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ESRD QIP - Anemia - Payment Year 2015

Row numberFacility NameCMS Certification NumberAlternate CCN 1Alternate CCN 2Alternate CCN 3Address 1Address 2CityStateZip CodeNetworkHemoglobin gt 12 g/dL Performance RateHemoglobin gt 12 g/dL Measure ScoreNational Avg Hemoglobin gt 12 g/dL Measure Score
5351FMC - ABINGDON492630341 FALLS DRIVEABINGDONVA2421050%1010
5352FMC - VIRGINIA BEACH492631525 SOUTH INDEPENDENCE BOULEVARD SUITE 150VIRGINIA BEACHVA2345250%1010
5353FMC - PRINCE WILLIAM COUNTY DIALYSIS4926329302 WEST COURTHOUSE ROADMANASSASVA2011050%1010
5354DOMINION DIALYSIS CENTER492633910 GREAT BRIDGE BOULEVARD SUITE 101CHESAPEAKEVA2332050%1010
5355LIBERTY DIALYSIS PETERSBURG4926343400 SOUTH CRATER ROADPETERSBURGVA2380550%1010
5356ADVANCED DIALYSIS CENTER - POTOMAC4926351785 SOUTH HAYES STREETARLINGTONVA2220250%1010
5357CHARLOTTESVILLE NORTH DIALYSIS4926361800 TIMBERWOOD BOULEVARD SUITE CCHARLOTTESVILLEVA2291150%1010
5358DAVITA - GARRISONVILLE49263770 DOC STONE ROAD #101STAFFORDVA2255650%1010
5359FIRST COLONIAL - DAVITA AT HOME4926381157 FIRST COLONIAL ROAD SUITE 200VIRGINIA BEACHVA2345450%1010
5360FMC - LORTON4926398986 LORTON STATION BOULEVARD SUITE 100LORTONVA2207950%1010
5361RAI - MERCURY BLVD-HAMPTON4926403319 WEST MERCURY BOULEVARDHAMPTONVA2366650%1010
5362RAI - SOUTH CHURCH-SMITHFIELD4926411812-C SOUTH CHURCH STREETSMITHFIELDVA2343050%1010
5363RAI - JOHN TYLER HWY-WILLIAMSBURG4926434511 JOHN TYLER HIGHWAYUNIT JWILLIAMSBURGVA2318550%1010
5364RAI - CHESAPEAKE-NEWPORT NEWS492645225 CHESAPEAKE AVENUENEWPORT NEWSVA2360750%1010
5365RAI - MEDICAL DRIVE-GLOUCESTER4926467547 MEDICAL DRIVE SUITE 1400GLOUCESTERVA2306150%1010
5366RENAL CAREPARTNERS - WOODBRIDGE49264714000 CROWN COURT SUITE 110WOODBRIDGEVA2219350%1010
5367SOUTH LABURNUM DIALYSIS LLC4926484817 SOUTH LABURNUM AVENUERICHMONDVA2323150%1010
5368FMC - SPOTSYLVANIA49264910718 BALLANTRAYE DRIVEBLDG 400 STE 406FREDERICKSBURGVA2240750%1010
5369CHARTER COLONY DIALYSIS CENTER4926502312 COLONY CROSSING PLACEMIDLOTHIANVA2311250%1010
5370WILLIAMSBURG DIALYSIS492651500 SENTARA CIRCLE SUITE 103WILLIAMSBURGVA2318850%1010
5371HAYMARKET DIALYSIS49265214664 GAP WAY #2268GAINESVILLEVA2015550%1010
5372BUTLER FARM DIALYSIS492653501 A BUTLER FARM ROADHAMPTONVA2366650%1010
5373LEESBURG VIRGINIA DIALYSIS492654224-D CORNWALL STREET SUITE 100LEESBURGVA2017653%410
5374FMC - HERITAGE HUNT4926557001 HERITAGE VILLAGE PLAZASTE 150GAINESVILLEVA2015550%1010
5375FMC - BLAIRS DIALYSIS4926569325 US HIGHWAY 29BLAIRSVA2452750%1010
5376FMC - GOOCHLAND4926572913-K RIVER ROAD WESTGOOCHLANDVA2306350%1010
5377MIDTOWNE NORFOLK DIALYSIS4926582201 COLONIAL AVENUENORFOLKVA2351750%1010
5378TOTAL RENAL CARE - HARBOR VIEW DIALYSIS4926591039 CHAMPIONS WAYBLDG H STE 500SUFFOLKVA2343550%1010
5379JEFFERSON AVENUE DIALYSIS49266011234 JEFFERSON AVENUENEWPORT NEWSVA2360150%1010
5380FMC - KING GEORGE49266110344 INDIANTOWN ROADKING GEORGEVA2248550%1010
5381LIBERTY DIALYSIS - SOUTH HILL492662201A EAST FERRELL STREETSOUTH HILLVA2397050%1010
5382LIVINGSTON DIALYSIS LLC4926634900 FOREST HILL AVENUERICHMONDVA2322550%1010
5383WEST HAMPTON REGIONAL DIALYSIS CENTER, LLC492664500 EAST LABURNUM AVENUERICHMONDVA2322250%1010
5384TOTAL RENAL CARE - LITTLE CREEK DIALYSIS4926651817 EAST LITTLE CREEK ROADSTE ANORFOLKVA2351850%1010
5385USRC COLONIAL HEIGHTS LLC4926661617 BOULEVARDSuites B&CCOLONIAL HEIGHTSVA2383450%1010
5386TOTAL RENAL CARE LYNCHBURG HOME TRAINING4926672091 LANGHORNE ROADLYNCHBURGVA245015N/A10
5387MONAHANS DIALYSIS LLC4926681587 NORTH MAIN STREETMARIONVA243545N/A10
5388STINES DIALYSIS LLC492669230 CLEARFIELD AVENUE SUITE 106VIRGINIA BEACHVA234625N/A10
5389KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES, I4926708008 WESTPARK DRIVEsuite 425MCLEANVA221025N/A10
5390GILES COUNTY DIALYSIS492671377 BOXWOOD LANEPEARISBURGVA241345N/A10
5391LANSDOWNE DIALYSIS49267244084 RIVERSIDE PARKWAYSUITE 100LEESBURGVA201765N/A10
5392FMC - LOCUST GROVE4926734122 PARTNERSHIP WAYLOCUST GROVEVA225085N/A10
5393CHILDRENS HOSPITAL OF KINGS DAUGHTERS493301492321601 CHILDRENS LANEPEDIATRIC DIALYSIS CTRNORFOLKVA235075N/A10
5394FAIRFAX HOSPITAL FOR CHILDREN4935044900638505 ARLINGTON BOULEVARD SUITE 100PEDIATRIC KIDNEY CENTERFAIRFAXVA220315N/A10
5395UVA ZION CROSSROADS DIALYSIS49350575 CIRCLE POINTE DRIVEGORDONSVILLEVA2294250%1010
5396UVA ORANGE DIALYSIS493507661 UNIVERSITY LANE SUITE EASTORANGEVA2296050%1010
5397UVA AUGUSTA DIALYSIS49350970 MEDICAL CENTER CIRCLESTE 105FISHERSVILLEVA2293950%1010
5398UVA PAGE DIALYSIS493511235 MEDICAL CENTER DRIVESTANLEYVA2285150%1010
5399UVA AMHERST DIALYSIS493512143 AMBRIAR PLAZAAMHERSTVA2452150%1010
5400UVA LYNCHBURG DIALYSIS493513103 CLIFTON STREETLYNCHBURGVA2450150%1010

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cms cms

created Oct 23, 2012

updated Jan 21, 2015

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QIP data by facility: % patients with Hgb >12.

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