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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
5501FMC - CLARKSBURG51252316 STERLING DRIVEBRIDGEPORTWV2633050%1010
5502FMC - WESTON512524MARKET PLACE PLAZASTE 1 CWESTONWV2645250%1010
5503MOUNTAIN RIDGE DIALYSIS512525229 MERCHANTS WALKSUMMERSVILLEWV2665150%1010
5504FMC - BRUCETON MILLS512527RR 3 BOX 300 CASTEEL ROADBRUCETON MILLSWV2652550%1010
5505FMC - CHARLES TOWN512528179 EAST BURR BOULEVARDUNIT AKEARNEYSVILLEWV2543050%1010
5506FMC - RIPLEY5125291000 NEW STONE RIDGE ROADRIPLEYWV2527150%1010
5507POINT PLEASANT DIALYSIS5125303683 OHIO RIVER ROADPOINT PLEASANTWV2555050%1010
5508GREATER BOONE DIALYSIS512531300 4TH STREETDANVILLEWV2505350%1010
5509J ROBERT PRITCHARD DIALYSIS CENTER5125321690 MEDICAL CENTER DRIVEHUNTINGTONWV2570150%1010
5510FMC - KANAWHA COUNTY512533951 DUNBAR VILLAGEDUNBARWV2506450%1010
5511FMC - GREENBRIER COUNTY5125341215 MAPLEWOOD AVENUELEWISBURGWV2490150%1010
5512FMC - RIVER HILLS5125355170 US RTE 60 EASTHUNTINGTONWV2570550%1010
5513FMC - OCEANA5125361777 COOK PARKWAYOCEANAWV2487050%1010
5514RENAL CENTER OF KEYSER, LLC5125371080 NEW CREEK HIGHWAYKEYSERWV2672650%1010
5515MOUNTAINEER DIALYSIS5125382958 ROBERT C BYRD DRIVEBECKLEYWV258015N/A10
5516FMC - APPALACHIAN DIALYSIS512539115 SOLAR DRIVEBECKLEYWV258015N/A10
5517MAYO CLINIC DIALYSIS - MENOMONIE520003522331407 21ST STREETMENOMONIEWI54751118%610
5518LAKEVIEW MEDICAL CENTER5200115223201700 WEST STOUT STREETRICE LAKEWI54868110%1010
5519SACRED HEART HOSPITAL DIALYSIS520013522327900 WEST CLAIREMONT AVENUEEAU CLAIREWI54701110%1010
5520ST CATHERINES KIDNEY CTR - UNITED HOSP SYSTEM5200215223359555 76TH STREETST CATHERINES MEDICAL CTR CAMPUSPLEASANT PRAIRIEWI53158110%1010
5521WAUPUN REGIONAL DIALYSIS52002552230110 BEAVER DAM STREETWAUPUNWI53963110%1010
5522DIVINE SAVIOR HEALTHCARE DIALYSIS5200415223392817 NEW PINERY ROADPORTAGEWI53901110%1010
5523ST NICHOLAS HOSPITAL - DIALYSIS5200445223232925 SAEMANN AVENUESHEBOYGANWI53081110%1010
5524ST CLARE DIALYSIS CTR5200575223321600 JEFFERSON STREETSUITE 200BARABOOWI53913110%1010
5525MERCY REGIONAL DIALYSIS CENTER520066522329903 MINERAL POINT AVENUEJANESVILLEWI53548110%1010
5526LUTHER HOSPITAL - MAYO CLINIC DIALYSIS5200705223111221 WHIPPLE STREETEAU CLAIREWI54702118%410
5527ST VINCENT HOSPITAL REGIONAL DIALYSIS CTR5200755223121920 LIBAL STREETGREEN BAYWI54301110%1010
5528SSM DIALYSIS - MADISON STATION5200835223332840 INDEX ROADMADISONWI53713110%1010
5529GUNDERSEN LUTHERAN RENAL DIALYSIS - LA CROSSE5200875223131900 SOUTH AVENUELA CROSSEWI5460111N/A10
5530BELOIT HEALTH SYSTEM - DIALYSIS5201005223241969 WEST HART ROADBELOITWI53511110%1010
5531HESS MEMORIAL HOSPITAL5201095223281050 DIVISION STREETMAUSTONWI53948110%1010
5532ASPIRUS MEDFORD HOSPITAL & CLINICS, INC.521324522343135 SOUTH GIBSON STREETMEDFORDWI5445111N/A10
5533UPLAND HILLS DIALYSIS CTR521352522341800 COMPASSION WAYDODGEVILLEWI53533110%1010
5534FMC - NEENAH522500300 NORTH COMMERCIAL STREET, SUITE 100NEENAHWI54956110%1010
5535DAVITA - FOX RIVER5225011910 RIVERSIDE DRIVEGREEN BAYWI54301110%1010
5536DAVITA - WISCONSIN AVE5225023801 WEST WISCONSIN AVENUEMILWAUKEEWI53208110%1010
5537DAVITA - JANESVILLE5225031305 WOODMAN ROADJANESVILLEWI53545110%1010
5538PURITY DIALYSIS - WAUKESHA522504721 AMERICAN AVENUE, SUITE 204WAUKESHAWI53188110%1010
5539FRESENIUS MEDICAL CARE MIDWEST SOUTH5225063267 SOUTH 16TH STREET SUITE 203MILWAUKEEWI53215110%1010
5540DAVITA - LOOMIS RD5225074120 WEST LOOMIS ROADGREENFIELDWI53221113%410
5541DAVITA - RIVERCENTER DR522509117 NORTH JEFFERSON STREETMILWAUKEEWI53202110%1010
5542FMC DIALYSIS - MILWAUKEE522510200 WEST PLEASANT STREETMILWAUKEEWI53212110%1010
5543GREEN BAY NORTHWOOD DIALYSIS OF DAVITA522511W 7305 ELM AVENUESHAWANOWI54166113%410
5544FRESENIUS MEDICAL CARE MIDWEST CAPITOL5225124021 NORTH 52ND STREETMILWAUKEEWI53216110%1010
5545PURITY DIALYSIS - BROOKFIELD52251318740 WEST BLUEMOUND ROADBROOKFIELDWI53045110%1010
5546PURITY DIALYSIS - OCONOMOWOC5225171253 CORPORATE CENTER DRIVEOCONOMOWOCWI53066110%1010
5547ST CROIX FALLS DIALYSIS OF DAVITA522519744 LOUISIANA STREET EASTSAINT CROIX FALLSWI54024110%1010
5548PURITY DIALYSIS - MUKWONAGO522521400 BAY VIEW ROAD, SUITE FMUKWONAGOWI53149110%1010
5549PURITY DIALYSIS - MENOMONEE FALLS522523N87 W17301 MAIN STREETMENOMONEE FALLSWI53051110%1010
5550FRESENIUS MEDICAL CARE MIDWEST GOOD HOPE5225247701 WEST CLINTON AVENUEMILWAUKEEWI53223110%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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