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ESRD QIP - Complete QIP Data - Payment Year 2015

Row numberFacility NameCMS Certification Number (CCN)Alternate CCN 1Alternate CCN 2Alternate CCN 3Address 1Address 2CityStateZip CodeNetworkHemoglobin 12 g/dL Measure ScoreHemoglobin 12 g/dL Performance Period RateNumber of Patients Included in Hemoglobin Measure Score Performance PeriodHemoglobin 12 g/dL Baseline Period RateNumber of Patients Included in Hemoglobin Measure Score Baseline PeriodHemoglobin 12 g/dL Performance Score AppliedKt/V Adult Hemodialysis Measure ScoreKt/V Adult Hemodialysis Performance Period RateNumber of Patients Included in Kt/V Adult Hemodialysis Measure Score Performance PeriodNumber of Kt/V Adult Hemodialysis Patient Months Performance PeriodKt/V Adult Hemodialysis Baseline Period RateNumber of Kt/V Adult Hemodialysis Patient Months Baseline PeriodKt/V Adult Hemodialysis Performance Score AppliedKt/V Adult Peritoneal Dialysis Measure ScoreKt/V Adult Peritoneal Dialysis Performance Period RateNumber of Patients Included in Kt/V Adult Peritoneal Dialysis Measure Score Performance PeriodNumber of Kt/V Adult Peritoneal Dialysis Patient Months Performance PeriodKt/V Adult Peritoneal Dialysis Baseline Period RateNumber of Kt/V Adult Peritoneal Dialysis Patient Months Baseline PeriodKt/V Adult Peritoneal Dialysis Performance Score AppliedKt/V Pediatric Hemodialysis Measure ScoreKt/V Pediatric Hemodialysis Performance Period RateNumber of Patients Included in Kt/V Pediatric Hemodialysis Measure Score Performance PeriodNumber of Kt/V Pediatric Hemodialysis Patient Months Performance PeriodKt/V Pediatric Hemodialysis Baseline Period RateNumber of Kt/V Pediatric Hemodialysis Patient Months Baseline PeriodKt/V Pediatric Hemodialysis Performance Score AppliedKt/V Dialysis Adequacy Combined Measure ScoreFistula Measure ScoreFistula Performance Period RateNumber of Patients Included in Fistula Measure Score Performance PeriodNumber of Fistula Patient Months Performance PeriodFistula Baseline Period RateNumber of Fistula Patient Months Baseline PeriodFistula Performance Score AppliedCatheter Measure ScoreCatheter Performance Period RateNumber of Patients Included in Catheter Measure Score Performance PeriodNumber 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 ScoreAnemia Management Reporting ScoreTotal Performance ScorePY2015 Payment Reduction PercentageCMS Certification DateOwnership as of December 31, 2013Date of ownership record update
5901SOUTHCROSS DIALYSIS CENTER6725194602 EAST SOUTHCROSS BOULEVARDSAN ANTONIOTX7822214100%570%62Achievement1097%7252997%653AchievementN/AInsufficient dataN/A0Insufficient data0N/AN/AInsufficient dataN/A0Insufficient data0N/A10355%6764852%685Achievement102%695912%651Achievement7%1010101093%No reduction08/23/2005DAVITA01/05/2007
5902LANCASTER DIALYSIS6725202424 WEST PLEASANT RUNLANCASTERTX7514614100%310%33Achievement895%5732998%374AchievementN/AInsufficient dataN/A0Insufficient data0N/AN/AInsufficient dataN/A0Insufficient data0N/A8562%3934549%390Achievement87%413079%365Achievement7%101081086%No reduction09/12/2005DAVITA10/11/2011
5903LAS PALMAS DIALYSIS CENTER672521803 CASTROVILLE ROADSUITE 415SAN ANTONIOTX7823714100%350%43Achievement1097%5643197%505AchievementN/AInsufficient dataN/A0Insufficient data0N/AN/AInsufficient dataN/A0Insufficient data0N/A10766%4443160%514Achievement102%474022%492Achievement9%1010101098%No reduction10/06/2005DAVITA01/19/2011
5904DAVITA - SOUTH SHORE DIALYSIS CENTER672522212 I-45 SOUTHSUITE G-3LEAGUE CITYTX7757314100%680%73Achievement1097%8157697%625Achievement991%2117387%153AchievementN/AInsufficient dataN/A0Insufficient data0N/A10871%6464470%668Achievement102%725863%607Achievement9%1010101098%No reduction10/05/2005DAVITA07/11/2012
5905MARYMOUNT DIALYSIS CENTER6725232391 NORTHEAST LOOP 410SUITE #211SAN ANTONIOTX7821714100%820%88Achievement996%10686096%977AchievementN/AInsufficient dataN/A0Insufficient data0N/AN/AInsufficient dataN/A0Insufficient data0N/A9767%8689868%1020Achievement103%928603%965Achievement9%1010101095%No reduction10/13/2005DAVITA03/14/2012
5906ANGLETON KIDNEY CENTER672524102 EAST HOSPITAL DRIVEANGLETONTX7751514100%370%31Achievement1097%4743695%479AchievementN/AInsufficient dataN/A0Insufficient data0N/AN/AInsufficient dataN/A0Insufficient data0N/A10766%4344958%479Achievement710%4542711%451Achievement7%10801085%No reduction10/28/2005NOT A CHAIN01/23/2007
5907ARLINGTON DIALYSIS6725251250 EAST PIONEER PARKWAYSUITE 700ARLINGTONTX7601014100%570%52Achievement996%7454195%613AchievementN/AInsufficient dataN/A0Insufficient data0N/AN/AInsufficient dataN/A12Insufficient data10N/A9253%6058253%627Achievement79%615348%564Achievement5%1010101085%No reduction10/31/2005DAVITA08/18/2010
5908LIBERTY DIALYSIS LANCASTER6725263250 WEST PLEASANT RUN ROAD #280LANCASTERTX7514614100%580%50Achievement1098%7067298%619AchievementN/AInsufficient dataN/A0Insufficient data0N/AN/AInsufficient dataN/A0Insufficient data0N/A10663%6771565%603Achievement611%706639%581Achievement6%1010101090%No reduction10/24/2005NOT A CHAIN01/09/2014
5909SNG BARLITE6725277500 BARLITE, SUITE 103SAN ANTONIOTX7822414100%951%97Achievement1097%9384996%866Achievement163%2416060%77AchievementN/AInsufficient dataN/A0Insufficient data0N/A81075%8895181%1033Achievement104%979142%967Achievement10%107101093%No reduction10/27/2005OTHER CHAIN(number of facilities <20 )03/15/2013
5910GRACIAS DIALYSIS6725292506 WEST MOUNT HOUSTON ROAD, SUITE AHOUSTONTX7703814100%340%35Achievement591%6232690%386AchievementN/AInsufficient dataN/A0Insufficient data0N/AN/AInsufficient dataN/A0Insufficient data0N/A5766%4131354%432Achievement514%4920419%372Achievement6%1010101078%No reduction11/22/2005DAVITA09/09/2013
5911FMC HILLSBORO KIDNEY CENTER6725301507 HILLVIEWHILLSBOROTX7664514100%330%39Achievement591%5042683%448AchievementN/AInsufficient dataN/A0Insufficient data0N/AN/AInsufficient dataN/A0Insufficient data0N/A51084%4043583%473Achievement100%424153%430Achievement10%1010101088%No reduction11/28/2005FRESENIUS MEDICAL CARE06/09/2009
5912GRAPEVINE DIALYSIS6725311600 WEST NORTHWEST HIGHWAY, SUITE 100GRAPEVINETX7605114100%604%71Achievement794%8652194%583Achievement890%128285%75AchievementN/AInsufficient dataN/A0Insufficient data0N/A7869%7171569%761Achievement96%826686%706Achievement9%1010101090%No reduction11/15/2005DAVITA06/25/2012
5913SNG SAN SABA672532315 NORTH SAN SABA, SUITE 101SAN ANTONIOTX7820714100%851%82Achievement1097%9383094%782AchievementN/AInsufficient dataN/A0Insufficient data0N/AN/AInsufficient dataN/A0Insufficient data0N/A10457%9193258%907Achievement79%948648%831Achievement6%1010101090%No reduction12/15/2005OTHER CHAIN(number of facilities <20 )03/22/2013
5914MAVERICK COUNTY DIALYSIS6725343420 AMY STRETEAGLE PASSTX7885214100%781%92Achievement1097%9685596%913Achievement888%12101Insufficient data78AchievementN/AInsufficient dataN/A0Insufficient data0N/A10973%8087672%980Achievement96%878376%950Achievement9%1010101098%No reduction01/20/2006US RENAL CARE, INC.02/13/2014
5915BAYOU CITY DIALYSIS67253510655 EASTEX FREEWAYHOUSTONTX770931462%550%52Achievement1097%7667196%718AchievementN/AInsufficient dataN/A0Insufficient data0N/AN/AInsufficient dataN/A0Insufficient data0N/A101080%6768376%727Achievement102%726482%698Achievement10%1010101090%No reduction01/11/2006DAVITA01/05/2007
5916UPPER VALLEY DIALYSIS6725367933 NORTH MESASUITE HEL PASOTX7993214100%770%67Achievement1099%101861100%874AchievementN/AInsufficient dataN/A0Insufficient data0N/AN/AInsufficient dataN/A0Insufficient data0N/A101075%8792677%861Achievement105%928725%841Achievement10%10101010100%No reduction03/10/2006DAVITA04/18/2013
5917SUMMIT DIALYSIS6725373150 POLK STREETHOUSTONTX7700314100%500%50Achievement1097%6048395%507AchievementN/AInsufficient dataN/A0Insufficient data0N/AN/AInsufficient dataN/A0Insufficient data0N/A10871%5351261%536Achievement710%5646816%499Achievement7%1010101093%No reduction03/10/2006DAVITA01/09/2014
5918WILLOWBROOK DIALYSIS67253812120 JONES ROAD, SUITE GHOUSTONTX7707014100%670%68Achievement895%7359594%624Achievement992%1916491%175AchievementN/AInsufficient dataN/A0Insufficient data0N/A8870%5964364%648Achievement79%6660915%623Achievement7%1010101088%No reduction03/10/2006DAVITA04/20/2011
5919LA PORTE DIALYSIS FACILITY6725391307 WEST FAIRMONT PARKWAY, SUITE ALA PORTETX7757114100%190%14Achievement592%3522394%179AchievementN/AInsufficient dataN/A0Insufficient data0N/AN/AInsufficient dataN/A0Insufficient data0N/A5663%2221475%179Achievement122%2319215%162Achievement3%101081069%No reduction05/23/2006FRESENIUS MEDICAL CARE11/08/2010
5920FMC OF PLEASANT RUN DIALYSIS672540900 NORTH POLK STREET#146DE SOTOTX7511514100%830%84Achievement085%10786492%912AchievementN/AInsufficient dataN/A66Insufficient data0N/AN/AInsufficient dataN/A0Insufficient data0N/A0253%9495344%935Achievement105%10487610%858Achievement6%10N/A81063%No reduction06/02/2006FRESENIUS MEDICAL CARE09/27/2013
5921FRESENIUS MEDICAL CARE TRI-CITY672541734 NORTH ALAMO ROADALAMOTX7851614100%730%77Achievement1097%9691396%945AchievementN/AInsufficient dataN/A0Insufficient data28N/AN/AInsufficient dataN/A0Insufficient data0N/A10766%8896260%963Achievement105%929265%926Achievement9%1010101098%No reduction05/24/2006FRESENIUS MEDICAL CARE12/12/2011
5922FMC OF WEST PLANO6725424405 TRADITION TRAILPLANOTX7509314100%830%86Achievement693%10779793%822Achievement991%2318788%154AchievementN/AInsufficient dataN/A0Insufficient data0N/A7663%8684161%861Achievement710%8377211%778Achievement6%1010101083%No reduction07/14/2006FRESENIUS MEDICAL CARE10/02/2009
5923US RENAL CARE TARRANT DIALYSIS CENTER WEATHERFORD672543504 SANTE FEWEATHERFORDTX7608614100%290%29Achievement895%4331494%329AchievementN/AInsufficient dataN/A0Insufficient data0N/AN/AInsufficient dataN/A0Insufficient data0N/A8562%3934962%338Achievement122%4031326%302Achievement3%1010101078%No reduction07/10/2006OTHER CHAIN(number of facilities <20 )01/24/2014
5924RENAL CARE GROUP SULPHUR SPRINGS6725441401 MEDICAL DRIVESULPHUR SPRINGSTX7548214100%420%44Achievement996%5644795%471AchievementN/AInsufficient dataN/A0Insufficient data0N/AN/AInsufficient dataN/A0Insufficient data0N/A9457%4847152%494Achievement105%514326%469Achievement7%1010101090%No reduction07/19/2006RENAL CARE GROUP INC.08/22/2012
5925FRESENIUS MEDICAL CARE OF DEL RIO6725452201 NORTH BEDELL, SUITE DDEL RIOTX7884014100%1090%105Achievement794%142112295%1196AchievementN/AInsufficient dataN/A0Insufficient data0N/AN/AInsufficient dataN/A0Insufficient data0N/A71078%124115174%1280Achievement103%12910904%1195Achievement10%1010101093%No reduction07/19/2006FRESENIUS MEDICAL CARE10/06/2010
5926FRESENIUS MEDICAL CARE OF NORTHSIDE6725462530 JACKSBORO HIGHWAYFORT WORTHTX7611414100%522%44Achievement591%9260894%526AchievementN/AInsufficient dataN/A0Insufficient data0N/AN/AInsufficient dataN/A0Insufficient data0N/A5458%6363256%529Achievement96%675517%465Achievement7%101091079%No reduction09/22/2006FRESENIUS MEDICAL CARE01/24/2014
5927EDNA DIALYSIS CENTER6725471008 NORTH WELLS STREETEDNATX7795714100%190%24Achievement1099%2320596%241AchievementN/AInsufficient dataN/A0Insufficient data0N/AN/AInsufficient dataN/A0Insufficient data0N/A10458%2221447%250Achievement101%221905%222Achievement7%1010101093%No reduction09/13/2006DAVITA10/13/2006
5928CARROLLTON DIALYSIS6725481544 VALWOOD PARKWAYCARROLLTONTX7500614100%340%26Achievement996%5238994%325AchievementN/AInsufficient dataN/A0Insufficient data0N/AN/AInsufficient dataN/A0Insufficient data0N/A9663%4040769%309Achievement87%443684%283Achievement7%1010101090%No reduction10/06/2006DAVITA02/17/2012
5929BEAR CREEK DIALYSIS6725494978 NORTH HIGHWAY 6, SUITE IHOUSTONTX7708414100%380%43Achievement1098%5842399%495AchievementN/AInsufficient dataN/A0Insufficient data0N/AN/AInsufficient dataN/A0Insufficient data0N/A10663%4947464%496Achievement513%5242813%453Achievement5%1010101088%No reduction10/09/2006DAVITA04/20/2011
5930MANSFIELD DIALYSIS CENTER672550987 NORTH WALNUT CREEK DRIVEMANSFIELDTX7606314100%340%26Achievement996%5736395%336AchievementN/AInsufficient dataN/A0Insufficient data0N/AN/AInsufficient dataN/A0Insufficient data0N/A9664%4239663%337Achievement105%4334711%280Achievement8%1010101093%No reduction11/20/2006DAVITA02/06/2013
5931SNG - SOHUM HOUSTON DIALYSIS CENTER LP6725518800 BISSONNETSUITE AHOUSTONTX7707414100%2220%20Achievement794%2419494%211AchievementN/AInsufficient dataN/A0Insufficient data0N/AN/AInsufficient dataN/A0Insufficient data0N/A7869%2320867%225Achievement611%221428%205Achievement7%10N/A101085%No reduction11/02/2006OTHER CHAIN(number of facilities <20 )09/25/2013
5932BEEVILLE DIALYSIS672552100 WEST HUNTINGTONBEEVILLETX7810214100%450%52Achievement1097%4840893%434Achievement889%1211288%115AchievementN/AInsufficient dataN/A0Insufficient data0N/A101075%4343567%459Achievement96%474129%429Achievement9%1010101098%No reduction11/30/2006DIVERSIFIED SPECIALTY INSTITUTES (DSI)03/21/2013
5933DAVITA DOWNTOWN DALLAS DIALYSIS6725533515 SWISS AVENUE, SUITE ADALLASTX7520414100%540%60Achievement1097%7563396%669AchievementN/AInsufficient dataN/A0Insufficient data0N/AN/AInsufficient dataN/A0Insufficient data0N/A10459%6469262%686Achievement96%676496%627Achievement7%1010101093%No reduction12/15/2006DAVITA12/27/2010
5934US RENAL CARE TARRANT DIALYSIS NORTH RICHLAND HILLS6725546455 HILLTOP DRIVE, SUITE 112NORTH RICHLAND HILLSTX7618014100%420%33Achievement996%6348398%404AchievementN/AInsufficient dataN/A0Insufficient data0N/AN/AInsufficient dataN/A0Insufficient data0N/A9663%5552963%427Achievement023%5547524%390Achievement3%1010101080%No reduction12/13/2006US RENAL CARE, INC.01/24/2014
5935GARLAND DIALYSIS672555776 EAST CENTERVILLE ROADGARLANDTX7504114100%690%62Achievement1098%9466495%730AchievementN/AInsufficient dataN/A0Insufficient data0N/AN/AInsufficient dataN/A0Insufficient data0N/A10870%7673758%759Achievement104%8167310%672Achievement9%1010101098%No reduction12/08/2006DAVITA03/30/2010
5936DOWNTOWN SAN ANTONIO DIALYSIS672556615 EAST QUINCY STREETSAN ANTONIOTX7821514100%680%77Achievement1097%6651895%658Achievement1099%2620194%205AchievementN/AInsufficient dataN/A0Insufficient data0N/A10561%5963058%727Achievement101%656132%693Achievement8%1010101095%No reduction12/21/2006DAVITA02/09/2012
5937US RENAL CARE DELTA DIALYSIS672557400 EAST EDINBURG BOULEVARDELSATX785431443%330%29Achievement288%3937393%342AchievementN/AInsufficient dataN/A0Insufficient data0N/AN/AInsufficient dataN/A0Insufficient data0N/A2562%3437559%340Achievement87%373579%318Achievement7%1010101058%0.5%01/10/2007US RENAL CARE, INC.02/24/2010
5938DAVITA EAST DIALYSIS67255811989 PELLICANO DRIVEEL PASOTX7993614100%1250%111Achievement1097%138117698%1159Achievement1096%4438090%242AchievementN/AInsufficient dataN/A0Insufficient data0N/A101080%120124478%1203Achievement105%13111678%1156Achievement10%10101010100%No reduction01/29/2007DAVITA01/14/2014
5939US RENAL CARE TARRANT DIALYSIS SOUTHWEST FORT WORTH6725595127 OLD GRANBURY ROADFORT WORTHTX7613314100%1130%98Achievement1097%138120495%1188AchievementN/AInsufficient dataN/A0Insufficient data0N/AN/AInsufficient dataN/A0Insufficient data0N/A10459%131130159%1226Achievement611%135117611%1175Achievement5%1010101088%No reduction02/12/2007US RENAL CARE, INC.01/24/2014
5940DEERBROOK DIALYSIS6725609660 FM 1960 BYPASSHUMBLETX7733814100%480%49Achievement996%6551196%568AchievementN/AInsufficient dataN/A0Insufficient data0N/AN/AInsufficient dataN/A0Insufficient data0N/A9768%5555169%584Achievement611%5950513%556Achievement6%1010101088%No reduction12/14/2006DAVITA02/21/2012
5941FRESENIUS MEDICAL CARE MUSEUM DISTRICT6725614407 YOAKUM BOULEVARDHOUSTONTX7700614100%360%51Achievement794%6849593%538AchievementN/AInsufficient dataN/A7574%99N/AN/AInsufficient dataN/A0Insufficient data0N/A7459%5051354%595Achievement710%534849%570Achievement6%1010101083%No reduction02/07/2007FRESENIUS MEDICAL CARE02/25/2008
5942HOUSTON HOME DIALYSIS6725622626 SOUTH LOOP WESTSUITE 520HOUSTONTX7705414100%180%33Achievement0Insufficient data0N/A061%3729780%429AchievementN/AInsufficient dataN/A0Insufficient data0N/A0N/A00N/AN/A00N/AN/AN/AN/AN/ANo reduction02/23/2007NOT A CHAIN09/12/2011
5943US RENAL CARE BOERNE DIALYSIS6725631595 SOUTH MAIN SUITE 107BOERNETX7800614100%160%17Achievement1099%2921795%242AchievementN/AInsufficient dataN/A0Insufficient data0N/AN/AInsufficient dataN/A0Insufficient data0N/A101084%2322378%242Achievement104%251973%222Achievement10%101091099%No reduction03/07/2007US RENAL CARE, INC.04/07/2009
5944FRESENIUS MEDICAL CARE KIEST STATION6725645148 SOUTH LANCASTER, SUITE BDALLASTX7524114100%631%75Achievement693%8873795%770AchievementN/AInsufficient dataN/A0Insufficient data0N/AN/AInsufficient dataN/A2Insufficient data6N/A6459%7778449%800Achievement104%837284%737Achievement7%1010101083%No reduction03/26/2007FRESENIUS MEDICAL CARE02/21/2012
5945FRESENIUS MEDICAL CARE LAMPASAS6725651202 CENTRAL TEXAS EXPRESSWAYLAMPASASTX7655014100%320%32Achievement693%5139593%342AchievementN/AInsufficient dataN/A0Insufficient data0N/AN/AInsufficient dataN/A0Insufficient data0N/A61078%3940678%377Achievement100%423750%346Achievement10%1010101090%No reduction04/09/2007FRESENIUS MEDICAL CARE02/06/2013
5946US RENAL CARE LAREDO SOUTH DIALYSIS6725664602 BENCHA ROADLAREDOTX7804114100%642%59Achievement693%7363296%626AchievementN/AInsufficient dataN/A9589%88N/AN/AInsufficient dataN/A0Insufficient data0N/A6665%6467972%675Achievement96%706495%648Achievement8%1010101085%No reduction05/03/2007US RENAL CARE, INC.01/14/2014
5947WOODVILLE DIALYSIS CENTER672567712 WEST BLUFF STREETWOODVILLETX7597914100%250%21Achievement10100%2927599%264AchievementN/AInsufficient dataN/A0Insufficient data0N/AN/AInsufficient dataN/A0Insufficient data0N/A10768%2728074%258Achievement514%272679%242Achievement6%1010101090%No reduction05/02/2007AMERICAN RENAL ASSOCIATES12/02/2011
5948FRESENIUS MEDICAL CARE FT WORTH PARKWAY6725686551 HARRIS PARKWAYSUITE 115 AFORT WORTHTX7613214100%640%49Achievement389%7952189%456Achievement682%4731681%289AchievementN/AInsufficient dataN/A0Insufficient data0N/A4038%6056653%464Achievement317%645198%392Achievement2%101091064%No reduction05/25/2007FRESENIUS MEDICAL CARE11/28/2012
5949RENAL CARE GROUP OF NACOGDOCHES6725703226 UNIVERSITY DRIVE, SUITE 100NACOGDOCHESTX7596514100%250%26Achievement288%2924189%269AchievementN/AInsufficient dataN/A22Insufficient data4N/AN/AInsufficient dataN/A0Insufficient data0N/A2458%2525653%263Achievement79%2723513%251Achievement6%101091069%No reduction05/15/2007FRESENIUS MEDICAL CARE09/28/2012
5950FMC SUNNYSIDE6725718340 COFFEEHOUSTONTX7703314100%400%38Achievement794%5446391%452AchievementN/AInsufficient dataN/A0Insufficient data0N/AN/AInsufficient dataN/A0Insufficient data0N/A71078%4245169%454Achievement101%484357%417Achievement10%1010101093%No reduction06/12/2007FRESENIUS MEDICAL CARE07/01/2013

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cms cms

created Oct 23, 2012

updated Jan 21, 2015

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Description

The data set includes the number of eligible patients by clinical measure; % patients with Hemoglobin > 12; 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; % 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 prior; Hemoglobin > 12 measure score; Dialysis Adequacy Measure Topic score; Vascular Access Type Measure Topic score; ICH CAHPS Admin score; NHSN Event Reporting score; Mineral Metabolism Reporting score; Anemia Management Reporting score; the Total Performance Score; and payment reduction percentage.

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