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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
101RRC NORTHRIDGE0126184400 WATERMELON ROADSuite ANORTHPORTAL354738100%530%48Achievement895%5449097%420Achievement992%2821580%149AchievementN/AInsufficient dataN/A0Insufficient data0N/A8042%5055148%521Achievement104%545284%459Achievement5%1010101083%No reduction10/25/2006NOT A CHAIN07/11/2012
102TUSCALOOSA NEPHROLOGY ASSOC HOME DIALYSIS0126191649 NORTH MCFARLAND BOULEVARDSUITE 203TUSCALOOSAAL354068100%360%23Achievement0Insufficient data0N/A370%6251372%365AchievementN/AInsufficient dataN/A0Insufficient data0N/A3N/A00N/AN/A00N/AN/AN/AN/AN/ANo reduction12/19/2006NOT A CHAIN01/15/2013
103HOME DIALYSIS OF NORTH ALABAMA0126201216 SOMMERVILLE ROAD, SOUTHEASTDECATURAL356018100%150%18Achievement0Insufficient data0N/A786%2923186%231AchievementN/AInsufficient dataN/A0Insufficient data0N/A7N/A00N/AN/A00N/AN/AN/AN/AN/ANo reduction02/15/2007NOT A CHAIN07/11/2011
104RAI-SNOW ST-OXFORD012621711 SNOW STREETOXFORDAL362038100%690%69Achievement490%8369594%670Achievement561%1812523%147ImprovementN/AInsufficient dataN/A0Insufficient data0N/A4252%7575646%726Achievement88%7669413%698Achievement5%101061070%No reduction07/11/2007NOT A CHAIN07/11/2011
105DAVITA TALLADEGA012622726 EAST BATTLE STREETSUITE ATALLADEGAAL35160843%300%32Achievement895%3426991%317AchievementN/AInsufficient dataN/A30Insufficient data34N/AN/AInsufficient dataN/A0Insufficient data0N/A8560%3132059%324Achievement87%3230011%298Achievement7%1010101073%No reduction12/19/2007DAVITA06/10/2013
106DAVITA CENTER POINT DIALYSIS0126232337 1ST STREET NORTHEASTCENTER POINTAL352158100%220%30Achievement693%3826995%371AchievementN/AInsufficient dataN/A0Insufficient data0N/AN/AInsufficient dataN/A0Insufficient data0N/A61078%3031076%389Achievement104%332936%352Achievement10%1010101090%No reduction02/20/2008DAVITA07/11/2011
107FMC MIDFIELD DIALYSIS012624613 BESSEMER SUPER HIGHWAYBIRMINGHAMAL352288100%500%42Achievement482%5854768%519ImprovementN/AInsufficient dataN/A0Insufficient data0N/AN/AInsufficient dataN/A0Insufficient data0N/A4029%5857325%517Achievement104%585208%488Achievement5%101021068%No reduction01/29/2008RENAL CARE GROUP INC.02/09/2012
108RAI JACKSONVILLE012625331 HENRY ROAD, SOUTHWESTJACKSONVILLEAL362658100%390%33Achievement895%5248099%447AchievementN/AInsufficient dataN/A0Insufficient data0N/AN/AInsufficient dataN/A0Insufficient data0N/A8042%4749348%467Achievement103%494655%438Achievement5%101091082%No reduction08/19/2008RENAL ADVANTAGE07/02/2012
109FMC NORTHWEST ALABAMA KIDNEY CENTER012626638 TAHOE ROADWINFIELDAL355948100%150%14Achievement387%2117782%144ImprovementN/AInsufficient dataN/A0Insufficient data0N/AN/AInsufficient dataN/A1Insufficient data6N/A3356%2219669%156Achievement87%211733%132Achievement5%101061068%No reduction06/25/2008FRESENIUS MEDICAL CARE06/21/2013
110HOME DIALYSIS OPTIONS OF BALDWIN COUNTY01262727880 NORTH MAIN STREET, SUITE ADAPHNEAL365268N/A68N/A0Insufficient data2N/AN/AInsufficient dataN/A35Insufficient data35N/AN/AInsufficient dataN/A0Insufficient data0N/AN/A4365N/AN/A3758N/AN/AN/AN/AN/ANo reduction10/21/2008DAVITA11/10/2009
111OPELIKA DIALYSIS CENTER0126282340 PEPPERELL PARKWAYOPELIKAAL368018N/A910N/A895%199498%114AchievementN/AInsufficient dataN/A18Insufficient data16N/AN/AInsufficient dataN/A0Insufficient data0N/A8N/A8675%110N/A100%11831%92Achievement10%1010101093%No reduction10/29/2008DAVITA07/11/2011
112DAVITA RENAISSANCE0126291840 DARBY DRIVEFLORENCEAL356308100%120%16Achievement1097%1914095%162AchievementN/AInsufficient dataN/A3Insufficient data11N/AN/AInsufficient dataN/A0Insufficient data0N/A101088%1416072%184Achievement100%151612%167Achievement10%10101010100%No reduction10/15/2008DAVITA09/22/2011
113DAVITA WIREGRASS KIDNEY CENTER0126301450 ROSS CLARK CIRCLESUITE 200DOTHANAL363018100%560%57Achievement996%7360195%658AchievementN/AInsufficient dataN/A0Insufficient data0N/AN/AInsufficient dataN/A0Insufficient data0N/A91076%5862675%687Achievement100%606011%637Achievement10%1010101098%No reduction12/23/2008DAVITA06/27/2012
114GULF SHORES DIALYSIS CENTER0126313947 GULF SHORES PARKWAYGULF SHORESAL365428100%160%19Achievement794%7517596%200Achievement992%149189%85AchievementN/AInsufficient dataN/A0Insufficient data0N/A7869%1413877%162Achievement102%201264%147Achievement9%101010989%No reduction04/22/2009DAVITA07/11/2011
115MUSCLE SHOALS DIALYSIS012632712 STATE STREETMUSCLE SHOALSAL356618N/A65N/A996%169579%82AchievementN/AInsufficient dataN/A0Insufficient data0N/AN/AInsufficient dataN/A0Insufficient data0N/A9N/A8882N/AN/A8573N/AN/AN/A101093%No reduction09/16/2009DAVITA02/09/2012
116FMC PRATTVILLE012633692 COVERED BRIDGE PARKWAYPRATTVILLEAL360668100%270%24Achievement693%4030193%278AchievementN/AInsufficient dataN/A0Insufficient data0N/AN/AInsufficient dataN/A0Insufficient data0N/A6459%2929051%279Achievement513%3426916%244Achievement5%1010101078%No reduction09/15/2009FRESENIUS MEDICAL CARE07/30/2013
117FMC FOLEY012634230 EAST FERN AVENUEFOLEYAL36535824%250%16Achievement077%6726077%214AchievementN/AInsufficient dataN/A0Insufficient data0N/AN/AInsufficient dataN/A0Insufficient data0N/A0560%3026167%190Achievement416%2921112%157Achievement5%1010101043%1.0%09/14/2009FRESENIUS MEDICAL CARE03/05/2014
118FMC JAGUAR012636575 STANTON ROADUNIT BMOBILEAL366178100%780%81Achievement490%8891787%895AchievementN/AInsufficient dataN/A0Insufficient data0N/AN/AInsufficient dataN/A0Insufficient data0N/A4145%8699039%973Improvement102%889614%916Achievement6%1010101075%No reduction04/07/2010FRESENIUS MEDICAL CARE09/23/2010
119DCI HIGHLAND PARK0126371912 CHERRY STREETMONTGOMERYAL361078100%450%38Achievement794%5045999%387AchievementN/AInsufficient dataN/A0Insufficient data0N/AN/AInsufficient dataN/A0Insufficient data0N/A7252%4750144%439Achievement416%5047417%403Achievement3%1010101075%No reduction07/16/2010DIALYSIS CLINIC, INC.03/02/2011
120FMC HOOVER0126382104 LORNA RIDGE LANEHOOVERAL352168100%150%20Achievement586%3419570%207ImprovementN/AInsufficient dataN/A0Insufficient data0N/AN/AInsufficient dataN/A0Insufficient data0N/A5554%2322632%233Improvement710%2720821%199Achievement6%101091077%No reduction08/03/2010FRESENIUS MEDICAL CARE05/09/2011
121FMC MONTEVALLO0126393883 HIGHWAY 25MONTEVALLOAL351158100%150%11Achievement389%2214988%126AchievementN/AInsufficient dataN/A0Insufficient data0N/AN/AInsufficient dataN/A0Insufficient data0N/A3348%2017036%151Improvement320%2014827%120Improvement3%101091064%No reduction08/30/2010FRESENIUS MEDICAL CARE02/09/2012
122PICKENS COUNTY DIALYSIS012640289 WILLIAM EAST HILL DRIVESUITE ACARROLLTONAL354478100%320%25Achievement996%4435198%322AchievementN/AInsufficient dataN/A0Insufficient data0N/AN/AInsufficient dataN/A0Insufficient data0N/A9043%3839054%357Achievement96%403588%324Achievement5%1010101085%No reduction01/05/2011DAVITA11/05/2013
123DCI EVERGREEN012641822 WILD AVENUEEVERGREENAL364018100%200%18Achievement996%3221896%201AchievementN/AInsufficient dataN/A0Insufficient data0N/AN/AInsufficient dataN/A0Insufficient data0N/A9245%2223136%222Improvement87%272288%208Achievement5%1010101085%No reduction01/27/2011DIALYSIS CLINIC, INC.07/11/2011
124DAVITA ENTERPRISE0126426002 BOLL WEEVIL CIRCLEENTERPRISEAL363308100%360%28Achievement895%4835795%277AchievementN/AInsufficient dataN/A0Insufficient data0N/AN/AInsufficient dataN/A0Insufficient data0N/A8561%3736860%295Achievement104%393412%243Achievement8%1010101090%No reduction03/02/2011DAVITA09/21/2011
125ENDEAVOR DIALYSIS0126431675 SPARKMAN DRIVEHUNTSVILLEAL358168100%240%27Achievement1097%4834894%343AchievementN/AInsufficient dataN/A0Insufficient data0N/AN/AInsufficient dataN/A0Insufficient data0N/A101079%3940179%370Achievement101%403631%330Achievement10%10101010100%No reduction07/05/2011FRESENIUS MEDICAL CARE02/10/2014
126JEWEL DIALYSIS012644514 WEST TOWN PLAZABESSEMERAL350208100%210%21Achievement1099%2725197%262AchievementN/AInsufficient dataN/A0Insufficient data0N/AN/AInsufficient dataN/A0Insufficient data0N/A10239%2525827%269Improvement710%2624212%222Achievement5%1010101088%No reduction10/27/2011DAVITA02/10/2012
127MAGIC CITY DIALYSIS012645300 22ND STREET SOUTHBIRMINGHAMAL352338100%1000%65Achievement1097%6045696%435Achievement1094%8058494%190AchievementN/AInsufficient dataN/A0Insufficient data0N/A10355%6363753%649Achievement105%716117%499Achievement7%1010101093%No reduction10/21/2011DAVITA10/23/2013
128STEEL CITY DIALYSIS0126461809 AVENUE HBIRMINGHAMAL352188100%230%19Achievement1097%3129297%294AchievementN/AInsufficient dataN/A0Insufficient data0N/AN/AInsufficient dataN/A0Insufficient data0N/A10560%2930751%301Achievement88%3030010%255Achievement7%1010101093%No reduction10/27/2011DAVITA12/16/2011
129CROWN DIALYSIS0126473007 27TH STREET NORTHBIRMINGHAMAL352078100%190%19Achievement1098%3124898%209AchievementN/AInsufficient dataN/A0Insufficient data0N/AN/AInsufficient dataN/A0Insufficient data0N/A10452%2223936%210Improvement103%242245%141Achievement7%1010101093%No reduction11/03/2011DAVITA02/10/2012
130PCD GADSDEN012648800 GOODYEAR AVENUEGADSDENAL359038100%390%31Achievement996%6642193%299Achievement438%241880%101ImprovementN/AInsufficient dataN/A0Insufficient data0N/A8249%5148741%396Improvement417%6143427%262Improvement3%01001065%No reduction11/18/2011NOT A CHAIN09/07/2012
131PCD OF UNION SPRINGS012649112 WEST CONECUH AVENUEUNION SPRINGSAL360898100%190%25Achievement693%3127992%273AchievementN/AInsufficient dataN/A62Insufficient data8N/AN/AInsufficient dataN/A0Insufficient data0N/A6560%2528161%282Achievement101%262745%203Achievement8%010101079%No reduction12/14/2011NOT A CHAIN06/22/2012
132RENAL TREATMENT CENTERS SOUTHEAST LP01265016236 LUCAS FERRY ROADATHENSAL356118100%150%15Achievement1098%2118897%177AchievementN/AInsufficient dataN/A6Insufficient data2N/AN/AInsufficient dataN/A0Insufficient data0N/A101093%1920983%186Achievement100%192000%129Achievement10%10101010100%No reduction02/09/2012DAVITA01/27/2014
133FMC FORESTDALE0126511004 FORESTDALE BOULEVARDBIRMINGHAMAL352148100%180%13Achievement1098%2722697%101AchievementN/AInsufficient dataN/A0Insufficient data0N/AN/AInsufficient dataN/A0Insufficient data0N/A10024%2625029%100Achievement105%2721318%61Achievement5%101051084%No reduction03/14/2012FRESENIUS MEDICAL CARE03/06/2013
134LEEDS DIALYSIS0126521650 MAXEY DRIVELEEDSAL350948100%190%14Achievement1099%2019998%130AchievementN/AInsufficient dataN/A0Insufficient data0N/AN/AInsufficient dataN/A0Insufficient data0N/A10458%1920652%122Achievement105%201946%80Achievement7%1010101093%No reduction02/29/2012DAVITA11/07/2012
135PHYSICIAN'S CHOICE OF LEE COUNTY0126535009 RIVERCHASE DRIVESUITE 300PHENIX CITYAL368678100%230%15Achievement084%1916288%91Achievement027%15130Insufficient data49AchievementN/AInsufficient dataN/A0Insufficient data0N/A0251%1817747%99Achievement88%191579%57Achievement5%01091056%0.5%04/11/2012NOT A CHAIN05/03/2013
136BIO-MEDICAL APPLICATIONS OF ALABAMA012654100 MITYLENE PARK LANEMONTGOMERYAL361178100%290%14Achievement592%4434289%110AchievementN/AInsufficient dataN/A0Insufficient data0N/AN/AInsufficient dataN/A0Insufficient data0N/A5035%3836451%116Achievement028%4030229%56Achievement0%10991061%No reduction05/25/2012FRESENIUS MEDICAL CARE02/14/2013
137RENAL TREATMENT CENTERS SOUTHEAST LP012655757 SOUTH THREE NOTCH STREETANDALUSIAAL36420815%189Achievement591%2818792%91AchievementN/AInsufficient dataN/A18Insufficient data1N/AN/AInsufficient dataN/A0Insufficient data0N/A5768%2119761%87Achievement103%211708%40Achievement9%1010101063%No reduction06/21/2012OTHER CHAIN(number of facilities <20 )08/23/2013
138DCI MITYLENE PARK01265629 MITYLENE PARK LANEMONTGOMERYAL361178100%170Achievement1098%2217663%41AchievementN/AInsufficient dataN/A0Insufficient data0N/AN/AInsufficient dataN/A0Insufficient data0N/A10038%191800Achievement612%191560Achievement3%1010101083%No reduction10/11/2012DIALYSIS CLINIC, INC.02/19/2013
139FRESENIUS MEDICAL CARE BIRMINGHAM HOME, LLC01265735 WEST LAKESHORE DRIVESUITE 105BIRMINGHAMAL352098100%330Achievement02%1891Insufficient data0Achievement055%62382Insufficient data0AchievementN/AInsufficient dataN/A0Insufficient data0N/A0972%181600Achievement100%181030Achievement10%10N/A61072%No reduction10/30/2012FRESENIUS MEDICAL CARE01/27/2014
140RENAL TREATMENT CENTERS SOUTHEAST LP01265840 PURPLE HEART BOULEVARDSPRINGVILLEAL351468N/A70N/A10100%1290Insufficient data13AchievementN/AInsufficient dataN/A0Insufficient data0N/AN/AInsufficient dataN/A0Insufficient data0N/A10562%121060Achievement100%12800Achievement8%100101086%No reduction11/11/2012DAVITA07/15/2013
141BIO-MEDICAL APPLICATIONS OF ALABAMA, INC.0126599540 PARKWAY EASTBIRMINGHAMAL352158100%160Achievement895%23187Insufficient data0AchievementN/AInsufficient dataN/A0Insufficient data0N/AN/AInsufficient dataN/A0Insufficient data0N/A8766%201850Achievement100%201250Achievement9%10N/A61089%No reduction01/10/2013FRESENIUS MEDICAL CARE07/15/2013
142PHYSICIANS CHOICE DIALYSIS OF ATTALLA012660801 GILBERT FERRY ROAD SOUTHEASTATTALLAAL359548100%150Achievement288%32176Insufficient data0AchievementN/AInsufficient dataN/A0Insufficient data0N/AN/AInsufficient dataN/A0Insufficient data0N/A2043%232100Achievement219%231410Achievement1%0N/A51045%1.0%01/09/2013NOT A CHAIN08/30/2013
143RTC-SOUTHEAST, LP012661300 MEDICAL CENTER DRIVESUITE 100GADSDENAL359038N/A50N/A44Insufficient data0N/AN/AInsufficient dataN/A0Insufficient data0N/AN/AInsufficient dataN/A0Insufficient data0N/AN/A450N/AN/A270N/AN/AN/AN/AN/ANo reduction05/02/2013OTHER CHAIN(number of facilities <20 )09/27/2013
144FRESENIUS MEDICAL CARE012662114 MITYLENE PARK LANEMONTGOMERYAL361178N/A100N/A0Insufficient data0N/A475%1475Insufficient data0AchievementN/AInsufficient dataN/A0Insufficient data0N/A4N/A70N/AN/A40N/AN/AN/AN/AN/ANo reduction04/30/2013FRESENIUS MEDICAL CARE08/16/2013
145RENAL TREATMENT CENTERS SOUTHEAST LP012663611 EAST LAFAYETTE STREETMARIONAL367568100%190Achievement895%26179Insufficient data0AchievementN/AInsufficient dataN/A0Insufficient data0N/AN/AInsufficient dataN/A0Insufficient data0N/A8253%221940Achievement96%221280Achievement6%10N/A101085%No reduction03/27/2013DAVITA11/06/2013
146BIO-MEDICAL APPLICATIONS OF ALABAMA, INC.01266412401 SKOPELOS ROADGRAND BAYAL365418100%220Achievement075%34202Insufficient data0AchievementN/AInsufficient dataN/A0Insufficient data0N/AN/AInsufficient dataN/A0Insufficient data0N/A0560%271940Achievement100%271130Achievement8%10N/A101070%No reduction04/03/2013FRESENIUS MEDICAL CARE11/20/2013
147RENAL TREATMENT CENTERS SOUTHEAST, LP0126651023 DOUGLAS AVENUESUITE 300BREWTONAL364268N/A60N/A1098%1455Insufficient data0AchievementN/AInsufficient dataN/A0Insufficient data0N/AN/AInsufficient dataN/A0Insufficient data0N/A10N/A460N/AN/A190N/AN/AN/AN/AN/ANo reduction07/31/2013DAVITA01/16/2014
148RTC-SOUTHEAST, LP0126661612 NOBLE STREETANNISTONAL362018N/A10N/A10Insufficient data0N/AN/AInsufficient dataN/A0Insufficient data0N/AN/AInsufficient dataN/A0Insufficient data0N/AN/A80N/AN/A20N/AN/AN/AN/AN/ANo reduction08/09/2013OTHER CHAIN(number of facilities <20 )01/22/2014
149BIO MEDICAL APPLICATIONS OF ALABAMA, INC.012667917 B PLANTATION BOULEVARDFAIRHOPEAL365328N/A00N/A0Insufficient data0N/AN/AInsufficient dataN/A27Insufficient data0N/AN/AInsufficient dataN/A0Insufficient data0N/AN/A00N/AN/A00N/AN/AN/AN/AN/ANo reduction08/07/2013FRESENIUS MEDICAL CARE03/07/2014
150BAGBY DIALYSIS, LLC012668671 OZARK ROADABBEVILLEAL363108N/A90N/A10100%1251Insufficient data0AchievementN/AInsufficient dataN/A0Insufficient data0N/AN/AInsufficient dataN/A0Insufficient data0N/A10N/A480N/AN/A180N/AN/AN/AN/AN/ANo reduction08/21/2013OTHER CHAIN(number of facilities <20 )02/24/2014

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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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