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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
201SCOTTSDALE DIALYSIS (FMC)0325631495 NORTH HAYDEN SUITE D1-D4SCOTTSDALEAZ8525715100%3117%30Achievement10100%29100%31Achievement1082%37580%315Achievement102%34810%218Achievement10%010093%No reduction03/01/1997RENAL CARE GROUP INC.02/28/2001
202MARYVALE DIALYSIS (FMC)0325644502 WEST INDIAN SCHOOL ROAD SUITE A4-11PHOENIXAZ8503115100%605%42Achievement798%5897%38Achievement1081%67167%473Achievement105%57918%342Achievement10%10101091%No reduction08/20/1997RENAL CARE GROUP INC.05/14/2011
203DESERT DIALYSIS CENTER SOUTH TUCSON (DCI)0325651011 EAST PENNSYLVANIA STREETTUCSONAZ8571915100%338%38Achievement10100%3298%40Achievement1075%37077%456Achievement710%35110%317Achievement9%10101097%No reduction09/11/1997DIALYSIS CLINIC, INC.04/02/2005
204RED MOUNTAIN DIALYSIS (FMC)0325681211 NORTH COUNTRY CLUB DRIVE SUITE 4MESAAZ8520115100%294%27Achievement10100%33100%25Achievement870%39864%296Achievement612%36222%201Achievement7%10101091%No reduction03/07/1997FRESENIUS MEDICAL CARE08/02/2007
205NORTH SCOTTSDALE DIALYSIS (FMC)03257116101 NORTH 82ND STREET SUITE 6-7SCOTTSDALEAZ8526015100%4410%48Achievement798%4197%39Achievement869%48260%439Achievement711%45218%289Achievement8%10101085%No reduction06/20/1997FRESENIUS MEDICAL CARE09/02/2004
206DESERT DIALYSIS SRVS INC-SUN CITY (DVA)03257213000 NORTH 103RD AVENUE SUITE 66SUN CITYAZ8535115100%318%53Achievement597%3998%50Achievement543%4449%573Improvement042%40237%377Achievement3%1010061%No reduction07/23/1997INDEPENDENT12/02/2000
207PASCUA YAQUI DIALYSIS (DVA)0325737490 SOUTH CAMINO DE OESTETUCSONAZ8575715100%427%43Achievement798%4596%45Achievement973%46462%471Achievement97%44014%327Achievement9%10101088%No reduction06/27/1997GAMBRO HEALTHCARE01/02/1980
208SHOW LOW DIALYSIS (FMC)0325751500 SOUTH WHITE MOUNTAIN BOULEVARD SUITE 204SHOW LOWAZ8590115100%226%33Achievement696%2689%36Improvement146%30156%330Achievement612%25818%200Achievement4%10101070%No reduction01/15/1998RENAL CARE GROUP INC.01/26/2000
209YAVAPAI DIALYSIS (FMC)0325773605 RANCH DRIVEPRESCOTTAZ8630315100%462%53Achievement10100%5697%39Achievement1079%62876%498Achievement105%5658%346Achievement10%101010100%No reduction01/31/1999FRESENIUS MEDICAL CARE05/11/2010
210APACHE JUNCTION DIALYSIS (FMC)03257811540 EAST UNIVERSITY DRIVE SUITE 109APACHE JUNCTIONAZ8522015100%322%50Achievement10100%3598%51Achievement354%39062%496Achievement029%32519%315Achievement2%10101076%No reduction01/22/1999RENAL CARE GROUP INC.01/26/2000
211SUN LAKES DIALYSIS (FMC)0325790311119666 EAST RIGGS ROAD SUITE 143SUN LAKESAZ8524815100%290%32Achievement10100%33100%33Achievement1077%38364%393Achievement514%34318%272Achievement8%10101094%No reduction06/02/1999RENAL CARE GROUP INC.01/26/2000
212PALM VALLEY DIALYSIS (FMC)03258013657 WEST MCDOWELL ROAD SUITE 106GOODYEARAZ8533815100%2913%24Achievement10100%32100%25Achievement1075%38067%282Achievement514%34718%190Achievement8%10101094%No reduction11/22/1999FRESENIUS MEDICAL CARE12/02/2000
213AK-CHIN DIALYSIS (FMC)03258103111416536 NORTH MARICOPA ROADMARICOPAAZ8523915100%360%33Achievement10100%40100%35Achievement559%46854%377Achievement514%43214%259Achievement5%10101085%No reduction02/10/2000RENAL CARE GROUP INC.03/25/2000
214KINGMAN KIDNEY CENTER INC.0325824055 STOCKTON HILL ROAD SUITE 15KINGMANAZ864091584%5220%61Improvement295%57100%61Achievement559%60367%651Achievement025%5656%462Achievement3%10101049%0.5%06/07/2000INDEPENDENT12/02/2000
215SOUTH PHOENIX DIALYSIS (DSI)0325830311154621 SOUTH CENTRAL AVENUEPHOENIXAZ8504015100%474%49Achievement10100%48100%48Achievement1076%56064%541Achievement710%53018%376Achievement9%10101097%No reduction06/28/2000INDEPENDENT01/19/2000
216TEMPE RENAL CENTER (DSI)0325868820 SOUTH KYRENE ROADTEMPEAZ8528415100%180%18Achievement10100%21100%19Achievement1083%22875%220Achievement711%20417%155Achievement9%10101097%No reduction01/03/2001INDEPENDENT04/02/2006
217DEER VALLEY DIALYSIS (FMC)03258721241 NORTH 23RD AVENUE SUITE 11PHOENIXAZ8502715100%3412%33Achievement10100%41100%32Achievement1084%48778%362Achievement89%43813%232Achievement9%10101097%No reduction01/31/2001FRESENIUS MEDICAL CARE01/04/2001
218TUCSON SOUTH CENTRAL DIALYSIS (DVA)0325892024 EAST IRVINGTON ROADTUCSONAZ8571415100%464%49Achievement10100%48100%50Achievement663%52365%546Achievement89%4956%379Achievement7%10101091%No reduction10/04/2001GAMBRO HEALTHCARE12/20/2001
219HOPI DIALYSIS CENTER (DVA)032592HIGHWAY 264 MP 388POLACCAAZ8604215100%2813%31Achievement10100%31100%29Achievement1081%31487%302Achievement101%3170%208Achievement10%101010100%No reduction08/28/2001DAVITA01/02/2001
220GRANITE VALLEY DIALYSIS (FMC)03259314510 WEST SHUMWAY DRIVE SUITE 100SUN CITY WESTAZ8537515100%110%22Achievement10100%13100%21Achievement972%13457%213Achievement104%11323%125Achievement10%101010100%No reduction01/16/2002FRESENIUS MEDICAL CARE12/09/2004
221SALT RIVER DIALYSIS CENTER (FMC)03259410301 EAST OSBORN ROAD BUILDING 14SCOTTSDALEAZ8525615100%392%42Achievement798%46100%40Achievement1086%51982%452Achievement104%5043%322Achievement10%10101091%No reduction07/10/2002RENAL CARE GROUP INC.01/01/2005
222GLENDALE FAMILY HEALTH CENTER - DIALYSIS0325955141 WEST LAMAR ROADGLENDALEAZ8530115N/A88%12N/AN/A10100%13N/A458%9972%158Achievement122%9614%104Achievement3%10101037%1.0%10/16/2002INDEPENDENT02/21/2002
223NORTHEAST PHOENIX DIALYSIS (DSI)0325963305 EAST GREENWAY ROAD SUITE 1PHOENIXAZ8503215100%2013%30Achievement10100%21100%31Achievement868%20984%349Achievement515%1943%236Achievement7%10101091%No reduction10/18/2002INDEPENDENT08/22/2002
224SAN CARLOS DIALYSIS (FMC)032597US 70 & AZ ROUTE 170PERIDOTAZ8554215100%356%32Achievement10100%36100%34Achievement767%41755%358Achievement89%39727%246Achievement8%10101094%No reduction02/19/2003RENAL CARE GROUP INC.02/20/2003
225MAMMOTH DIALYSIS (FMC)03259814786 SOUTH HIGHWAY 77 - POB 729MAMMOTHAZ8561815100%165%20Achievement10100%21100%23Achievement1079%23777%259Achievement103%2172%185Achievement10%010093%No reduction04/16/2003RENAL CARE GROUP INC.03/12/2003
226AHWATUKEE DIALYSIS (FMC)0325994629 EAST CHANDLER BOULEVARD SUITE 100PHOENIXAZ8504815100%215%19Achievement10100%24100%18Achievement355%26245%209Achievement122%23926%144Achievement2%10101076%No reduction05/07/2003RENAL CARE GROUP INC.03/27/2003
227SCOTTSDALE DIALYSIS CENTER (DVA)0326004725 NORTH SCOTTSDALE ROAD SUITE 100SCOTTSDALEAZ8525115100%286%50Achievement10100%3396%50Achievement1078%31772%542Achievement416%31017%380Achievement7%10101091%No reduction07/11/2003DAVITA06/12/2003
228PALM BROOK DIALYSIS CENTER (DVA)03260114664 NORTH DEL WEBB BOULEVARDSUN CITYAZ8535115100%555%59Achievement10100%5586%57Achievement458%61748%613Achievement221%57324%413Achievement3%10101079%No reduction12/10/2003DAVITA11/07/2003
229SOUTHWEST KIDNEY DIALYSIS - ARROWHEAD LAKES (DVA)03260420325 NORTH 51ST AVENUE SUITE 186 BUILDING 11GLENDALEAZ8530815100%10215%91Achievement798%6396%55Achievement1074%64369%546Achievement514%57017%363Achievement8%10101085%No reduction06/18/2004DAVITA10/02/2007
230SOUTHWEST KIDNEY DIALYSIS - GILBERT (DVA)0326055222 EAST BASELINE ROAD SUITE 104GILBERTAZ8523415100%435%57Achievement10100%4897%58Achievement870%52161%592Achievement515%42621%387Achievement7%10101091%No reduction10/08/2004DAVITA03/01/2005
231AVONDALE DIALYSIS (FMC)03260710750 WEST MCDOWELL ROAD SUITE E500AVONDALEAZ8532315100%523%62Achievement798%61100%64Achievement1078%67467%734Achievement710%61819%518Achievement9%10101088%No reduction05/09/2005FRESENIUS MEDICAL CARE04/05/2005
232AVONDALE DIALYSIS (DSI)03260813055 WEST MCDOWELL ROAD SUITE F101AVONDALEAZ853921555%205%21Achievement10100%21100%20Achievement973%20871%197Achievement97%1998%133Achievement9%10101082%No reduction05/27/2005INDEPENDENT04/16/2005
233SOUTHWEST KIDNEY DIALYSIS - TEMPE (DVA)0326092149 EAST WARNER ROAD SUITE 109 & SUITE 110TEMPEAZ8528415100%1267%95Achievement10100%6798%48Achievement971%77165%635Achievement514%71015%434Achievement7%10101091%No reduction08/05/2005DAVITA06/02/2005
234SOUTHEAST VALLEY DIALYSIS (FMC)03261022715 SOUTH ELLSWORTH ROAD SUITE DQUEEN CREEKAZ8514215100%2810%29Achievement10100%31100%31Achievement1074%32484%339Achievement104%2998%228Achievement10%101010100%No reduction06/19/2006RENAL CARE GROUP INC.04/06/2006
235SOUTHWEST KIDNEY DIALYSIS - PHOENIX (DVA)032611337 EAST CORONADO ROAD SUITE 101PHOENIXAZ8500415100%710%76Achievement899%7697%76Achievement1076%79775%806Achievement88%74911%532Achievement9%10101091%No reduction08/08/2006DAVITA06/27/2006
236SOUTHWEST KIDNEY DIALYSIS - ESTRELLA (DVA)0326128410 WEST THOMAS ROAD SUITE 100 BUILDING 1PHOENIXAZ8503715100%532%58Achievement10100%5797%58Achievement1081%60173%608Achievement105%56614%411Achievement10%101010100%No reduction12/06/2006DAVITA10/31/2006
237NORTHWEST TUCSON DIALYSIS (FMC)0326136261 NORTH LA CHOLLA BOULEVARD SUITE 181TUCSONAZ857411582%4410%58Achievement798%5298%56Achievement664%61866%594Achievement514%56516%404Achievement6%10101073%No reduction09/20/2007FRESENIUS MEDICAL CARE07/02/2007
238DOUGLAS DIALYSIS CENTER (DCI)03261499 EAST 16TH STREETDOUGLASAZ8560715100%379%32Achievement295%43100%36Achievement973%46673%419Achievement515%43715%298Achievement7%10101067%No reduction10/10/2007DIALYSIS CLINIC, INC.10/02/2007
239RIM COUNTRY DIALYSIS (DVA)032615809 WEST LONGHORN ROAD SUITE EASTPAYSONAZ8554115100%174%25Achievement10100%1996%24Achievement663%22954%256Achievement102%19914%156Achievement8%10101094%No reduction04/09/2008DAVITA01/02/2008
240DESERT DIALYSIS SAHUARITA (DCI)0326161700 WEST COMMERCE POINTE PLACESAHUARITAAZ8562915100%294%27Achievement10100%30100%26Achievement561%33245%298Achievement89%30120%189Achievement7%10101091%No reduction04/30/2008DIALYSIS CLINIC, INC.03/02/2008
241TUCSON WEST DIALYSIS CENTER (FMC)032617100 WEST GRANT ROADTUCSONAZ8570515100%267%28Achievement10100%31100%20Achievement766%35979%242Achievement710%3175%165Achievement7%10101091%No reduction05/07/2008FRESENIUS MEDICAL CARE03/02/2008
242NORTHWEST TUCSON DIALYSIS (DVA)0326182945 WEST INA ROAD SUITE 105TUCSONAZ8574115100%4210%41Achievement10100%44100%38Achievement868%48470%422Achievement88%43412%272Achievement8%10101094%No reduction05/08/2008DAVITA02/03/2008
243MOUNTAIN VISTA DIALYSIS OF ARIZONA (DVA)03261910238 EAST HAMPTON AVENUE SUITE 108MESAAZ8520915100%363%32Achievement10100%4396%28Achievement766%40153%282Achievement89%33722%173Achievement8%10101094%No reduction05/07/2008DAVITA12/04/2007
244GRAND HOME DIALYSIS (DVA)03262014674 WEST MOUNTAIN VIEW BOULEVARD SUITE 204SURPRISEAZ8537415100%1511%18AchievementN/A00N/AN/A2927N/AN/A2518N/AN/A51098%No reduction06/18/2008DAVITA06/19/2008
245WEST BROOK DIALYSIS (DVA)03262113907 WEST CAMINO DEL SOLSUN CITY WESTAZ8537515100%584%54Achievement10100%6089%46Achievement560%67864%597Achievement612%60118%409Achievement6%10101088%No reduction06/18/2008DAVITA05/15/2008
246GOODYEAR DIALYSIS (FMC)032622500 NORTH BULLARD AVENUE SUITE C34GOODYEARAZ8533815100%363%39Achievement597%34100%34Achievement1075%41865%389Achievement97%34217%263Achievement10%10101085%No reduction08/06/2008FRESENIUS MEDICAL CARE08/07/2008
247SOUTHWEST KIDNEY CENTRAL MESA (DVA)0326241134 EAST UNIVERSITY DRIVE SUITE 101MESAAZ8520315100%466%34Achievement798%4694%33Achievement454%51340%368Improvement522%44139%236Improvement5%10101076%No reduction11/26/2008DAVITA10/08/2008
248RAVEN DIALYSIS CENTER (DVA)0326253540 EAST BASELINE ROAD SUITE 110PHOENIXAZ8504215100%323%30Achievement10100%32100%30Achievement870%34966%306Achievement710%32720%210Achievement8%10101094%No reduction04/08/2009DAVITA04/09/2009
249MIDVALE PARK DIALYSIS (FMC)0326261430 WEST VALENCIA ROAD SUITE 1TUCSONAZ8574615100%353%31Achievement10100%36100%25Achievement1082%44974%298Achievement105%39014%199Achievement10%101010100%No reduction04/24/2009FRESENIUS MEDICAL CARE04/25/2009
250TUCSON CENTRAL DIALYSIS (DVA)0326272901 EAST GRANT ROADTUCSONAZ8571615100%310%22Achievement10100%30100%22Achievement870%32872%247Achievement96%27518%175Achievement9%10101097%No reduction06/10/2009DAVITA06/11/2009

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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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