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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
151MARICOPA MEDICAL CTR - DIALYSIS0300220323022525 EAST ROOSEVELT STREETPHOENIXAZ8500815100%140%18Achievement089%1895%19Achievement1084%17782%200Achievement105%1577%137Achievement10%10101070%No reduction10/07/1997INDEPENDENT01/02/1980
152UAMC DIALYSIS UNIT030064032316PO BOX 245022TUCSONAZ8572415N/A00N/AN/A00N/AN/A00N/AN/A00N/AN/AN/A10100%No reduction09/20/2012INDEPENDENT02/03/2012
153GILA RIVER DIALYSIS EAST031308032315565 WEST SEED FARM ROADSACATONAZ8524715100%992%106Achievement798%11598%110Achievement765%133256%1243Achievement711%128313%879Achievement7%10101082%No reduction01/04/2006INDEPENDENT12/02/2004
154TUCSON WEST DIALYSIS (DVA)0325001780 WEST ANKLAM ROADTUCSONAZ8574515100%406%53Achievement10100%3398%46Achievement355%38450%511Achievement416%37326%364Achievement4%10101082%No reduction09/28/1988GAMBRO HEALTHCARE04/09/1998
155TUCSON EAST DIALYSIS (DVA)0325016420 EAST BROADWAY BOULEVARD SUITE C300TUCSONAZ857101591%1045%110Achievement10100%9199%86Achievement1074%99572%1024Achievement711%92412%701Achievement9%10101094%No reduction05/26/1978DAVITA01/02/1980
156YUMA DIALYSIS (DVA)0325022130 WEST 24TH STREETYUMAAZ8536415100%1179%138Achievement899%8999%97Achievement972%101463%1157Achievement514%95518%800Achievement7%10101085%No reduction06/28/1978DAVITA09/02/2004
157PHOENIX ARTIFICIAL KIDNEY CENTER (FMC)03250313090 NORTH 94TH DRIVE SUITE 100PEORIAAZ8538115100%257%29Achievement10100%27100%30Achievement1079%29966%313Achievement711%26117%218Achievement9%10101097%No reduction03/26/1979FRESENIUS MEDICAL CARE07/26/2000
158CAMELBACK DIALYSIS (DVA)0325047321 EAST OSBORN DRIVESCOTTSDALEAZ852511528%1310%21AchievementN/A00N/A1085%12387%177Achievement100%1124%123Achievement10%N/A51062%No reduction01/01/1997DAVITA04/07/2004
159TUBA CITY DIALYSIS UNIT (DVA)032506500 EDGEWATER DRIVEPO Box 2910TUBA CITYAZ8604515100%698%77Achievement10100%8299%71Achievement1075%85877%816Achievement102%5895%569Achievement10%101010100%No reduction11/15/1990DAVITA06/28/2000
160SOUTH PHOENIX DIALYSIS SERVICES (FMC)0325081021 SOUTH 7TH AVENUE SUITE 108PHOENIXAZ8500715100%338%36Achievement10100%3794%36Achievement1075%40872%385Achievement105%3929%267Achievement10%101010100%No reduction02/01/1985FRESENIUS MEDICAL CARE05/01/2000
161EAST VALLEY DIALYSIS (FMC)032509135 SOUTH POWER ROAD SUITE 103MESAAZ8520615100%435%55Achievement10100%4898%56Achievement664%56761%623Achievement122%49426%416Achievement4%10101082%No reduction09/11/1997RENAL CARE GROUP INC.10/03/2001
162SELLS DIALYSIS (DVA)032513HWY 86 - MP 113SELLSAZ8563415100%530%55Achievement10100%59100%61Achievement1077%67770%692Achievement105%6488%497Achievement10%1010097%No reduction01/01/1985GAMBRO HEALTHCARE05/20/1998
163DESERT DIALYSIS CENTER (DCI)0325142022 EAST PRINCE ROADTUCSONAZ8571915100%363%35Achievement10100%21100%26Achievement765%23361%269Achievement319%21123%185Achievement5%10101085%No reduction01/16/1986DIALYSIS CLINIC, INC.01/29/2000
164WHITERIVER DIALYSIS (FMC)032515HWY 73 MP 342WHITERIVERAZ8594115100%385%44Achievement10100%4493%46Achievement662%52343%524Achievement105%49819%364Achievement8%10101094%No reduction11/15/1985RENAL CARE GROUP INC.01/26/2000
165CHANDLER DIALYSIS (FMC)032516912 WEST CHANDLER BOULEVARD BUILDING A-DCHANDLERAZ8522515100%4510%52Achievement10100%5298%55Achievement869%58762%590Achievement416%54815%397Achievement6%1010085%No reduction10/30/1985RENAL CARE GROUP INC.01/26/2000
166CENTRAL PHX DIALYSIS (FMC)0325173421 NORTH 7TH AVENUEPHOENIXAZ8501315100%369%45Achievement10100%40100%45Achievement869%45574%461Achievement514%4308%305Achievement7%10101091%No reduction09/08/1997FRESENIUS MEDICAL CARE01/02/2002
167FOUR CORNERS DIALYSIS CLINIC CHINLE (DVA)032518US HIGHWAY 191CHINLEAZ8650315100%6017%71Achievement10100%69100%72Achievement559%82962%843Achievement104%7683%597Achievement8%10101094%No reduction04/14/1987DAVITA01/01/2005
168SIERRA VISTA DIALYSIS (DVA)032520629 NORTH HIGHWAY 90 SUITE 6 & 7SIERRA VISTAAZ8563515100%465%61Achievement10100%55100%64Achievement1075%61267%684Achievement711%58316%456Achievement9%10101097%No reduction06/20/1987GAMBRO HEALTHCARE01/02/1980
169DIALYSIS CENTER OF GLENDALE (FMC)0325215957 WEST NORTHERN AVENUE SUITE 108GLENDALEAZ8530115100%382%45Achievement10100%48100%43Achievement972%54066%461Achievement515%50318%303Achievement7%10101091%No reduction03/01/1985FRESENIUS MEDICAL CARE05/08/2001
170PARKER DIALYSIS CENTER (FMC)032522AGENCY ROAD BUILDING 173Rural Rt 1/Agency RoadPARKERAZ8534415100%268%25Achievement10100%28100%27Achievement973%30468%318Achievement103%27111%220Achievement10%1010097%No reduction07/20/1988FRESENIUS MEDICAL CARE03/28/2000
171PRESCOTT DIALYSIS (DVA)032523980 WILLOW CREEK ROAD SUITE 101PRESCOTTAZ8630115100%2213%30Achievement10100%28100%28Achievement1083%31674%334Achievement97%29112%225Achievement10%1010097%No reduction07/18/1988NATIONAL RENAL INSTITUTES04/02/2006
172FLAGSTAFF DIALYSIS CENTER (FMC)0325245200 EAST CORTLAND BOULEVARD SUITE A1-A4FLAGSTAFFAZ8600415100%237%44Achievement10100%3798%46Achievement869%47166%492Achievement122%43822%326Achievement5%10101085%No reduction12/08/1989FRESENIUS MEDICAL CARE01/02/2002
173DESERT MOUNTAIN DIALYSIS (DVA)0325259220 EAST MOUNTAIN VIEW ROAD SUITE 105SCOTTSDALEAZ8525815100%5312%49Achievement10100%5398%47Achievement971%58472%482Achievement613%5049%319Achievement8%10101094%No reduction09/01/1988DAVITA06/28/2000
174SOUTHWEST MESA DIALYSIS (DSI)0325261457 WEST SOUTHERN AVENUE SUITE 19MESAAZ852021574%2318%40Improvement10100%29100%37Achievement868%29654%408Achievement711%26415%271Achievement8%10101085%No reduction12/07/1988NATIONAL RENAL INSTITUTES04/02/2006
175THUNDERBIRD DIALYSIS (FMC)0325285750 WEST THUNDERBIRD ROAD BUILDING G #750GLENDALEAZ8530615100%749%92Achievement899%7799%82Achievement766%90254%875Achievement416%83325%606Achievement6%10101082%No reduction05/03/1989RENAL CARE GROUP INC.07/02/2002
176DESERT VALLEY DIALYSIS (FMC)03253015846 NORTH CAVE CREEK ROAD SUITE 2PHOENIXAZ8503215100%396%49Achievement10100%45100%43Achievement868%50160%503Achievement124%44927%338Achievement5%10101085%No reduction10/18/1989FRESENIUS MEDICAL CARE01/19/2000
177GLOBE DIALYSIS (FMC)0325332250 HIGHWAY 60 SUITE O-2MIAMIAZ8553915100%2311%28Achievement10100%25100%28Achievement560%33562%325Achievement123%28719%222Achievement3%10101079%No reduction10/01/1990RENAL CARE GROUP INC.07/13/1999
178HOME DIALYSIS OF MESA (FMC)0325351337 SOUTH GILBERT ROAD SUITE 106MESAAZ8520415100%218%26AchievementN/A00N/AN/A2431N/AN/A2422N/A10N/A10100%No reduction06/17/1991RENAL CARE GROUP INC.12/02/2005
179WINSLOW DIALYSIS CENTER (FMC)0325361313 EAST THIRD STREETWINSLOWAZ8604715100%359%43Achievement10100%4298%44Achievement1077%51371%472Achievement88%46916%324Achievement9%10101097%No reduction07/30/1991FRESENIUS MEDICAL CARE01/27/2000
180ESTRELLA DIALYSIS CENTER (FMC)0325375546 WEST ROOSEVELT STREET SUITE 1PHOENIXAZ8504315100%380%39Achievement10100%49100%45Achievement1089%55280%489Achievement104%51612%335Achievement10%101010100%No reduction08/19/1991FRESENIUS MEDICAL CARE05/25/2000
181MESA DIALYSIS CENTER (FMC)0325391525 NORTH GILBERT ROAD SUITE 121GILBERTAZ8523415100%184%26Achievement295%21100%25Achievement869%27067%285Achievement416%23621%193Achievement6%10101064%No reduction09/08/1997FRESENIUS MEDICAL CARE01/21/2000
182WESTERN SKIES DIALYSIS INC.0325401041 NORTH ARIZOLA ROADCASA GRANDEAZ8512215100%308%37Achievement594%5287%53Improvement251%51947%449Achievement036%48132%324Achievement1%10101058%No reduction06/24/1996INDEPENDENT12/02/2000
183TEMPE DIALYSIS (FMC)0325411449 WEST SOUTHERN AVENUETEMPEAZ8528215100%3310%39Achievement10100%36100%36Achievement458%43545%414Achievement711%39014%266Achievement6%10101088%No reduction09/29/1997RENAL CARE GROUP INC.01/21/2000
184ARCADIA DIALYSIS CENTER (FMC)0325422702 NORTH 44TH STREET SUITE 107BPHOENIXAZ8500815100%253%32Achievement10100%3393%30Achievement971%35966%370Achievement514%34321%262Achievement7%10101091%No reduction12/01/1992FRESENIUS MEDICAL CARE01/02/2002
185NOGALES DIALYSIS (DVA)0325431605 NORTH INDUSTRIAL PARK DRIVE SUITE HNOGALESAZ8562115100%253%32Achievement10100%3497%36Achievement1075%35664%394Achievement97%3129%259Achievement10%101010100%No reduction03/15/1993GAMBRO HEALTHCARE01/02/1980
186LAKE HAVASU DIALYSIS (FMC)0325441761 MCCULLOCH BOULEVARD SUITE GLAKE HAVASU CITYAZ8640315100%4213%60Achievement10100%42100%51Achievement869%48160%612Achievement89%45316%426Achievement8%1010091%No reduction04/06/1993RENAL CARE GROUP INC.01/27/2000
187SOUTH MOUNTAIN DIALYSIS CENTER (FMC)03254526 EAST BASELINE SUITE 142PHOENIXAZ8504215100%3914%36Achievement10100%43100%37Achievement1077%47978%439Achievement710%43911%309Achievement9%10101097%No reduction05/03/1993FRESENIUS MEDICAL CARE01/19/2000
188SUN CITY WEST DIALYSIS (FMC)03254612213 WEST BELL ROAD SUITE 110SURPRISEAZ8537415N/A77%15N/AN/A8100%16N/AN/A8068%166N/A104%6916%109Achievement10%101010100%No reduction05/19/1993FRESENIUS MEDICAL CARE01/01/2001
189SUN CITY DIALYSIS (FMC)03254710050 WEST BELL ROAD SUITE 29-31SUN CITYAZ8535115100%1612%25Achievement10100%20100%25Achievement1093%21670%274Achievement100%20116%190Achievement10%101010100%No reduction09/13/1997RENAL CARE GROUP INC.01/27/2000
190SAFFORD DIALYSIS (FMC)0325491250 SOUTH 20TH AVENUESAFFORDAZ8554615100%2811%37Achievement10100%32100%33Achievement973%40268%432Achievement710%36511%291Achievement8%10101094%No reduction09/09/1997RENAL CARE GROUP INC.10/11/2008
191NORTH PHOENIX DIALYSIS (FMC)0325501957 WEST DUNLAP AVENUE SUITE 6CPHOENIXAZ8502115100%4213%48Achievement10100%32100%36Achievement1082%47371%421Achievement612%42812%288Achievement8%10101094%No reduction12/10/1993FRESENIUS MEDICAL CARE01/18/2000
192MESA DIALYSIS (DSI)0325511337 SOUTH GILBERT ROAD SUITE 109MESAAZ8520415100%178%25Achievement10100%18100%24Achievement559%21365%277Achievement514%20112%193Achievement5%10101085%No reduction09/08/1997INDEPENDENT10/25/2005
193ARROWHEAD DIALYSIS (FMC)03255216844 NORTH 59TH AVENUEGLENDALEAZ8530615100%190%23Achievement10100%20100%24Achievement870%24880%247Achievement514%2279%170Achievement7%10101091%No reduction07/19/1994FRESENIUS MEDICAL CARE01/18/2000
194PAPAGO DIALYSIS (DVA)0325531401 NORTH 24TH STREET SUITE 2PHOENIXAZ8500815100%155%22Achievement10100%19100%22Achievement1080%18481%226Achievement100%1700%157Achievement10%101010100%No reduction09/06/1994DAVITA01/02/2005
195SOUTH YUMA DIALYSIS (DVA)0325567179 EAST 31ST PLACEYUMAAZ8536515100%578%59Achievement10100%63100%62Achievement767%71474%668Achievement613%6498%453Achievement7%10101091%No reduction03/27/1995GAMBRO HEALTHCARE11/25/2009
196TUCSON SOUTH DIALYSIS (DVA)0325573662 SOUTH 16TH AVENUETUCSONAZ8571315100%474%50Achievement798%5096%47Achievement870%55064%522Achievement318%51617%353Achievement6%10101079%No reduction04/13/1995GAMBRO HEALTHCARE01/02/1980
197BULLHEAD CITY DIALYSIS (FMC)0325582650 MIRACLE MILEBULLHEAD CITYAZ8644215100%1033%104Achievement10100%10995%103Achievement1079%124569%1217Achievement105%115817%841Achievement10%101010100%No reduction05/17/1995FRESENIUS MEDICAL CARE04/02/2010
198FOUR CORNERS DIAL CLINIC KAYENTA (DVA)032559US HIGHWAY 163 NORTHKAYENTAAZ8603315100%2729%34Achievement10100%35100%34Achievement561%38152%385Achievement102%4669%269Achievement8%10101094%No reduction06/07/1995DAVITA02/13/2002
199CASA GRANDE DIALYSIS (FMC)032561695 EAST COTTONWOOD LANECASA GRANDEAZ8512215100%555%58Achievement899%68100%65Achievement662%81651%701Achievement514%74419%479Achievement6%10101082%No reduction09/01/1995RENAL CARE GROUP INC.01/26/2000
200COTTONWOOD DIALYSIS (DVA)032562203 SOUTH CANDY LANE SUITE 11 A & BCOTTONWOODAZ8632615100%318%39Achievement597%3697%38Achievement766%42964%420Achievement88%3808%284Achievement8%10101079%No reduction12/01/1996INDEPENDENT01/06/2001

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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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