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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
351DAVITA-ANTELOPE VALLEY DIALYSIS0525211759 WEST AVENUE J, SUITE 102LANCASTERCA9353418100%1014%111Achievement899%10498%107Achievement560%117054%1206Achievement318%108422%826Achievement4%10101076%No reduction08/04/1977DAVITA05/10/2000
352MOBILE DIALYSIS SERVICES, INC. (COMPTON)052522801 WEST COMPTON BOULEVARDCOMPTONCA9022018100%420%46Achievement798%4494%47Achievement973%48467%522Achievement96%4698%381Achievement9%1051086%No reduction09/01/1976INDEPENDENT05/28/1999
353FMC-LONG BEACH052523440 WEST OCEAN BOULEVARDLONG BEACHCA9080218100%395%43Achievement10100%4796%46Achievement561%52161%499Achievement514%49012%345Achievement5%10101085%No reduction08/05/1977FRESENIUS MEDICAL CARE06/09/1999
354BMA SANTA ROSA0525241020 SECOND STREETSANTA ROSACA9540417100%463%62Achievement10100%5397%64Achievement149%60964%739Achievement515%59212%522Achievement3%10101079%No reduction08/18/1977FRESENIUS MEDICAL CARE01/02/2000
355ESCONDIDO DIALYSIS052525203 EAST SECOND AVENUEESCONDIDOCA9202518100%603%71Achievement10100%6899%75Achievement1074%75471%770Achievement96%7067%501Achievement10%101010100%No reduction04/22/1977DAVITA10/06/2005
356SATELLITE DIALYSIS GREENBRAE052526565 SIR FRANCIS DRAKE BOULEVARDGREENBRAECA9490417100%613%60Achievement798%59100%57Achievement664%70563%682Achievement711%6548%480Achievement7%10101082%No reduction08/18/1977SATELLITE HEALTHCARE01/01/2006
357REDDING DIALYSIS CENTER0525281876 PARK MARINA DRIVEREDDINGCA9600117100%916%90Achievement10100%7891%74Achievement766%89657%895Achievement97%83312%601Achievement8%10101094%No reduction08/20/1977DAVITA01/02/1980
358SATELLITE DIALYSIS MODESTO0525313500 COFFEE ROAD #21MODESTOCA953551791%9011%82Achievement798%83100%81Achievement767%102972%935Achievement613%95310%647Achievement7%10101079%No reduction08/10/1977SATELLITE HEALTHCARE08/23/2010
359DAVITA-RIVERSIDE DIALYSIS CENTER0525324361 LATHAM STREET, SUITE 100RIVERSIDECA9250118100%433%66Achievement10100%4297%65Achievement870%39656%706Achievement89%37220%460Achievement8%10101094%No reduction11/02/1978DAVITA05/28/1999
360RAI - EAST BAY - OAKLAND0525342628 INTERNATIONAL BOULEVARD, SUITE 100OAKLANDCA9460117100%593%68Achievement10100%59100%68Achievement559%67851%796Achievement89%65712%558Achievement7%10101091%No reduction08/15/1977RENAL ADVANTAGE01/02/2008
361FMC-NATIONAL CITY DIALYSIS CENTER052536303 WEST 26TH STREETNATIONAL CITYCA9195018100%876%79Achievement10100%93100%80Achievement354%102459%882Achievement96%9406%627Achievement6%10101088%No reduction01/01/1991FRESENIUS MEDICAL CARE06/03/1999
362INGLEWOOD DIALYSIS052538125 EAST ARBOR VITAEINGLEWOODCA9030118100%771%94Achievement496%7894%93Achievement355%90953%1023Achievement711%88112%725Achievement5%10101067%No reduction08/15/1977DAVITA10/06/2005
363DAVITA-LAKEWOOD DIALYSIS CENTER0525394611 SILVA STREETLAKEWOODCA9071218100%914%91Achievement10100%8797%90Achievement662%99365%957Achievement514%90313%659Achievement6%10101088%No reduction07/11/1978DAVITA05/19/1999
364PALM SPRINGS DIALYSIS0525411061 NORTH INDIAN CANYON DRIVEPALM SPRINGSCA9226218100%640%91Achievement798%6598%92Achievement1080%72872%985Achievement710%6809%672Achievement9%10101088%No reduction10/18/1976DAVITA10/06/2005
365FMC EUREKA0525432765 TIMBER RIDGE LANEEUREKACA9550317100%484%49Achievement10100%51100%42Achievement870%55573%498Achievement96%5077%368Achievement9%10101097%No reduction08/17/1977FRESENIUS MEDICAL CARE01/02/1980
366FMC-CULVER CITY DIALYSIS0525449432 VENICE BOULEVARDCULVER CITYCA9023018100%686%67Achievement10100%7099%70Achievement146%80342%722Achievement417%75716%512Achievement3%10101079%No reduction08/14/1977FRESENIUS MEDICAL CARE05/19/1999
367KIDNEY DIALYSIS CENTER OF NORTHRIDGE, LLC05254518546 ROSCOE BOULEVARD, SUITE 108NORTHRIDGECA913241891%1081%120Achievement899%10495%110Achievement457%120949%1326Achievement221%116623%937Achievement3%10101070%No reduction08/15/1977INDEPENDENT06/04/1999
368DALY CITY DIALYSIS CENTER0525461498 SOUTHGATE AVENUEDALY CITYCA9401517100%1135%124Achievement899%9497%94Achievement971%126966%1282Achievement711%121518%919Achievement8%10101088%No reduction08/31/1977DAVITA11/16/2005
369FMC-BURBANK0525492031 ALAMEDA AVENUE, SUITE 202BURBANKCA9150618100%615%60Achievement10100%5596%51Achievement663%64566%581Achievement416%58719%410Achievement5%10101085%No reduction08/30/1977FRESENIUS MEDICAL CARE06/08/1999
370LOMA LINDA UNIVERSITY KIDNEY CENTER05255011375 ANDERSON STREETLOMA LINDACA923541882%11610%122Achievement597%10095%111Achievement147%116846%1285Achievement123%111621%921Achievement1%10101052%0.5%12/02/1977INDEPENDENT05/19/1999
371UPLAND DIALYSIS052552600 NORTH 13TH AVENUEUPLANDCA9178618100%811%85Achievement798%6698%63Achievement250%71550%706Achievement89%6549%490Achievement5%10101076%No reduction04/28/1978DAVITA10/06/2005
372CHICO DIALYSIS CENTER052553530 COHASSET ROADCHICOCA959261764%854%82Achievement899%7092%63Achievement1081%96882%904Achievement88%9126%616Achievement9%10101079%No reduction08/22/1978DAVITA04/10/2004
373DAVITA-VALLEY DIALYSIS CENTER05255416149 HART STREETVAN NUYSCA9140618100%808%75Achievement899%8097%74Achievement870%95970%810Achievement612%88115%564Achievement7%10101085%No reduction12/01/1978DAVITA05/19/1999
374SATELLITE DIALYSIS SANTA CRUZ0525553801 CLARES STREETCAPITOLACA9501017100%700%64Achievement093%69100%62Achievement355%84461%730Achievement416%75712%501Achievement4%10101052%0.5%01/26/1979SATELLITE HEALTHCARE05/15/2012
375SKYPARK DIALYSIS0525563295 SKYPARK DRIVETORRANCECA905051882%5314%58Achievement10100%5291%56Achievement664%58568%616Achievement88%55414%427Achievement7%10101085%No reduction12/27/1978OTHER CHAIN(number of facilities <20 )08/12/1999
376HOLY CROSS RENAL CENTER05255814901 RINALDI STREET, SUITE 100MISSION HILLSCA9134518100%1370%139Achievement798%14399%131Achievement767%166265%1568Achievement103%15786%1134Achievement9%10101088%No reduction12/01/1979OTHER CHAIN(number of facilities <20 )06/09/1999
377SAN PABLO DIALYSIS CENTER05256014020 SAN PABLO AVENUESAN PABLOCA9480617100%903%89Achievement798%9098%83Achievement560%103863%1003Achievement613%100714%714Achievement6%10101079%No reduction04/25/1980DAVITA11/24/2005
378VICTOR VALLEY DIALYSIS05256116049 KAMANA ROADAPPLE VALLEYCA9230718100%722%81Achievement899%7291%75Achievement355%76562%810Achievement612%70314%555Achievement5%10101079%No reduction07/30/1980DAVITA12/20/2005
379YUBA CITY DIALYSIS CENTER0525631525 PLUMAS COURT SUITE AYUBA CITYCA9599117100%733%69Achievement10100%7285%65Achievement973%85574%780Achievement97%7687%542Achievement9%10101097%No reduction08/04/1980DAVITA03/04/2011
380DAVITA-GARFIELD HEMODIALYSIS CENTER052564118 HILLIARD AVENUEMONTEREY PARKCA9175418100%724%113Achievement10100%8198%83Achievement559%92963%941Achievement96%8978%680Achievement7%10101091%No reduction04/06/1977DAVITA05/28/1999
381SILVERADO DIALYSIS0525651100 TRANCAS, SUITE 267NAPACA9455817023%2619%31Achievement10100%2296%28Achievement458%26758%325Achievement101%2480%232Achievement7%100054%No reduction10/15/1980INDEPENDENT06/02/2011
382VALLEJO DIALYSIS CENTER052567121 HOSPITAL DRIVEVALLEJOCA9458917100%486%52Achievement10100%5194%50Achievement458%59556%550Achievement514%55926%381Achievement5%10101085%No reduction08/07/1980DAVITA11/24/2005
383PLEASANTON DIALYSIS CENTER0525685720 STONERIDGE MALL ROAD #160PLEASANTONCA9458817100%510%59Achievement597%3798%51Achievement765%44558%516Achievement96%4068%349Achievement8%10101079%No reduction02/10/1981DAVITA09/19/2001
384SOUTH SACRAMENTO DIALYSIS CENTER0525697000 FRANKLIN BOULEVARD #880SACRAMENTOCA9582317100%432%42Achievement10100%4398%43Achievement355%44550%478Achievement711%4296%338Achievement5%10101085%No reduction12/19/1980DAVITA01/02/1980
385UNION CITY DIALYSIS CENTER05257132930 ALVARADO-NILES ROAD #300UNION CITYCA9458717100%972%110Achievement798%9598%92Achievement456%105762%1101Achievement612%99712%772Achievement5%10101076%No reduction05/20/1981DAVITA10/04/2003
386SATELLITE DIALYSIS SAN JOSE0525722121 ALEXIAN DRIVESAN JOSECA951161791%1487%164Achievement899%13599%150Achievement031%170234%1854Achievement025%161924%1322Achievement0%10101061%No reduction05/25/1981SATELLITE HEALTHCARE01/02/1980
387DAVITA-DOWNEY DIALYSIS CENTER0525748630 FLORENCE AVENUE, SUITE 100DOWNEYCA9024018100%678%66Achievement10100%6995%64Achievement869%78861%668Achievement711%71619%466Achievement8%10101094%No reduction08/31/1981DAVITA05/19/1999
388RAI-NORTH WATERMAN-SAN BERNARDINO0525751500 NORTH WATERMAN AVENUESAN BERNARDINOCA924041891%9510%106Achievement697%10391%98Improvement355%128850%1200Achievement221%118624%830Achievement3%10101064%No reduction11/15/1981FRESENIUS MEDICAL CARE11/24/2005
389FMC-BALBOA-KEARNY MESA DIALYSIS CENTER0525767927 OSTROW STREET, SUITE ASAN DIEGOCA9211118100%1365%138Achievement10100%9797%108Achievement355%105955%1148Achievement89%10197%811Achievement6%10101088%No reduction12/01/1987FRESENIUS MEDICAL CARE05/10/2000
390RAI HARDING BLVD052578218 HARDING BOULEVARDROSEVILLECA9567817100%260%18Achievement10100%30100%22Achievement868%32774%263Achievement711%3002%191Achievement8%10101094%No reduction01/15/1982RENAL ADVANTAGE11/24/2005
391FMC-CONEJO VALLEY RENAL CENTER052579227 WEST JANSS ROAD, SUITE 115THOUSAND OAKSCA9136018100%485%55Achievement798%5296%55Achievement1075%62669%586Achievement104%5797%400Achievement10%10101091%No reduction01/14/1982FRESENIUS MEDICAL CARE06/16/1999
392DAVITA-COVINA DIALYSIS CENTER0525801547 WEST GARVEY AVENUE NORTHWEST COVINACA9179018100%515%58Achievement10100%52100%57Achievement664%52355%640Achievement104%49211%442Achievement8%10101094%No reduction01/14/1982DAVITA05/28/1999
393BEACH CITIES DIALYSIS-GARDENA0525811045 WEST REDONDO BEACH BOULEVARD, SUITE 105GARDENACA9024718100%422%47Achievement696%4887%47Improvement559%54061%575Achievement89%51615%397Achievement7%10101079%No reduction03/19/1982OTHER CHAIN(number of facilities <20 )05/19/1999
394ST. VINCENT DIALYSIS CENTER, INC.052582201 SOUTH ALVARADO STREET, SUITE 220LOS ANGELESCA9005718100%787%88Achievement899%7299%82Achievement458%87964%971Achievement89%81911%674Achievement6%10101082%No reduction09/01/1982INDEPENDENT06/04/1999
395MONTEREY PENINSULA DIALYSIS0525832066 NORTH FREMONT BOULEVARDMONTEREYCA9394017100%721%67Achievement898%6389%53Improvement457%76859%664Achievement613%71313%471Achievement5%10101079%No reduction08/05/1982OTHER CHAIN(number of facilities <20 )01/02/1980
396NORTH MERCED DIALYSIS CENTER0525843150 G STREET SUITE AMERCEDCA9534017100%896%89Achievement10100%7498%82Achievement1078%85173%925Achievement104%7938%662Achievement10%101010100%No reduction11/08/1982DAVITA11/24/2005
397KIDNEY CENTER OF VAN NUYS05258514624 SHERMAN WAY, SUITE 106VAN NUYSCA9140518100%713%72Achievement797%6989%65Improvement037%84542%798Achievement033%81026%550Achievement0%10101061%No reduction02/01/1983INDEPENDENT05/29/1999
398BERKELEY DIALYSIS CENTER0525872920 TELEGRAPH AVENUEBERKELEYCA9470517100%634%74Achievement295%6593%72Achievement559%72458%834Achievement711%69411%596Achievement6%10101064%No reduction04/04/1983DAVITA11/24/2005
399SAN FERNANDO WEST KIDNEY CENTER0525887230 MEDICAL CENTER DRIVE, SUITE 101WEST HILLSCA913071855%581%67Achievement595%5788%64Improvement869%63849%695Achievement515%58829%482Achievement7%0101058%No reduction06/15/1983OTHER CHAIN(number of facilities <20 )05/28/1999
400UCI RENAL DIALYSIS CENTER052589101 CITY DRIVE, BUILDING 51ORANGECA9286818100%7421%75Achievement10100%6993%69Achievement973%80067%794Achievement97%76410%560Achievement9%10101097%No reduction07/01/1983INDEPENDENT07/08/1999

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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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