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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
501INTERCOMMUNITY DIALYSIS CENTER05271212455 WASHINGTON BOULEVARDWHITTIERCA9060218100%791%97Achievement1098%10588696%996AchievementN/AInsufficient dataN/A75Insufficient data48N/AN/AInsufficient dataN/A4Insufficient data0N/A101077%8891675%1023Achievement87%9484110%937Achievement9%1010101098%No reduction06/17/1991NOT A CHAIN12/13/2013
502UNIVERSITY PARK DIALYSIS CENTER0527133986 SOUTH FIGUEROA STREETLOS ANGELESCA9003718100%620%64Achievement1098%7571798%724AchievementN/AInsufficient dataN/A0Insufficient data0N/AN/AInsufficient dataN/A0Insufficient data0N/A10766%6774362%741Achievement87%697196%701Achievement8%1010101095%No reduction06/07/1991DAVITA02/04/2011
503DESERT CITIES DIALYSIS05271412675 HESPERIA ROADVICTORVILLECA923921806%1222%108Achievement591%147118189%1087Achievement031%1613556%85AchievementN/AInsufficient dataN/A0Insufficient data0N/A5252%131132649%1224Achievement319%136123726%1099Improvement3%1010101045%1.0%08/05/1991NOT A CHAIN02/01/2013
504PACIFIC SOUTH BAY DIALYSIS, INC.0527151830 LOMITA BOULEVARDLOMITACA9071718100%720%88Achievement077%8980290%973AchievementN/AInsufficient dataN/A0Insufficient data0N/AN/AInsufficient dataN/A0Insufficient data0N/A0561%8386462%1034Achievement96%8782010%988Achievement7%1010101068%No reduction09/25/1991US RENAL CARE, INC.03/20/2014
505DAVITA-SANTA ANA DIALYSIS CENTER0527161820 EAST DEERE AVENUESANTA ANACA9270518100%510%60Achievement1097%8059197%670AchievementN/AInsufficient dataN/A0Insufficient data0N/AN/AInsufficient dataN/A0Insufficient data0N/A101080%6061973%672Achievement105%675925%632Achievement10%10101010100%No reduction08/17/1977DAVITA01/26/2012
506DAVITA-GREATER EL MONTE DIALYSIS CENTER0527171938 TYLER AVENUE, SUITE J-168SOUTH EL MONTECA9173318100%300%35Achievement1097%4336395%409AchievementN/AInsufficient dataN/A0Insufficient data0N/AN/AInsufficient dataN/A0Insufficient data0N/A101090%3839989%394Achievement101%393783%377Achievement10%10101010100%No reduction10/15/1991DAVITA01/26/2012
507DAVITA-NORWALK DIALYSIS CENTER05271812375 EAST IMPERIAL HIGHWAYNORWALKCA9065018100%500%55Achievement1097%6951799%583AchievementN/AInsufficient dataN/A0Insufficient data1N/AN/AInsufficient dataN/A0Insufficient data0N/A10869%5756266%579Achievement88%595198%546Achievement8%1010101095%No reduction11/13/1991DAVITA08/03/2010
508SAN FRANCISCO DIALYSIS CENTER0527191499 WEBSTER STREETSAN FRANCISCOCA9411517100%660%65Achievement895%8760495%614AchievementN/AInsufficient dataN/A68Insufficient data49N/AN/AInsufficient dataN/A0Insufficient data0N/A8665%6668070%642Achievement612%696408%601Achievement6%1010101085%No reduction06/17/1991DAVITA01/17/2010
509CITRUS DIALYSIS CENTER052720315 NORTH THIRD AVENUE, SUITE 104COVINACA9172318100%422%44Achievement381%5747871%483ImprovementN/AInsufficient dataN/A0Insufficient data0N/AN/AInsufficient dataN/A0Insufficient data0N/A3244%4750536%553Improvement87%5148113%481Achievement5%1010101070%No reduction12/02/1991NOT A CHAIN03/14/2014
510RAI PERALTA0527212757 TELEGRAPH AVENUEOAKLANDCA9461217100%940%92Achievement895%128103696%1031AchievementN/AInsufficient dataN/A0Insufficient data0N/AN/AInsufficient dataN/A0Insufficient data0N/A8044%108110641%1078Achievement513%116103514%1037Achievement3%101091077%No reduction02/12/1992RENAL ADVANTAGE10/09/2013
511FMC FREMONT05272239505 PASEO PADRE PARKWAYFREMONTCA9453817100%750%98Achievement592%9572194%806AchievementN/AInsufficient dataN/A81Insufficient data69N/AN/AInsufficient dataN/A0Insufficient data0N/A5150%7781954%936Achievement220%9077124%852Achievement2%108101066%No reduction03/06/1992FRESENIUS MEDICAL CARE07/19/2012
512MANTECA DIALYSIS CENTER0527231156 SOUTH MAIN STREETMANTECACA9533617100%110%13Achievement693%2414398%162AchievementN/AInsufficient dataN/A0Insufficient data0N/AN/AInsufficient dataN/A0Insufficient data0N/A6972%1614268%169Achievement513%1813213%151Achievement7%1010101083%No reduction03/10/1992DAVITA12/28/2010
513SFS DIALYSIS05272410012 NORWALK BOULEVARD, SUITE 190SANTA FE SPRINGSCA9067018100%150%17Achievement10100%1615690%217AchievementN/AInsufficient dataN/A0Insufficient data0N/AN/AInsufficient dataN/A0Insufficient data0N/A101094%1416064%220Achievement100%1516114%219Achievement10%108101099%No reduction06/11/1992DAVITA03/29/2013
514DOCTORS DIALYSIS CENTER OF EAST LOS ANGELES052725950 SOUTH EASTERN AVENUEEAST LOS ANGELESCA9002218100%700%77Achievement996%8877996%833AchievementN/AInsufficient dataN/A0Insufficient data0N/AN/AInsufficient dataN/A0Insufficient data0N/A9870%7884467%864Achievement87%8280610%801Achievement8%1010101093%No reduction07/15/1992DAVITA07/21/2010
515MOHAN DIALYSIS CENTER OF COVINA052726158 WEST COLLEGE STREETCOVINACA9172318100%530%46Achievement996%6753994%560AchievementN/AInsufficient dataN/A0Insufficient data0N/AN/AInsufficient dataN/A0Insufficient data0N/A9252%6260258%580Achievement416%6553311%550Achievement3%1010101080%No reduction08/10/1992NOT A CHAIN07/25/2012
516RAI-INDIANA COURT-REDLANDS0527271210 INDIANA COURTREDLANDSCA9237418100%560%54Achievement996%6754697%536AchievementN/AInsufficient dataN/A53Insufficient data23N/AN/AInsufficient dataN/A0Insufficient data0N/A9355%6162155%594Achievement416%6456316%562Achievement4%1010101083%No reduction10/14/1992FRESENIUS MEDICAL CARE10/25/2013
517RAI OCEAN AVENUE0527281738 OCEAN AVENUESAN FRANCISCOCA9411217100%640%60Achievement895%7762996%577AchievementN/AInsufficient dataN/A57Insufficient data85N/AN/AInsufficient dataN/A0Insufficient data0N/A8767%6662170%610Achievement122%7559223%561Achievement4%1010101080%No reduction11/05/1992RENAL ADVANTAGE08/09/2012
518OAKLAND DIALYSIS CENTER0527295354 CLAREMONT AVENUEOAKLANDCA946181762%910%91Achievement996%11491798%978AchievementN/AInsufficient dataN/A0Insufficient data0N/AN/AInsufficient dataN/A0Insufficient data0N/A9664%98101963%1034Achievement88%10697610%967Achievement7%1010101080%No reduction04/23/1993DAVITA03/27/2013
519DAVITA-MURRIETA05273027602 CLINTON KEITH ROAD, BUILDING FMURRIETACA9256218100%320%29Achievement693%6937598%365AchievementN/AInsufficient dataN/A0Insufficient data0N/AN/AInsufficient dataN/A0Insufficient data0N/A61076%4034673%352Achievement88%422909%337Achievement9%1010101088%No reduction05/31/1993DAVITA10/22/2012
520FMC-BALBOA-MARINA BAY052731630 BAY BOULEVARD, SUITE 101CHULA VISTACA9191018100%1510%154Achievement794%187154893%1485AchievementN/AInsufficient dataN/A074%23N/AN/AInsufficient dataN/A0Insufficient data0N/A7459%174177759%1722Achievement96%18516616%1630Achievement7%101081084%No reduction06/14/1993FRESENIUS MEDICAL CARE01/09/2013
521ANAHEIM DIALYSIS0527341107 WEST LA PALMA AVENUEANAHEIMCA9280118100%780%76Achievement693%10279795%802AchievementN/AInsufficient dataN/A21Insufficient data24N/AN/AInsufficient dataN/A0Insufficient data0N/A61078%8285376%811Achievement611%8778011%756Achievement8%1010101085%No reduction09/27/1993DAVITA02/14/2012
522DAVITA-TEMECULA DIALYSIS CENTER05273540945 COUNTY CENTER DRIVE, SUITE GTEMECULACA9259118100%430%55Achievement1097%7644397%601AchievementN/AInsufficient dataN/A0Insufficient data0N/AN/AInsufficient dataN/A0Insufficient data0N/A10356%5250052%619Achievement96%564517%548Achievement6%1010101090%No reduction10/06/1993DAVITA01/19/2012
523LOS BANOS DIALYSIS CENTER05273860 G STREET, BUILDING DLOS BANOSCA9363517100%730%70Achievement693%10277595%762AchievementN/AInsufficient dataN/A30Insufficient data10N/AN/AInsufficient dataN/A0Insufficient data0N/A6972%8383371%798Achievement87%8375113%726Achievement9%1010101088%No reduction07/02/1993DAVITA07/12/2013
524CHINO DIALYSIS0527394445 RIVERSIDE DRIVECHINOCA9171018100%500%53Achievement1097%8256598%597AchievementN/AInsufficient dataN/A0Insufficient data0N/AN/AInsufficient dataN/A0Insufficient data0N/A10665%5856352%592Achievement611%6252313%554Achievement6%1010101090%No reduction11/08/1993DAVITA02/14/2012
525RAI-FLETCHER PARKWAY-EL CAJON052740858 FLETCHER PARKWAYEL CAJONCA9202018100%280%29Achievement1097%3734798%363AchievementN/AInsufficient dataN/A0Insufficient data0N/AN/AInsufficient dataN/A0Insufficient data0N/A10766%3235467%375Achievement102%333484%367Achievement9%101091097%No reduction10/01/1987FRESENIUS MEDICAL CARE08/05/2013
526RAI E. 14TH052742198 EAST 14TH STREETSAN LEANDROCA9457717100%260%24Achievement288%4526092%284AchievementN/AInsufficient dataN/A0Insufficient data0N/AN/AInsufficient dataN/A0Insufficient data0N/A2663%2927266%308Achievement102%312547%277Achievement8%10109269%No reduction01/11/1994RENAL ADVANTAGE11/03/2010
527DAVITA-MOUNTAIN VISTA DIALYSIS CENTER0527434041 UNIVERSITY PARKWAYSAN BERNARDINOCA9240718100%590%59Achievement1098%7049997%483Achievement10100%2016594%116AchievementN/AInsufficient dataN/A0Insufficient data0N/A10355%5153542%502Achievement415%5349320%447Achievement4%1010101085%No reduction01/01/1994DAVITA02/14/2012
528SOUTH VALLEY DIALYSIS05274417815 VENTURA BOULEVARD, SUITE 100ENCINOCA9131618100%950%100Achievement1097%11891295%892AchievementN/AInsufficient dataN/A0Insufficient data0N/AN/AInsufficient dataN/A0Insufficient data0N/A10973%110113777%1142Achievement79%11810726%1041Achievement8%1010101095%No reduction01/01/1994DAVITA12/22/2011
529DAVITA-SUNRISE DIALYSIS CENTER05274611300 HAWTHORNE BOULEVARDINGLEWOODCA9030418100%1040%105Achievement1097%129103399%1109AchievementN/AInsufficient dataN/A0Insufficient data0N/AN/AInsufficient dataN/A0Insufficient data0N/A10561%109113061%1166Achievement105%11710775%1122Achievement8%1010101095%No reduction01/01/1994DAVITA03/07/2014
530WEST COAST DIALYSIS CENTER, LLC0527473780 KILROY AIRPORT WAY, SUITE 110LONG BEACHCA9080618100%1040%108Achievement081%120104291%1105Achievement992%1413688%119AchievementN/AInsufficient dataN/A0Insufficient data0N/A1354%108108649%1160Achievement612%115101415%1097Achievement5%1010101065%No reduction05/01/1994US RENAL CARE, INC.10/01/2013
531SATELLITE DIALYSIS0527517800 ARROYO CIRCLE #BGILROYCA9502017100%1010%99Achievement895%10695294%940Achievement787%2217489%132AchievementN/AInsufficient dataN/A0Insufficient data0N/A81077%9699673%1024Achievement710%10395710%951Achievement8%1010101090%No reduction08/17/1994SATELLITE HEALTHCARE07/18/2013
532RAI CERES AVENUE, CHICO0527523011 CERES AVENUE #125CHICOCA9597317100%440%52Achievement794%7052295%553AchievementN/AInsufficient dataN/A8118%65N/AN/AInsufficient dataN/A0Insufficient data0N/A71081%5757479%621Achievement710%655479%579Achievement8%101010886%No reduction08/26/1994RENAL ADVANTAGE06/22/2012
533LODI DIALYSIS CENTER0527531610 WEST KETTLEMAN LANE, SUITE DLODICA9524217100%400%44Achievement895%5646494%486AchievementN/AInsufficient dataN/A0Insufficient data0N/AN/AInsufficient dataN/A0Insufficient data0N/A8149%4747950%485Achievement88%514506%455Achievement5%1010101083%No reduction10/26/1997DAVITA11/03/2010
534GREATER LOS ANGELES DIALYSIS, INC.05275511204 EAST RUSH STREETSOUTH EL MONTECA917331839%4514%43Improvement1098%4942296%389AchievementN/AInsufficient dataN/A0Insufficient data12N/AN/AInsufficient dataN/A0Insufficient data0N/A10871%4950066%466Achievement611%5146115%430Achievement7%1010101075%No reduction02/17/1995NOT A CHAIN11/14/2012
535ENCINITAS DIALYSIS052756332 SANTA FE DRIVE, SUITE 100ENCINITASCA9202418100%400%42Achievement794%6139092%420AchievementN/AInsufficient dataN/A49Insufficient data46N/AN/AInsufficient dataN/A0Insufficient data0N/A7870%4039664%436Achievement710%4937915%367Achievement7%1010101085%No reduction03/27/1995DAVITA10/16/2012
536FMC DIABLO CENTRAL PITTSBURG0527572155 LOVERIDGE ROADPITTSBURGCA9456517100%532%53Achievement996%5954795%567AchievementN/AInsufficient dataN/A0Insufficient data0N/AN/AInsufficient dataN/A0Insufficient data0N/A9869%5963372%646Achievement514%6059813%630Achievement6%1010101088%No reduction01/01/1995FRESENIUS MEDICAL CARE01/14/2009
537FMC DIABLO WALNUT CREEK052758365 LENNON LANE #160WALNUT CREEKCA9459817100%670%73Achievement288%8456789%610Achievement889%2819686%177AchievementN/AInsufficient dataN/A0Insufficient data0N/A4562%6766970%720Achievement318%7462714%666Achievement4%10810968%No reduction01/01/1995FRESENIUS MEDICAL CARE01/27/2011
538FMC DIABLO CONCORD052759508 CONTRA COSTA BOULEVARD #DPLEASANT HILLCA9452317100%750%80Achievement1097%10788797%962AchievementN/AInsufficient dataN/A0Insufficient data0N/AN/AInsufficient dataN/A0Insufficient data0N/A10974%9594277%1000Achievement317%9786915%961Achievement6%1010101090%No reduction01/01/1995FRESENIUS MEDICAL CARE07/25/2012
539FMC-SAN GABRIEL DIALYSIS CENTER0527601801 WEST VALLEY BOULEVARD, SUITE 102ALHAMBRACA9180318100%510%49Achievement592%7354694%505AchievementN/AInsufficient dataN/A0Insufficient data0N/AN/AInsufficient dataN/A0Insufficient data0N/A5974%5659572%531Achievement79%5857013%456Achievement8%101010982%No reduction03/20/1995FRESENIUS MEDICAL CARE03/04/2014
540DAVITA-PREMIER DIALYSIS CENTER0527617612 ATLANTIC AVENUECUDAHYCA902011881%1510%159Achievement1098%181160999%1748Achievement1099%1917996%135AchievementN/AInsufficient dataN/A0Insufficient data0N/A10767%160171568%1768Achievement88%17216388%1673Achievement8%1010101090%No reduction04/11/1995DAVITA02/10/2011
541FMC-OXNARD0527621801 HOLSER WALK, SUITE 310OXNARDCA9303018100%701%83Achievement1098%10895698%923AchievementN/AInsufficient dataN/A0Insufficient data0N/AN/AInsufficient dataN/A0Insufficient data0N/A10766%9197564%945Achievement102%939202%900Achievement9%1010101098%No reduction06/12/1995FRESENIUS MEDICAL CARE02/01/2011
542FMC-SAN GABRIEL VALLEY PD CLINIC0527641801 WEST VALLEY BOULEVARD, SUITE 204ALHAMBRACA9180318N/A64N/A0Insufficient data0N/AN/AInsufficient dataN/A7486%81N/AN/AInsufficient dataN/A0Insufficient data0N/AN/A00N/AN/A00N/AN/AN/AN/AN/ANo reduction04/27/1995FRESENIUS MEDICAL CARE07/13/2011
543RAI FAIRWAY ROCKLIN0527656000 FAIRWAY DRIVE SUITE #14ROCKLINCA956771743%330%26Achievement591%4630491%305AchievementN/AInsufficient dataN/A0Insufficient data0N/AN/AInsufficient dataN/A1Insufficient data0N/A5767%3735269%354Achievement513%383138%334Achievement6%1010101063%No reduction05/31/1995RENAL ADVANTAGE03/28/2012
544ASH TREE PD0527672666 NORTH GROVE INDUSTRIAL DRIVEFRESNOCA9372717N/A00N/A0Insufficient data0N/AN/AInsufficient dataN/A0Insufficient data0N/AN/AInsufficient dataN/A0Insufficient data0N/AN/A00N/AN/A00N/A10N/AN/AN/ANo reduction07/25/1995DAVITA10/02/2013
545DAVITA-DIAMOND VALLEY DIALYSIS CENTER0527681030 EAST FLORIDA AVENUEHEMETCA9254318100%250%30Achievement895%3730198%355AchievementN/AInsufficient dataN/A0Insufficient data0N/AN/AInsufficient dataN/A0Insufficient data0N/A8562%3129666%345Achievement87%3528012%320Achievement7%1010101088%No reduction07/06/1995DAVITA01/26/2012
546SF CHINATOWN DIALYSIS CENTER052769636 CLAY STREETSAN FRANCISCOCA9411117100%640%62Achievement1099%7265799%708AchievementN/AInsufficient dataN/A0Insufficient data0N/AN/AInsufficient dataN/A0Insufficient data0N/A10768%7276962%726Achievement88%7473511%696Achievement8%1010101095%No reduction09/19/1995DAVITA11/03/2010
547SELMA DIALYSIS CENTER0527702711 CINEMA WAY #111SELMACA9366217100%830%80Achievement1098%9878697%852AchievementN/AInsufficient dataN/A0Insufficient data0N/AN/AInsufficient dataN/A0Insufficient data0N/A10869%9796968%924Achievement318%10289414%872Achievement5%1010101088%No reduction09/27/1995DAVITA11/04/2010
548DAVITA-VISALIA AT HOME DIALYSIS0527711120 NORTH CHINOWTH STREETVISALIACA9329118100%186%16Achievement0Insufficient data0N/A1095%3328891%259AchievementN/AInsufficient dataN/A0Insufficient data0N/A10N/A00N/AN/A00N/AN/AN/AN/AN/ANo reduction10/03/1995DAVITA03/29/2013
549RAI-HOSPITAL CIRCLE-WESTMINSTER052772290 HOSPITAL CIRCLEWESTMINSTERCA9268318100%330%41Achievement996%4736493%411AchievementN/AInsufficient dataN/A0Insufficient data0N/AN/AInsufficient dataN/A0Insufficient data0N/A9768%3940666%432Achievement514%4538210%400Achievement6%1095983%No reduction12/20/1995FRESENIUS MEDICAL CARE02/05/2013
550WESTMINSTER SOUTH DIALYSIS05277314014 MAGNOLIA STREETWESTMINSTERCA9268318100%960%91Achievement1098%11699198%947AchievementN/AInsufficient dataN/A0Insufficient data0N/AN/AInsufficient dataN/A0Insufficient data0N/A10974%110114974%1073Achievement88%11410709%1002Achievement8%1010101095%No reduction09/29/1995DAVITA10/16/2012

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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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