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ESRD QIP - Dialysis Adequacy - Payment Year 2015

Row numberFacility NameCMS Certification NumberAlternate CCN 1Alternate CCN 2Alternate CCN 3Address 1Address 2CityStateZip CodeNetworkKt/V Adult Hemodialysis Performance Period RateKt/V Adult Hemodialysis Measure ScoreNational Avg Kt/V Adult Hemodialysis Measure ScoreKt/V Adult Peritoneal Dialysis Performance Period RateKt/V Adult Peritoneal Dialysis Measure ScoreNational Avg Kt/V Adult Peritoneal Dialysis Measure ScoreKt/V Pediatric Hemodialysis Performance Period RateKt/V Pediatric Hemodialysis Measure ScoreNational Avg Kt/V Pediatric Hemodialysis Measure ScoreKt/V Dialysis Adequacy Combined Measure ScoreNational Avg Kt/V Dialysis Adequacy Combined Measure Score
5601FMC - SHAWANO5225821509 SOUTH LINCOLN STREETSHAWANOWI541661194%77Insufficient dataN/A7Insufficient dataN/A877
5602DAVITA - HARBOR VIEW DIALYSIS522583818 6TH STREETRACINEWI534031198%10786%77Insufficient dataN/A897
5603DAVITA - WILLOW CREEK DIALYSIS5225841139 WARWICK WAYRACINEWI534061197%107Insufficient dataN/A7Insufficient dataN/A8107
5604DAVITA - PRAIRIE RIVER DIALYSIS522585503 SOUTH CENTER AVENUEMERRILLWI5445211100%107Insufficient dataN/A7Insufficient dataN/A8107
5605DAVITA - NORTHERN STAR DIALYSIS522586311 ELM STREETPO BOX 1487WOODRUFFWI545681186%1795%107Insufficient dataN/A827
5606DAVITA - STEVENS POINT DIALYSIS5225871100 MERIDIAN DRIVEPLOVERWI544671199%107Insufficient dataN/A7Insufficient dataN/A8107
5607DAVITA - MARSHFIELD DIALYSIS522588123 NORTHRIDGE STREETMARSHFIELDWI544491197%107Insufficient dataN/A7Insufficient dataN/A8107
5608DAVITA - WISCONSIN RAPIDS DIALYSIS5225891041 B HILL STREETWISCONSIN RAPIDSWI544941197%107Insufficient dataN/A7Insufficient dataN/A8107
5609DAVITA - MEADOW LANE DIALYSIS5225901120 PINE STREETSTANLEYWI547681197%107Insufficient dataN/A7Insufficient dataN/A8107
5610DAVITA - RHINELANDER DIALYSIS5225911306 LINCOLN STREETRHINELANDERWI545011195%87Insufficient dataN/A7Insufficient dataN/A887
5611DAVITA - WAUPACA DIALYSIS522592910 FURMAN DRIVEWAUPACAWI549811196%97Insufficient dataN/A7Insufficient dataN/A897
5612DAVITA - WAUSAU DIALYSIS5225932600 STEWART AVENUE, SUITE 144WAUSAUWI544011194%77Insufficient dataN/A7Insufficient dataN/A877
5613FRESENIUS MEDICAL CARE - MANITOWOC522594333 REED AVENUEMANITOWOCWI542201175%07Insufficient dataN/A7Insufficient dataN/A807
5614DAVITA - MILL STREET HOME TRAINING522595N54 W6135 MILL STREET SUITE 500CEDARBURGWI53012117Insufficient dataN/A7Insufficient dataN/A87
5615LAKE HALLIE DIALYSIS OF DAVITA5225963636 EAST MELBY STREETLAKE HALLIEWI54729117Insufficient dataN/A7Insufficient dataN/A87
5616PURITY HOME TRAINING CENTER5225972301 SUN VALLEY DRIVE SUITE 101DELAFIELDWI5301811782%67Insufficient dataN/A867
5617CHILDRENS HOSPITAL OF WI5233005223199000 WEST WISCONSIN AVENUE, BOX 1997DIALYSIS UNIT - MAIL STATION 604MILWAUKEEWI53201117Insufficient dataN/A7Insufficient dataN/A87
5618GUNDERSEN LUTHERAN RENAL DIALYSIS - PRAIRIE DU CHIEN523500610 EAST TAYLOR STREETPRAIRIE DU CHIENWI538211199%107Insufficient dataN/A7Insufficient dataN/A8107
5619GUNDERSEN LUTHERAN RENAL DIALYSIS - TOMAH523505321 BUTTS AVENUETOMAHWI546601199%107Insufficient dataN/A7Insufficient dataN/A8107
5620FOND DU LAC DIALYSIS CTR523506521327101 SOUTH PIONEER ROADFOND DU LACWI549351199%107Insufficient dataN/A7Insufficient dataN/A8107
5621MAYO DIALYSIS - BARRON5235151222 WOODLAND AVENUEBARRONWI548121195%87Insufficient dataN/A7Insufficient dataN/A887
5622GUNDERSEN LUTHERAN RENAL DIALYSIS - VIROQUA523517407 SOUTH MAIN STREETSTE 300VIROQUAWI546651197%107Insufficient dataN/A7Insufficient dataN/A8107
5623MAYO CLINIC HOSPITAL ROCHESTER523519522309191 THEATRE ROADONALASKAWI546501195%87Insufficient dataN/A7Insufficient dataN/A887
5624MAYO CLINIC DIALYSIS - LONDON ROAD5235223845 LONDON ROADEAU CLAIREWI547011194%77Insufficient dataN/A7Insufficient dataN/A877
5625SACRED HEART DIALYSIS AT ST JOSEPHS HOSP5235252661 COUNTY TRUNK ICHIPPEWA FALLSWI547291199%107Insufficient dataN/A7Insufficient dataN/A8107
5626ASPIRUS HOSP DIALYSIS CTR5235275200303000 WESTHILL DRIVESUITE 106WAUSAUWI544011197%10774%57Insufficient dataN/A897
5627GUNDERSEN LUTHERAN RENAL DIALYSIS - ONALASKA5235283075 SOUTH KINNEY COULEE ROADONALASKAWI546501199%107Insufficient dataN/A7Insufficient dataN/A8107
5628LANGLADE HOSPITAL DIALYSIS523529521350501 AURORA STREETANTIGOWI544091193%67Insufficient dataN/A7Insufficient dataN/A867
5629GUNDERSEN LUTHERAN RENAL DIALYSIS - BLACK RIVER FALLS523530711 WEST ADAMS STREETBLACK RIVER FALLSWI546151194%77Insufficient dataN/A7Insufficient dataN/A877
5630BEAVER DAM DIALYSIS523531110 MONROE STREETBEAVER DAMWI539161198%107Insufficient dataN/A7Insufficient dataN/A8107
5631GUNDERSEN LUTHERAN RENAL DIALYSIS - RICHLAND CENTER5235321313 WEST SEMINARY STREETCENTER CREEK PROF BLDGRICHLAND CENTERWI53581117Insufficient dataN/A7Insufficient dataN/A87
5632CCMH DIALYSIS UNIT530002532305501 SOUTH BURMAGILLETTEWY827161599%107Insufficient dataN/A7Insufficient dataN/A8107
5633BILLINGS CLINIC SHERIDAN DIALYSIS5300065323021401 WEST 5TH STREETSHERIDANWY828011596%97Insufficient dataN/A7Insufficient dataN/A897
5634MEM HOSP OF SWEETWATER COUNTY/DIALYSIS5300115323041200 COLLEGE DRIVEROCK SPRINGSWY8290115100%107Insufficient dataN/A7Insufficient dataN/A8107
5635IVINSON MEMORIAL HOSP - DIALYSIS CENTER530025532306255 NORTH 30TH STREETLARAMIEWY820721596%97Insufficient dataN/A7Insufficient dataN/A897
5636CHEYENNE DIALYSIS (FMC)5325011739 MEADOWLAND DRIVECHEYENNEWY820091595%8777%57Insufficient dataN/A877
5637WIND RIVER DIALYSIS CENTER53250311 SHIPTON LANEFORT WASHAKIEWY825141595%87Insufficient dataN/A7Insufficient dataN/A887
5638WYOMING KIDNEY CENTER5325041141 WILKINS CIRCLECASPERWY826011584%07Insufficient dataN/A7Insufficient dataN/A807
5639BIG HORN BASIN REGIONAL DIALYSIS (DCI)532505424 YELLOWSTONE AVENUE, SUITE 150CODYWY824141599%107Insufficient dataN/A7Insufficient dataN/A8107
5640EVANSTON REGIONAL HOSPITAL/DIALYSIS533501460004532307112 YELLOWCREEK ROADEVANSTONWY82930154%07Insufficient dataN/A7Insufficient dataN/A807
5641ADVANCED DIALYSIS CENTER5525013932 DOWNING AVENUEBALDWIN PARKCA917061899%107Insufficient dataN/A7Insufficient dataN/A8107
5642RAI-EAST FIRST STREET-TUSTIN552502535 EAST FIRST STREETTUSTINCA927801891%57Insufficient dataN/A7Insufficient dataN/A857
5643FMC SANTA ROSA NORTH552503487 AVIATION BOULEVARD SUITE 110SANTA ROSACA954031795%87Insufficient dataN/A7Insufficient dataN/A887
5644TOKAY DIALYSIS CENTER552504312 SOUTH FAIRMONT AVENUE SUITE ALODICA952401795%87Insufficient dataN/A7Insufficient dataN/A887
5645PALM BLUFF DIALYSIS CENTER552505770 WEST PINEDALE AVENUEFRESNOCA937111796%97Insufficient dataN/A7Insufficient dataN/A897
5646FMC-IRWINDALE55250612711 RAMONA BOULEVARD, SUITE 111IRWINDALECA917061897%107Insufficient dataN/A7Insufficient dataN/A8107
5647INNOVATIVE DIALYSIS CENTER OF SHERMAN OAKS, INC.5525074955 VAN NUYS BOULEVARD, SUITE 111SHERMAN OAKSCA914031884%07Insufficient dataN/A7Insufficient dataN/A807
5648FMC-WOODLAND HILLS DIALYSIS CENTER55250819836 VENTURA BOULEVARD, SUITE CWOODLAND HILLSCA913641882%27Insufficient dataN/A7Insufficient dataN/A827
5649DAVITA-WHITTIER DIALYSIS CENTER55250910055 WHITTWOOD DRIVE, SUITE AWHITTIERCA906031894%77Insufficient dataN/A7Insufficient dataN/A877
5650CREEKSIDE DIALYSIS CENTER552510141 PARKER STREETVACAVILLECA956881796%97Insufficient dataN/A7Insufficient dataN/A897

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cms cms

created Oct 23, 2012

updated Jan 21, 2015

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Description

ESRD QIP data by facility: % of hemodialysis patient-months with spKt/V >= 1.2; % of peritoneal patient-months with Kt/V >= 1.7 Kt/V (dialytic + residual) during the four-month study period; % of pediatric in-center hemodialysis patient-months with spKt/V >= 1.2

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