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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
51FMC HAMILTON0125601256 MILITARY STREET SOUTHHAMILTONAL355708100%150%12Achievement10100%14100%11Achievement971%17566%143Achievement711%1699%104Achievement8%10101094%No reduction12/11/1995RENAL CARE GROUP INC.09/17/2004
52FMC LAKEVIEW01256145 MEDICAL PARK DRIVE, SUITE AGUNTERSVILLEAL359768100%458%51Achievement798%4996%49Achievement355%60748%547Achievement89%56012%381Achievement6%10101079%No reduction12/07/1995FRESENIUS MEDICAL CARE07/11/2000
53DCI PELL CITY01256262 COGSWELL DRIVEPELL CITYAL351258100%166%17Achievement194%16100%16Achievement244%21433%199Improvement96%1984%145Achievement6%10101061%No reduction12/13/1995DIALYSIS CLINIC, INC.01/11/2012
54DCI CULLMAN0125631734 EVA ROAD NORTHEASTCULLMANAL35055882%429%45Achievement798%4795%43Achievement972%54963%509Achievement710%49618%356Achievement8%10101079%No reduction01/04/1996DIALYSIS CLINIC, INC.10/24/2009
55SOUTH BALDWIN DIALYSIS CENTER012565150 WEST PEACHTREE AVENUEFOLEYAL365358100%190%30Achievement10100%1896%28Achievement662%19859%293Achievement96%17811%199Achievement8%10101094%No reduction04/02/1996DAVITA07/11/2000
56FMC SYLACAUGA012566314 WEST SPRING STREETSYLACAUGAAL351508100%195%21Achievement10100%21100%20Achievement252%22853%222Achievement105%2216%157Achievement6%10101088%No reduction07/16/1996RENAL CARE GROUP INC.10/24/2009
57FMC PARKWAY0125681311 NORTH MEMORIAL PARKWAY SUITE 100HUNTSVILLEAL35801882%506%51Achievement10100%50100%51Achievement1074%58966%536Achievement104%5547%372Achievement10%10101094%No reduction09/03/1996FRESENIUS MEDICAL CARE01/02/1980
58NORTHPORT DIALYSIS0125702401 HOSPITAL DRIVENORTHPORTAL354768100%510%51Achievement10100%4785%52Achievement251%57369%575Achievement105%5023%385Achievement6%10101088%No reduction12/03/1996GAMBRO HEALTHCARE04/19/2011
59DCI GEORGIANA012571P O BOX 618GEORGIANAAL360338100%265%37Achievement10100%2898%40Achievement138%31332%405Improvement104%3041%279Achievement6%10101088%No reduction12/31/1996DIALYSIS CLINIC, INC.10/24/2009
60FMC CAMELLIA012572108 L V STABLER DRIVEGREENVILLEAL360378100%406%34Achievement10100%4397%34Achievement458%49862%393Achievement97%46612%274Achievement7%10101091%No reduction02/12/1997FRESENIUS MEDICAL CARE10/24/2009
61DCI BIRMINGHAM0125738713 PARKWAY EASTBIRMINGHAMAL352068100%369%32Achievement194%3697%31Achievement868%40747%344Achievement101%3801%245Achievement9%10101070%No reduction12/18/1997DIALYSIS CLINIC, INC.10/24/2009
62FMC CHAMBERS012574802 HOSPITAL STREETLAFAYETTEAL368628100%214%24Achievement10100%24100%26Achievement1076%26574%285Achievement711%2509%204Achievement9%10101097%No reduction06/10/1997FRESENIUS MEDICAL CARE01/02/1980
63RCG WALKER0125753510 3RD STREET NORTHEASTJASPERAL355048100%440%45Achievement10100%4598%40Achievement045%50142%506Achievement710%46911%350Achievement4%10101082%No reduction01/08/1998RENAL CARE GROUP INC.03/18/2011
64DCI MONTGOMERY012576544 SOUTH MCDONOUGH STREETMONTGOMERYAL361048100%694%68Achievement899%6799%69Achievement140%74035%775Improvement613%71412%557Achievement4%10101076%No reduction06/05/1998DIALYSIS CLINIC, INC.01/02/1980
65RCG SOUTHSIDE0125782131 MAGNOLIA AVENUE SOUTH #100BIRMINGHAMAL352058100%320%28Achievement10100%37100%29Achievement137%41329%346Improvement88%3827%256Achievement5%10101085%No reduction06/18/1998RENAL CARE GROUP INC.09/17/2004
66FMC DAUPHIN ISLAND PKWY0125792381 DAUPHIN ISLAND PARKWAYMOBILEAL366058100%536%53Achievement798%5598%59Achievement766%64571%619Achievement102%6221%437Achievement9%10101088%No reduction07/08/1998FRESENIUS MEDICAL CARE01/02/1980
67FMC THOMASVILLE01258030230 HIGHWAY 43THOMASVILLEAL36784855%440%46Achievement295%44100%45Achievement146%52958%500Achievement104%5131%356Achievement6%10101049%0.5%09/15/1998FRESENIUS MEDICAL CARE05/20/2011
68FMC WILCOX012582229 CAMDEN BYPASSCAMDENAL367268100%230%19Achievement496%23100%21Achievement246%25638%229Improvement104%23812%169Achievement6%10101070%No reduction11/04/1998FRESENIUS MEDICAL CARE07/11/2000
69BESSEMER DIALYSIS012583901 WESTLAKE MALLSTE 101BESSEMERAL350208100%330%51Achievement10100%3696%53Achievement036%38336%605Achievement711%37116%432Achievement4%10101082%No reduction08/01/1998GAMBRO HEALTHCARE08/29/2011
70ENSLEY DIALYSIS0125852630 AVENUE EASTBIRMINGHAMAL352188100%540%82Achievement10100%54100%81Achievement252%62345%933Achievement613%58112%667Achievement4%10101082%No reduction08/01/1998GAMBRO HEALTHCARE01/02/1980
71SYLACAUGA DIALYSIS012588331 JAMES PAYTON BOULEVARDSYLACAUGAAL35150873%342%47Achievement10100%2692%38Achievement251%30353%425Achievement102%2958%301Achievement6%10101079%No reduction08/01/1998GAMBRO HEALTHCARE08/10/2011
72BIRMINGHAM NORTH DIALYSIS0125891917 32ND AVENUE NORTHBIRMINGHAMAL352078100%591%74Achievement10100%7097%75Achievement243%73632%865Improvement96%69410%624Achievement6%10101088%No reduction08/01/1998GAMBRO HEALTHCARE10/19/2002
73DCI MOULTON0125901962 MAIN STREETMOULTONAL35650874%2419%16Improvement695%2185%13Improvement766%28255%176Achievement618%25141%116Improvement7%10101070%No reduction03/16/1999DIALYSIS CLINIC, INC.01/02/1980
74FMC SHELBY0125911022 FIRST STREET NORTHSUITE 101ALABASTERAL350078100%265%37Achievement10100%29100%35Achievement870%35664%371Achievement103%3379%246Achievement9%10101097%No reduction04/08/1999RENAL CARE GROUP INC.09/17/2004
75BIRMINGHAM CENTRAL DIALYSIS012592728 RICHARD ARRINGTON BOULEVARD SOUTHBIRMINGHAMAL352338100%541%98Achievement798%5996%96Achievement044%58043%1081Achievement613%5948%768Achievement3%10101070%No reduction08/01/1998GAMBRO HEALTHCARE12/02/2009
76FMC ODYSSEY DIALYSIS01259340 HUGHES ROADMADISONAL35758873%377%41Achievement10100%4098%42Achievement662%45850%463Achievement105%4289%311Achievement8%10101085%No reduction05/05/1999FRESENIUS MEDICAL CARE01/02/1980
77BOAZ DIALYSIS01259416 CENTRAL HENDERSON ROADBOAZAL359578100%400%32Achievement10100%4090%29Achievement972%45056%343Achievement96%42814%228Achievement9%10101097%No reduction06/30/1999GAMBRO HEALTHCARE01/02/1980
78RCG FORT PAYNE0125952202 JORDAN ROAD SOUTHWESTSUITE 100FORT PAYNEAL359688100%316%33Achievement10100%34100%31Achievement971%38277%369Achievement89%3528%260Achievement9%10101097%No reduction05/01/1999RENAL CARE GROUP INC.01/15/2010
79FMC MONTGOMERY BAPTIST0125961400 NARROW LANE PARKWAYMONTGOMERYAL36111891%812%84Achievement597%7995%83Achievement038%86940%914Achievement123%81421%657Achievement1%10101055%No reduction08/11/1999FRESENIUS MEDICAL CARE01/02/1980
80FMC BAY MINETTE0125972505 HAND AVENUEBAY MINETTEAL365078100%240%27Achievement10100%23100%29Achievement973%28460%318Achievement103%26511%219Achievement10%101010100%No reduction10/27/1999FRESENIUS MEDICAL CARE07/11/2000
81DCI PHENIX CITY0125981611 21ST COURTPHENIX CITYAL368678100%380%42Achievement798%46100%45Achievement561%48955%505Achievement104%4645%357Achievement8%10101085%No reduction02/09/2000DIALYSIS CLINIC, INC.10/24/2009
82FMC PORT CITY012599201 STREET JOSEPH STREET, SUITE BMOBILEAL366028100%592%57Achievement10100%61100%57Achievement662%69161%617Achievement105%6668%435Achievement8%10101094%No reduction02/07/2001FRESENIUS MEDICAL CARE09/02/2005
83ATMORE DIALYSIS CENTER012600807 EAST CRAIG STREETATMOREAL365028100%338%36Achievement597%3794%33Achievement767%41377%400Achievement103%4015%276Achievement9%1010079%No reduction03/14/2001DAVITA03/15/2001
84FMC WEST012601633 LOMB AVENUEBIRMINGHAMAL352118100%546%50Achievement798%54100%48Achievement353%59548%549Achievement88%5489%386Achievement6%10101079%No reduction03/27/2001RENAL CARE GROUP INC.09/17/2004
85RUSSELLVILLE DIALYSIS01260214897 HIGHWAY 43RUSSELLVILLEAL356538100%240%24Achievement10100%2978%23Achievement560%28070%268Achievement102%2445%174Achievement8%1010091%No reduction06/20/2001GAMBRO HEALTHCARE06/21/2001
86FMC FAIRFIELD (STEEL CITY)0126036508 EAST J OLIVER BOULEVARDFAIRFIELDAL350648100%283%30Achievement10100%27100%29Achievement038%30452%302Achievement103%2681%204Achievement5%10101085%No reduction10/16/2001RENAL CARE GROUP INC.08/16/2008
87RCG CLANTON012604275 HEALTH CENTER DRIVECLANTONAL350458100%2319%26Achievement10100%23100%22Achievement149%28963%274Achievement89%2588%180Achievement5%10101085%No reduction03/27/2002RENAL CARE GROUP INC.02/03/2010
88BIRMINGHAM HOME TRAINING DIALYSIS0126052101 7TH AVENUE SOUTHBIRMINGHAMAL352338100%354%57AchievementN/A00N/AN/A060%112N/AN/A010%79N/AN/A01095%No reduction07/25/2002GAMBRO HEALTHCARE07/02/2002
89FMC CHASE0126061849 KEATS DRIVE NORTHWESTHUNTSVILLEAL358108100%7014%63Achievement899%7398%63Achievement251%83145%638Achievement711%7545%438Achievement5%10101079%No reduction09/19/2002FRESENIUS MEDICAL CARE09/16/2002
90ROANOKE DIALYSIS CLINIC0126074459 US HIGHWAY 431ROANOKEAL362748100%210%29Achievement10100%29100%30Achievement1092%26183%357Achievement100%2576%261Achievement10%101010100%No reduction01/29/2003INDEPENDENT01/02/2003
91RCG ONEONTA012608150 GILBREATH DRIVE, SUITE 1ONEONTAAL351218100%294%27Achievement10100%30100%26Achievement765%35055%315Achievement102%3296%222Achievement9%10101097%No reduction03/26/2003RENAL CARE GROUP INC.05/13/2011
92EUFAULA DIALYSIS012609220 SOUTH ORANGE AVENUEEUFAULAAL360278100%413%34Achievement798%4497%34Achievement663%51057%392Achievement103%4760%282Achievement8%10101085%No reduction04/09/2003GAMBRO HEALTHCARE06/11/2011
93FMC MAGNOLIA0126107940 MOFFETT ROADSEMMESAL36575882%496%49Achievement10100%51100%51Achievement663%56773%520Achievement88%5209%355Achievement7%10101085%No reduction05/14/2003FRESENIUS MEDICAL CARE05/02/2003
94FMC DALLAS COUNTY012611200 SOUTH PARK PLACESELMAAL36701882%446%36Achievement10100%4397%35Achievement560%53545%421Achievement88%49921%281Achievement7%10101085%No reduction12/19/2003FRESENIUS MEDICAL CARE10/24/2009
95FMC GARDENDALE012612592 FIELDSTOWN ROADSUITE 102GARDENDALEAL350718100%315%39Achievement194%3195%39Achievement551%34326%391Improvement105%33410%270Achievement8%10101067%No reduction12/17/2003FRESENIUS MEDICAL CARE03/23/2011
96FMC DISCOVERY0126131131 EAGLETREE LANE, STE100HUNTSVILLEAL35801882%586%71Achievement10100%46100%45Achievement354%55555%556Achievement105%5157%396Achievement7%10101085%No reduction03/17/2004FRESENIUS MEDICAL CARE10/23/2003
97FMC VALLEY CREEK012614201 LINCOLN LANESELMAAL36701882%567%54Achievement10100%4898%52Achievement250%54155%554Achievement89%52112%398Achievement5%10101079%No reduction04/07/2004FRESENIUS MEDICAL CARE06/12/2009
98FMC AUBURN012615211 EAST UNIVERSITY DRIVEAUBURNAL368328100%420%24Achievement798%4796%24Achievement1088%53988%289Achievement102%5182%204Achievement10%10101091%No reduction06/23/2004FRESENIUS MEDICAL CARE05/11/2004
99LANDMARK DIALYSIS012616717 STONE AVENUETALLADEGAAL351608100%677%68Achievement10100%71100%71Achievement144%83239%699Improvement105%78611%460Achievement6%10101088%No reduction06/09/2004INDEPENDENT11/16/2011
100FMC ALEXANDER CITY0126173368 HIGHWAY 280 BYPASSSUITE G-1ALEXANDER CITYAL35010855%442%45Achievement10100%39100%43Achievement1075%43173%487Achievement104%4237%354Achievement10%10101085%No reduction11/10/2004FRESENIUS MEDICAL CARE01/26/2012

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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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