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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
1FMC CAPITOL CITY012500255 SOUTH JACKSON STREETMONTGOMERYAL361048100%750%83Achievement794%8674787%772Achievement991%177873%188AchievementN/AInsufficient dataN/A0Insufficient data0N/A7251%7177349%824Achievement611%7574810%765Achievement4%1010101078%No reduction09/01/1976FRESENIUS MEDICAL CARE03/05/2012
2GADSDEN DIALYSIS012501409 SOUTH FIRST STREETGADSDENAL359018100%520%65Achievement996%7055397%739AchievementN/AInsufficient dataN/A0Insufficient data0N/AN/AInsufficient dataN/A0Insufficient data0N/A9972%5958171%766Achievement96%595569%750Achievement9%1010101095%No reduction09/01/1976GAMBRO HEALTHCARE12/11/2009
3TUSCALOOSA UNIVERSITY DIALYSIS012502220 15TH STREETTUSCALOOSAAL354018100%740%81Achievement895%10287697%931AchievementN/AInsufficient dataN/A52Insufficient data49N/AN/AInsufficient dataN/A12Insufficient data4N/A8147%8893347%965Achievement105%888784%918Achievement6%1010101085%No reduction10/21/1977GAMBRO HEALTHCARE03/09/2010
4PCD MONTGOMERY0125051001 FOREST AVENUEMONTGOMERYAL361068100%850%87Achievement1097%8972397%866Achievement1095%3326995%184AchievementN/AInsufficient dataN/A0Insufficient data0N/A10457%7876152%907Achievement87%857314%870Achievement6%1010101090%No reduction12/14/1977DAVITA03/04/2014
5DOTHAN DIALYSIS012506216 GRACELAND DRIVEDOTHANAL36305881%801%77Achievement794%8260195%672Achievement992%3633093%299AchievementN/AInsufficient dataN/A0Insufficient data0N/A8459%6465457%731Achievement103%716284%699Achievement7%1010101083%No reduction11/28/1977GAMBRO HEALTHCARE02/23/2010
6FMC MOBILE0125072620 OLD SHELL ROADMOBILEAL366078100%660%62Achievement288%10074793%744AchievementN/AInsufficient dataN/A0Insufficient data0N/AN/AInsufficient dataN/A0Insufficient data0N/A2148%7475347%723Achievement88%797155%675Achievement5%1010101068%No reduction01/04/1979FRESENIUS MEDICAL CARE03/05/2012
7BIRMINGHAM EAST DIALYSIS0125081105 EAST PARK DRIVEBIRMINGHAMAL352358100%500%63Achievement1098%6252397%645AchievementN/AInsufficient dataN/A0Insufficient data0N/AN/AInsufficient dataN/A0Insufficient data0N/A10043%5257149%673Achievement88%5554212%634Achievement4%1010101085%No reduction06/28/1979GAMBRO HEALTHCARE06/04/2007
8FMC NORTH ALABAMA0125091311 NORTH MEMORIAL PARKWAY #200HUNTSVILLEAL35801881%701%81Achievement186%8255089%607Achievement888%3425584%239AchievementN/AInsufficient dataN/A0Insufficient data0N/A3663%7572367%717Achievement87%836574%664Achievement7%101091069%No reduction07/16/1979FRESENIUS MEDICAL CARE09/27/2013
9FMC SELMA012512905 MEDICAL CENTER PARKWAYSELMAAL367018100%490%48Achievement693%6750895%548AchievementN/AInsufficient dataN/A25Insufficient data11N/AN/AInsufficient dataN/A0Insufficient data0N/A6043%5551944%562Achievement612%5849613%541Achievement3%1010101073%No reduction08/25/1980FRESENIUS MEDICAL CARE10/06/2008
10FMC LANGDALE0125138 MEDICAL PARKVALLEYAL368548100%442%47Achievement591%6457390%580AchievementN/AInsufficient dataN/A0Insufficient data0N/AN/AInsufficient dataN/A0Insufficient data0N/A51090%6060589%599Achievement103%615713%565Achievement10%1010101088%No reduction02/12/1981FRESENIUS MEDICAL CARE11/06/2013
11FMC OPELIKA0125152609 VILLAGE PROFESSIONAL DRIVESTE 2OPELIKAAL368018100%791%78Achievement1097%8979694%725Achievement1096%2421094%202AchievementN/AInsufficient dataN/A0Insufficient data0N/A101084%7984780%757Achievement102%828064%726Achievement10%10101010100%No reduction09/07/1982FRESENIUS MEDICAL CARE03/29/2012
12DSI SOUTH DIALYSIS0125163201 3RD AVENUE SOUTHBIRMINGHAMAL352228100%360%35Achievement1099%3635797%343AchievementN/AInsufficient dataN/A36Insufficient data11N/AN/AInsufficient dataN/A0Insufficient data0N/A10240%3436831%346Improvement96%3534811%325Achievement6%1010101090%No reduction12/02/1982NATIONAL RENAL INSTITUTES08/23/2012
13DVA HEALTHCARE RENAL CARE INC01251715953 ATHENS LIMESTONE DRIVEATHENSAL356138100%550%53Achievement794%7959693%550AchievementN/AInsufficient dataN/A0Insufficient data0N/AN/AInsufficient dataN/A0Insufficient data0N/A7973%6670269%620Achievement103%696616%597Achievement10%1010101093%No reduction01/21/1983GAMBRO HEALTHCARE01/27/2014
14FMC SCOTTSBORO01251920998 JOHN T REID HIGHWAYSCOTTSBOROAL357688100%422%43Achievement592%5753794%527AchievementN/AInsufficient dataN/A0Insufficient data0N/AN/AInsufficient dataN/A0Insufficient data0N/A51091%5455884%546Achievement105%545204%505Achievement10%1010101088%No reduction11/05/1984FRESENIUS MEDICAL CARE10/23/2013
15FMC TROY012520606 BOTTS AVENUETROYAL360818100%652%60Achievement592%7873293%702AchievementN/AInsufficient dataN/A0Insufficient data0N/AN/AInsufficient dataN/A0Insufficient data0N/A5150%7476848%715Achievement88%7571313%697Achievement5%1010101075%No reduction11/19/1984FRESENIUS MEDICAL CARE03/05/2012
16DCI DOTHAN0125211630 COLUMBIA HIGHWAYDOTHANAL36303881%910%95Achievement1097%9585196%884Achievement681%2520782%159AchievementN/AInsufficient dataN/A0Insufficient data0N/A9458%8890353%924Achievement105%928588%872Achievement7%1010101085%No reduction03/11/1985DIALYSIS CLINIC, INC.03/05/2012
17FMC HUNTSVILLE0125222325 PANSY STREETSUITE CHUNTSVILLEAL358018100%554%56Achievement389%10973890%659AchievementN/AInsufficient dataN/A0Insufficient data0N/AN/AInsufficient dataN/A0Insufficient data0N/A3766%7977761%676Achievement79%8469811%619Achievement7%1010101075%No reduction08/20/1985FRESENIUS MEDICAL CARE03/05/2012
18PHENIX CITY DIALYSIS0125231900 OPELIKA ROADPHENIX CITYAL368678100%600%64Achievement1097%7663097%577Achievement1099%2116493%197AchievementN/AInsufficient dataN/A0Insufficient data0N/A10561%6265453%647Achievement103%646236%618Achievement8%1010101095%No reduction09/23/1985DAVITA03/05/2012
19FMC EAST MOBILE0125241217 GOVERNMENT STREETMOBILEAL366048100%920%101Achievement592%10076593%776Achievement991%5143593%470AchievementN/AInsufficient dataN/A0Insufficient data0N/A6665%8580162%839Achievement104%957415%807Achievement8%1010101085%No reduction12/01/1985FRESENIUS MEDICAL CARE03/05/2012
20FMC WEST MOBILE0125256601 WALL STREETSUITE AMOBILEAL366958100%560%56Achievement794%8568587%698AchievementN/AInsufficient dataN/A0Insufficient data0N/AN/AInsufficient dataN/A0Insufficient data0N/A7459%7269668%715Achievement102%756552%668Achievement7%1010101085%No reduction12/02/1985FRESENIUS MEDICAL CARE08/29/2012
21RCG PRINCETON012526708 COTTON AVENUE SOUTHWESTBIRMINGHAMAL352118100%740%101Achievement693%9187186%842Achievement786%377177%383AchievementN/AInsufficient dataN/A0Insufficient data0N/A6253%8691150%977Achievement102%998743%925Achievement6%1010101080%No reduction09/18/1985RENAL CARE GROUP INC.03/05/2012
22DCI ENTERPRISE0125273861 SALEM ROADENTERPRISEAL363308100%640%70Achievement1098%7873998%758AchievementN/AInsufficient dataN/A0Insufficient data0N/AN/AInsufficient dataN/A0Insufficient data0N/A10766%7378061%816Achievement87%787517%774Achievement8%1010101095%No reduction07/04/1986DIALYSIS CLINIC, INC.07/23/2009
23FMC CAHABA VALLEY012528120 CAHABA VALLEY PARKWAYSuite 150PELHAMAL351248100%392%44Achievement692%6848681%497ImprovementN/AInsufficient dataN/A0Insufficient data0N/AN/AInsufficient dataN/A0Insufficient data0N/A6562%4648163%505Achievement105%534575%486Achievement8%1010101085%No reduction09/17/1986RENAL CARE GROUP INC.03/03/2009
24FLORENCE DIALYSIS012529422 EAST DRIVE HICKS BOULEVARDFLORENCEAL356308100%850%94Achievement1098%8666398%728Achievement991%5636989%365AchievementN/AInsufficient dataN/A0Insufficient data0N/A10041%7473741%791Achievement104%856906%733Achievement5%1010101088%No reduction09/16/1986GAMBRO HEALTHCARE03/05/2012
25RAI EAST 11TH ST ANNISTON012530522 EAST 11TH STREET1ST FLOORANNISTONAL362078100%540%51Achievement592%8570697%707AchievementN/AInsufficient dataN/A0Insufficient data0N/AN/AInsufficient dataN/A0Insufficient data0N/A5457%7374858%745Achievement96%767056%687Achievement7%101071078%No reduction01/07/1987NOT A CHAIN03/05/2012
26FMC JACKSON (TOMBIGBEE)012531215 WALKER SPRINGS ROADJACKSONAL365458100%582%53Achievement794%7062496%619AchievementN/AInsufficient dataN/A76Insufficient data45N/AN/AInsufficient dataN/A0Insufficient data0N/A7562%6163254%625Achievement104%665994%599Achievement8%1010101088%No reduction01/29/1987FRESENIUS MEDICAL CARE08/09/2012
27DCI EUFAULA012532123 A EAST BARBOUR STREETEUFAULAAL36027843%330%39Achievement1098%4335598%421AchievementN/AInsufficient dataN/A0Insufficient data0N/AN/AInsufficient dataN/A0Insufficient data0N/A10766%3635959%433Achievement101%393413%420Achievement9%1010101083%No reduction11/25/1987DIALYSIS CLINIC, INC.06/20/2012
28WALKER COUNTY DIALYSIS012533260 6TH AVENUE NORTHJASPERAL355048100%250%25Achievement1099%3227199%242AchievementN/AInsufficient dataN/A34Insufficient data24N/AN/AInsufficient dataN/A0Insufficient data0N/A10870%2829063%280Achievement105%302714%258Achievement9%1010101098%No reduction12/29/1987NATIONAL RENAL INSTITUTES03/05/2014
29BESSEMER KIDNEY CENTER012534975 9TH AVENUE SOUTHWESTSUITE 500BESSEMERAL350228100%460%51Achievement082%6546088%553AchievementN/AInsufficient dataN/A0Insufficient data0N/AN/AInsufficient dataN/A0Insufficient data0N/A0147%5751545%640Achievement710%584797%606Achievement4%101071058%0.5%03/22/1988RENAL CARE GROUP INC.04/13/2010
30PCD PRATTVILLE0125351815 GLYNWOOD DRIVEPRATTVILLEAL360668100%410%40Achievement996%5341195%469AchievementN/AInsufficient dataN/A0Insufficient data0N/AN/AInsufficient dataN/A0Insufficient data0N/A9147%4749445%486Achievement710%514529%461Achievement4%1010101083%No reduction01/26/1990DAVITA07/30/2012
31FMC MONTCLAIR0125363918 MONTCLAIR ROADSUITE 110BIRMINGHAMAL352138100%430%59Achievement082%7853493%728AchievementN/AInsufficient dataN/A0Insufficient data0N/AN/AInsufficient dataN/A0Insufficient data0N/A0354%5150753%761Achievement96%705256%728Achievement6%10981063%No reduction09/12/1990RENAL CARE GROUP INC.02/19/2009
32FMC PRICHARD0125374016 HIGHWAY 45WHISTLERAL366138100%432%54Achievement592%6754192%593AchievementN/AInsufficient dataN/A0Insufficient data0N/AN/AInsufficient dataN/A0Insufficient data0N/A5870%5153172%596Achievement103%585033%551Achievement9%1010101085%No reduction04/23/1990FRESENIUS MEDICAL CARE03/05/2012
33RCG ANDALUSIA0125381208 WEST BYPASSANDALUSIAAL364208100%280%31Achievement793%4436483%327ImprovementN/AInsufficient dataN/A0Insufficient data0N/AN/AInsufficient dataN/A0Insufficient data0N/A7664%3839182%319Achievement88%413521%306Achievement7%1010101085%No reduction06/26/1991RENAL CARE GROUP INC.03/28/2014
34FMC MONROEVILLE (WHETSTONE)012540676 SOUTH ALABAMA AVENUEMONROEVILLEAL364608100%230%26Achievement1097%3026497%308AchievementN/AInsufficient dataN/A29Insufficient data7N/AN/AInsufficient dataN/A0Insufficient data0N/A10562%2627674%320Achievement103%272600%306Achievement8%1010101095%No reduction09/18/1991FRESENIUS MEDICAL CARE09/23/2011
35FMC DADEVILLE01254152 WATERWORKS ROADDADEVILLEAL368538100%240%20Achievement794%3529393%258AchievementN/AInsufficient dataN/A0Insufficient data0N/AN/AInsufficient dataN/A0Insufficient data0N/A71090%3031086%270Achievement104%302783%252Achievement10%101091092%No reduction03/11/1992FRESENIUS MEDICAL CARE05/17/2007
36RAINBOW CITY DIALYSIS0125422800 RAINBOW DRIVERAINBOW CITYAL359068100%370%45Achievement1097%4736297%483Achievement10100%1211893%109AchievementN/AInsufficient dataN/A0Insufficient data0N/A10560%4039558%526Achievement612%4538610%495Achievement6%1010101090%No reduction05/05/1992GAMBRO HEALTHCARE06/18/2012
37DEMOPOLIS DIALYSIS012543511 SOUTH CEDAR STREETDEMOPOLISAL367328100%600%61Achievement996%8462196%636AchievementN/AInsufficient dataN/A61Insufficient data53N/AN/AInsufficient dataN/A0Insufficient data0N/A9045%6767645%649Achievement104%706244%606Achievement5%1010101085%No reduction05/20/1992GAMBRO HEALTHCARE11/07/2011
38OZARK DIALYSIS012544214 HOSPITAL AVENUEOZARKAL363608100%330%31Achievement794%4937694%346AchievementN/AInsufficient dataN/A0Insufficient data0N/AN/AInsufficient dataN/A0Insufficient data0N/A7457%4041456%374Achievement102%403750%341Achievement7%1010101085%No reduction08/04/1992GAMBRO HEALTHCARE09/23/2011
39TUSCALOOSA DIALYSIS012545805 OLD MILL STREETTUSCALOOSAAL354018100%750%78Achievement1098%9383098%848AchievementN/AInsufficient dataN/A0Insufficient data0N/AN/AInsufficient dataN/A0Insufficient data0N/A10150%8791947%931Achievement103%898465%890Achievement6%1010101090%No reduction08/11/1992GAMBRO HEALTHCARE03/03/2010
40FMC TUSKEGEE012546802 EAST MARTIN LUTHER KING HIGHWAYTUSKEGEEAL360838100%470%46Achievement693%5554792%538AchievementN/AInsufficient dataN/A0Insufficient data0N/AN/AInsufficient dataN/A0Insufficient data0N/A61086%5357083%534Achievement102%535385%525Achievement10%1010101090%No reduction05/18/1993FRESENIUS MEDICAL CARE09/23/2010
41FMC EASTERN SHORE012547124 PROFESSIONAL PARK DRIVEFAIRHOPEAL365328100%472%51Achievement895%6951794%534Achievement993%157082%88AchievementN/AInsufficient dataN/A0Insufficient data0N/A8562%5453356%546Achievement104%564868%533Achievement8%1010101090%No reduction08/01/1993FRESENIUS MEDICAL CARE03/29/2013
42FAYETTE DIALYSIS0125482450 TEMPLE AVENUE NORTHFAYETTEAL355558100%200%22Achievement1097%3024899%265AchievementN/AInsufficient dataN/A0Insufficient data0N/AN/AInsufficient dataN/A0Insufficient data0N/A10974%2325270%274Achievement710%282495%265Achievement8%101010994%No reduction11/12/1993GAMBRO HEALTHCARE09/24/2012
43BIO-MEDICAL APPLICATIONS OF ALABAMA INC.0125491205 BELLEVILLE AVENUEBREWTONAL364268100%240%21Achievement058%3423891%215AchievementN/AInsufficient dataN/A0Insufficient data0N/AN/AInsufficient dataN/A0Insufficient data0N/A0242%2725133%223Improvement156%2922463%211Improvement1%1009744%1.0%03/17/1994FRESENIUS MEDICAL CARE10/30/2013
44GREENE COUNTY DIALYSIS012550544 HIGHWAY 43EUTAWAL354628100%353%37Achievement1098%5544698%456AchievementN/AInsufficient dataN/A0Insufficient data0N/AN/AInsufficient dataN/A0Insufficient data0N/A10040%4345137%443Achievement103%474278%430Achievement5%1010101088%No reduction06/30/1994GAMBRO HEALTHCARE04/28/2010
45SHEFFIELD DIALYSIS0125511120 SOUTH JACKSON HIGHWAY SUITE 107SHEFFIELDAL356608100%450%46Achievement895%5853696%513AchievementN/AInsufficient dataN/A0Insufficient data0N/AN/AInsufficient dataN/A0Insufficient data0N/A8869%5456668%535Achievement101%555360%490Achievement9%1010101093%No reduction01/01/1995GAMBRO HEALTHCARE11/06/2009
46BIO-MEDICAL APPLICATIONS OF ALABAMA INC01255265 NORTH CATHERINE STREETMOBILEAL366048N/A00N/A072%2258Insufficient data0AchievementN/AInsufficient dataN/A0Insufficient data0N/AN/AInsufficient dataN/A0Insufficient data0N/A0N/A00N/AN/A00N/AN/AN/AN/AN/ANo reduction07/25/2013FRESENIUS MEDICAL CARE09/27/2013
47PCD ELMORE COUNTY012553125 HOSPITAL DRIVEWETUMPKAAL360928100%240%25Achievement794%3127098%264AchievementN/AInsufficient dataN/A0Insufficient data0N/AN/AInsufficient dataN/A0Insufficient data0N/A7150%2829249%301Achievement96%282688%282Achievement5%1010101080%No reduction01/30/1995DAVITA06/03/2011
48NNA OF ALABAMA, INC0125567067 VETERANS PARKWAY SUITE 120PELL CITYAL351258100%1110Achievement484%2417675%167ImprovementN/AInsufficient dataN/A0Insufficient data0N/AN/AInsufficient dataN/A0Insufficient data0N/A4147%2017965%155Achievement025%211599%162Achievement0%101091059%0.5%06/01/1995FRESENIUS MEDICAL CARE08/14/2013
49PCD EAST MONTGOMERY0125576890 WINTON BLOUNT BOULEVARDMONTGOMERYAL361178100%370%34Achievement794%6141594%369AchievementN/AInsufficient dataN/A0Insufficient data0N/AN/AInsufficient dataN/A0Insufficient data0N/A7038%4545040%370Achievement710%4540014%324Achievement4%1010101078%No reduction06/01/1995DAVITA01/10/2013
50DCI DECATUR0125581601 6TH AVENUE SOUTH EASTDECATURAL356018100%900%82Achievement389%11193385%895AchievementN/AInsufficient dataN/A0Insufficient data0N/AN/AInsufficient dataN/A0Insufficient data0N/A3972%100100065%1000Achievement612%10894819%910Achievement7%1010101075%No reduction05/24/1995DIALYSIS CLINIC, INC.10/25/2012

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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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