300PHENIX CITYAL368678100%150Achievement10100%130Achievement147%990Achievement89%570Achievement5%1051083%No reduction04/11/2012INDEPENDENT02/24/2012
136BIO-MEDICAL APPLICATIONS OF ALABAMA012654100 MITYLENE PARK LANEMONTGOMERYAL361178100%140Achievement194%170Achievement251%1160Achievement029%560Achievement1%0101043%0.5%05/25/2012FRESENIUS MEDICAL CARE10/12/2011
137RENAL TREATMENT CENTERS SOUTHEAST LP012655757 SOUTH THREE NOTCH STREETANDALUSIAAL364208N/A90N/A10100%110Achievement458%800Achievement88%360Achievement6%0101079%No reduction06/21/2012OTHER CHAIN(number of facilities <20 )07/12/2012
138DCI MITYLENE PARK01265629 MITYLENE PARK LANEMONTGOMERYAL361178N/A00N/AN/A00N/AN/A00N/AN/A00N/A10N/A10100%No reduction10/11/2012DIALYSIS CLINIC, INC.10/15/2012
139BIO-MEDICAL APPLICATIONS OF ALABAMA INC.01265735 WEST LAKESHORE DRIVESUITE 105BIRMINGHAMAL352098N/A00N/AN/A00N/AN/A00N/AN/A00N/AN/AN/AN/ANo reduction10/30/2012FRESENIUS MEDICAL CARE08/29/2012
140BIO-MEDICAL APPLICATIONS OF ALABAMA, INC.0126599540 PARKWAY EASTBIRMINGHAMAL352158N/A00N/AN/A00N/AN/A00N/AN/A00N/AN/AN/AN/ANo reduction01/10/2013FRESENIUS MEDICAL CARE06/15/2012
141PHYSICIANS CHOICE DIALYSIS OF ATTALLA012660801 GILBERT FERRY ROAD SOUTHEASTATTALLAAL359548N/A00N/AN/A00N/AN/A00N/AN/A00N/AN/AN/AN/ANo reduction01/09/2013INDEPENDENT01/23/2013
142CHILDRENS HOSPITAL DIALYSIS0133000123061600 7TH AVENUE SOUTHBIRMINGHAMAL352338N/A01N/AN/A01N/AN/A011N/AN/A08N/AN/A1010100%No reduction11/17/1982INDEPENDENT03/06/2012
143FMC ANCHORAGE0225003950 LAUREL STREETANCHORAGEAK995081691%1464%171Achievement899%12398%133Achievement663%142566%1513Achievement416%135718%1081Achievement5%10101076%No reduction09/01/1976RENAL CARE GROUP INC.06/01/2011
144FMC FAIRBANKS0225021863 AIRPORT WAYFAIRBANKSAK9970116100%3310%31Achievement597%35100%33Achievement1074%39874%382Achievement88%3729%276Achievement9%10101082%No reduction06/27/1985RENAL CARE GROUP INC.06/01/2011
145FMC WASILLA0225033787 EAST MERIDIAN LOOPWASILLAAK9965416100%226%16Achievement10100%19100%13Achievement1075%18771%163Achievement318%16618%110Achievement7%10101091%No reduction03/29/2004RENAL CARE GROUP INC.06/01/2011
146REIFENSTEIN DIALYSIS CENTER0225049109 MENDENHALL MALL ROAD SUITE #6JUNEAUAK9980116100%179%11Achievement10100%1691%11Achievement663%17563%129Achievement710%16113%95Achievement7%10101091%No reduction03/26/2004RENAL CARE GROUP INC.06/01/2011
147LIBERTY DIALYSIS - ALASKA LLC022506901 EAST DIMOND BOULEVARD SUITE GANCHORAGEAK9951516100%690%45Achievement10100%3895%19Achievement765%54374%345Achievement318%4788%233Achievement5%1051083%No reduction05/07/2009INDEPENDENT06/01/2011
148FMC COOK INLET0225079085 BLACKBERRY STREETANCHORAGEAK9950216100%448%38Achievement10100%36100%30Achievement869%39469%341Achievement319%37322%237Achievement6%10101088%No reduction05/07/2009FRESENIUS MEDICAL CARE06/01/2011
149FMC SOLDOTNA022508289 NORTH FIREWOOD LANE SUITE ASOLDOTNAAK9966916100%118Achievement10100%149Achievement870%18481%107Achievement221%1551%72Achievement5%10101085%No reduction12/08/2009FRESENIUS MEDICAL CARE06/01/2011
150DENALI DIALYSIS CENTER022509306 BONIFACE PARKWAY SUITE A11ANCHORAGEAK9950416N/A00N/AN/A00N/AN/A00N/AN/A00N/AN/AN/AN/ANo reduction11/29/2012OTHER CHAIN(number of facilities <20 )01/11/2013

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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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