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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
751NORTHERN COLORADO HOME THERAPY DIALYSIS (FMC)0625805285 MCWHINNEY BOULEVARD #190LOVELANDCO8053815N/A00N/A0Insufficient data0N/AN/AInsufficient dataN/A0Insufficient data0N/AN/AInsufficient dataN/A0Insufficient data0N/AN/A00N/AN/A00N/AN/AN/AN/AN/ANo reduction06/12/2013FRESENIUS MEDICAL CARE01/20/2014
752KIDNEY CENTER OF NORTHRIDGE (ARA)0625811865 WEST 121ST AVENUE, SUITE 300CWESTMINSTERCO8023415N/A00N/A2Insufficient data0N/AN/AInsufficient dataN/A7Insufficient data0N/AN/AInsufficient dataN/A0Insufficient data0N/AN/A00N/AN/A00N/AN/AN/AN/AN/ANo reduction08/23/2013AMERICAN RENAL ASSOCIATES09/25/2013
753WEST LAKEWOOD DIALYSIS CENTER (DVA)06258211700 WEST 2ND PLACE, SUITE 325LAKEWOODCO8022815N/A00N/A3Insufficient data0N/AN/AInsufficient dataN/A0Insufficient data0N/AN/AInsufficient dataN/A0Insufficient data0N/AN/A00N/AN/A00N/AN/AN/AN/AN/ANo reduction12/04/2013DAVITA03/20/2014
754PARKER KIDNEY CENTER (ARA)06258318320 EAST COTTONWOOD DRIVE SUITE CPARKERCO8013815N/A00N/A2Insufficient data0N/AN/AInsufficient dataN/A1Insufficient data0N/AN/AInsufficient dataN/A0Insufficient data0N/AN/A00N/AN/A00N/AN/AN/AN/AN/ANo reduction12/18/2013AMERICAN RENAL ASSOCIATES02/27/2014
755THE CHILDRENS HOSPITAL KIDNEY CTR.06330106231113123 EAST 16TH AVENUE #328AURORACO8004515N/A00N/A4Insufficient data0N/AN/AInsufficient dataN/A2Insufficient data4N/AN/AInsufficient dataN/A33Insufficient data62N/AN/A00N/AN/A00N/AN/A101010No reduction02/02/1992NOT A CHAIN10/23/2013
756HARTFORD HOSPITAL07002507230780 SEYMOUR STREET, JB8HARTFORDCT06102115%1303%119Achievement1099%146139299%1311AchievementN/AInsufficient dataN/A34Insufficient data67N/AN/AInsufficient dataN/A0Insufficient data0N/A10457%135143357%1353Achievement415%139136511%1297Achievement4%1010101063%No reduction08/25/1977NOT A CHAIN02/20/2014
757NEW BRITAIN GENERAL HOSPITAL070035072310100 GRAND STREETDIALYSIS UNITNEW BRITAINCT060501100%780%87Achievement1097%9387697%950Achievement889%1712084%151AchievementN/AInsufficient dataN/A0Insufficient data0N/A10457%8791558%981Achievement220%9486621%959Achievement3%101041079%No reduction08/25/1977NOT A CHAIN12/19/2013
758BRIDGEPORT DIALYSIS072501900 MADISON AVENUEBRIDGEPORTCT06606143%2093%201Achievement996%203171496%1851Achievement993%6451982%449AchievementN/AInsufficient dataN/A0Insufficient data0N/A9457%179189454%1922Achievement96%19218104%1806Achievement7%1010101075%No reduction08/25/1977DAVITA11/14/2013
759NEW HAVEN HOME DIALYSIS072503136 SHERMAN AVENUESuite 206NEW HAVENCT065111100%320%30Achievement0Insufficient data0N/A476%5346369%456AchievementN/AInsufficient dataN/A0Insufficient data0N/A4N/A00N/AN/A00N/AN/AN/AN/AN/ANo reduction09/21/1983FRESENIUS MEDICAL CARE12/18/2013
760STAMFORD DIALYSIS07250430 COMMERCE ROADSTAMFORDCT069021100%1230%119Achievement1097%151127096%1246Achievement10100%1511695%92AchievementN/AInsufficient dataN/A0Insufficient data0N/A10974%139142274%1363Achievement87%14613318%1269Achievement8%1010101095%No reduction09/03/1985DAVITA01/15/2014
761DIALYSIS CENTER OF NEWINGTON072505375 WILLARD AVENUENEWINGTONCT061111100%422%44Achievement389%4340287%437AchievementN/AInsufficient dataN/A54Insufficient data46N/AN/AInsufficient dataN/A0Insufficient data0N/A3664%4246964%500Achievement025%4245426%482Achievement3%101091064%No reduction10/17/1989FRESENIUS MEDICAL CARE12/04/2013
762ENFIELD DIALYSIS CENTER072506113 ELM STREETENFIELDCT060821100%400%44Achievement895%6055595%540AchievementN/AInsufficient dataN/A0Insufficient data0N/AN/AInsufficient dataN/A0Insufficient data0N/A8355%5255747%573Achievement415%5654415%544Achievement4%1010101080%No reduction09/28/1990FRESENIUS MEDICAL CARE08/12/2011
763NEW HAVEN DIALYSIS072507100 CHURCH STREET SOUTHSuite CNEW HAVENCT06519162%1170%125Achievement794%10487694%977Achievement1094%5651894%540AchievementN/AInsufficient dataN/A10Insufficient data15N/A8252%9095359%1015Achievement514%9791115%978Achievement4%1010101070%No reduction10/12/1993DAVITA03/20/2014
764CENTRAL CT DIALYSIS CENTER072508377 RESEARCH PARKWAYMERIDENCT064501100%402%42Achievement895%5752197%556AchievementN/AInsufficient dataN/A34Insufficient data34N/AN/AInsufficient dataN/A0Insufficient data0N/A8766%4852864%549Achievement710%5150817%537Achievement7%109101087%No reduction01/13/1994FRESENIUS MEDICAL CARE12/04/2013
765EAST HARTFORD DIALYSIS CENTER072509200 PITKIN STREETEAST HARTFORDCT06108181%741%80Achievement592%8875389%770Achievement055%1612571%93AchievementN/AInsufficient dataN/A0Insufficient data0N/A4561%7679260%812Achievement513%8174415%775Achievement5%1010101068%No reduction02/04/1994FRESENIUS MEDICAL CARE03/05/2012
766SHELTON DIALYSIS072510750 BRIDGEPORT AVENUESHELTONCT064841100%686%77Achievement1098%8379496%802AchievementN/AInsufficient dataN/A0Insufficient data0N/AN/AInsufficient dataN/A0Insufficient data0N/A10973%7682276%836Achievement79%817969%783Achievement8%1010101095%No reduction03/31/1995DAVITA11/18/2013
767GREATER WATERBURY DAVITA DIALYSIS072511209 HIGHLAND AVENUEWATERBURYCT067081100%1140%117Achievement1097%126108097%1141Achievement1096%3634592%334AchievementN/AInsufficient dataN/A0Insufficient data0N/A10973%109116663%1188Achievement710%115111015%1144Achievement8%1010101095%No reduction12/01/1995DAVITA11/25/2013
768ST. RAPHAEL DIALYSIS CENTER - NEW HAVEN072512137 WATER STREETDIALYSIS UNITNEW HAVENCT065111100%1311%126Achievement693%174144195%1181AchievementN/AInsufficient dataN/A0Insufficient data0N/AN/AInsufficient dataN/A0Insufficient data0N/A6459%162165357%1325Achievement416%164138319%1254Achievement4%1010101075%No reduction08/05/1996FRESENIUS MEDICAL CARE12/04/2013
769MILFORD DIALYSIS CENTER07251350 COMMERCE PARK DRIVEMILFORDCT064601N/A02%61N/A895%5111694%589AchievementN/AInsufficient dataN/A0Insufficient data0N/AN/AInsufficient dataN/A0Insufficient data0N/A8N/A055%625N/A122%4911522%545Achievement1%N/A0101050%0.5%02/22/1999FRESENIUS MEDICAL CARE06/18/2013
770MILFORD DIALYSIS072514470 BRIDGEPORT AVENUEMILFORDCT06460143%650%63Achievement1098%8067599%707AchievementN/AInsufficient dataN/A0Insufficient data0N/AN/AInsufficient dataN/A0Insufficient data0N/A10871%7580270%726Achievement103%797518%703Achievement9%1010101083%No reduction03/17/1999DAVITA12/19/2013
771NEW LONDON DIALYSIS0725155 SHAW'S COVESuite 100NEW LONDONCT063201100%820%67Achievement1099%9682497%699Achievement1095%1511294%108AchievementN/AInsufficient dataN/A0Insufficient data0N/A101085%8689281%699Achievement79%8981411%657Achievement8%1010101095%No reduction09/09/1999DAVITA11/18/2013
772HARTFORD DIALYSIS072516675 TOWER AVENUEHARTFORDCT061121100%1140%112Achievement1098%114115098%1128Achievement1097%2420782%241AchievementN/AInsufficient dataN/A0Insufficient data0N/A10664%107118965%1142Achievement96%11311377%1103Achievement8%1010101095%No reduction10/18/1999DAVITA11/18/2013
773BRANFORD DIALYSIS072517249 WEST MAIN STREETBRANFORDCT06405162%485%42Achievement1097%6854397%460AchievementN/AInsufficient dataN/A0Insufficient data0N/AN/AInsufficient dataN/A0Insufficient data0N/A101080%5254483%476Achievement103%545042%331Achievement10%1010101090%No reduction12/03/1999DAVITA12/03/2013
774PHYSICIANS DIALYSIS INC., - ROCKY HILL07251830 WATERCHASE DRIVEROCKY HILLCT060671100%520%62Achievement996%5949999%555AchievementN/AInsufficient dataN/A69Insufficient data77N/AN/AInsufficient dataN/A0Insufficient data0N/A9973%6463072%716Achievement105%665826%684Achievement10%1010101098%No reduction12/15/1999DAVITA12/13/2013
775UCONN DIALYSIS CENTER072519230 FARMINGTON AVENUEFARMINGTONCT060321100%510%58Achievement591%7257194%557Achievement371%1210367%83AchievementN/AInsufficient dataN/A0Insufficient data0N/A5766%6160962%616Achievement513%6758517%553Achievement6%1010101078%No reduction12/29/1999DIALYSIS CLINIC, INC.10/03/2013
776NORWICH DIALYSIS072520113 SALEM TURNPIKENORWICHCT06360181%680%79Achievement996%8975197%750Achievement10100%118093%94AchievementN/AInsufficient dataN/A0Insufficient data0N/A9457%7778455%771Achievement611%7973713%704Achievement5%1010101080%No reduction11/01/1999DAVITA11/19/2013
777SOUTH NORWALK DIALYSIS07252131 STEVENS STREETNORWALKCT068561100%1080%107Achievement1097%125106997%1176Achievement890%1284Insufficient data29AchievementN/AInsufficient dataN/A0Insufficient data1N/A10870%107112372%1230Achievement105%11610844%1168Achievement9%1010101098%No reduction07/28/2000DAVITA09/25/2012
778SHORELINE DIALYSIS CENTER07252234 EAST INDUSTRIAL ROADBRANFORDCT064051100%610%68Achievement996%8062997%698AchievementN/AInsufficient dataN/A0Insufficient data0N/AN/AInsufficient dataN/A0Insufficient data0N/A9561%6669558%773Achievement024%7465925%735Achievement2%1010101078%No reduction08/17/2000FRESENIUS MEDICAL CARE11/25/2013
779TORRINGTON DIALYSIS072523780 LITCHFIELD STREET, SUITE 100C/O JOSEPH MARCANTONIO KIDNEY CENTERTORRINGTONCT067901100%642%65Achievement996%7557797%599Achievement991%2417498%190AchievementN/AInsufficient dataN/A0Insufficient data0N/A9869%5958867%630Achievement710%6655213%587Achievement7%1010101090%No reduction10/05/2000DAVITA12/23/2013
780MIDDLESEX DIALYSIS CENTER, LLC.072524100 MAIN STREET, SUITE AMIDDLETOWNCT064571100%620%71Achievement1098%8170797%760Achievement10100%128293%111AchievementN/AInsufficient dataN/A0Insufficient data0N/A10869%7076969%769Achievement105%7673810%731Achievement9%1010101098%No reduction11/15/2000DAVITA10/03/2013
781FMC DIALYSIS SERVICES FORESTVILLE072527135 MIDDLE STREETBRISTOLCT060101100%420%52Achievement794%5543296%501AchievementN/AInsufficient dataN/A72Insufficient data107N/AN/AInsufficient dataN/A0Insufficient data0N/A71077%4747071%538Achievement104%494358%523Achievement10%1010101093%No reduction01/30/2002FRESENIUS MEDICAL CARE01/23/2014
782BLOOMFIELD DIALYSIS07252829 GRIFFIN ROAD SOUTHBLOOMFIELDCT060021100%560%51Achievement1099%6960598%640AchievementN/AInsufficient dataN/A43Insufficient data4N/AN/AInsufficient dataN/A10Insufficient data15N/A10870%6163163%650Achievement104%655958%615Achievement9%1010101098%No reduction06/16/2003DAVITA12/23/2013
783VERNON DIALYSIS CENTER072529460 HARTFORD TURNPIKEVERNON ROCKVILLECT060661100%760%80Achievement1097%7768897%808Achievement10100%1714294%127AchievementN/AInsufficient dataN/A0Insufficient data0N/A10458%7375657%838Achievement513%7772211%822Achievement5%1010101088%No reduction09/01/2006DAVITA11/19/2013
784WINDHAM DIALYSIS CENTER072530375-C TUCKIE ROADNORTH WINDHAMCT062561100%260%29Achievement996%3831598%321AchievementN/AInsufficient dataN/A0Insufficient data0N/AN/AInsufficient dataN/A0Insufficient data0N/A91079%3434377%330Achievement96%3331310%308Achievement10%1010101098%No reduction09/01/2006DAVITA01/14/2014
785FMC OF HARTFORD0725313580 MAIN STREET, SUITE 3HARTFORDCT061201100%383%35Achievement389%3940494%411AchievementN/AInsufficient dataN/A15Insufficient data5N/AN/AInsufficient dataN/A0Insufficient data0N/A3664%3741358%433Achievement105%384017%415Achievement8%101081076%No reduction05/09/2007FRESENIUS MEDICAL CARE12/13/2013
786DSI NORTH HAVEN072532510 WASHINGTON AVENUENORTH HAVENCT064731100%460%53Achievement1098%5754089%583AchievementN/AInsufficient dataN/A40Insufficient data57N/AN/AInsufficient dataN/A0Insufficient data0N/A10150%5356452%586Achievement030%5453727%572Achievement0%1010101075%No reduction06/04/2007DIVERSIFIED SPECIALTY INSTITUTES (DSI)01/08/2014
787DAVITA WATERBURY HEIGHTS DIALYSIS072533150 MATTATUCK HEIGHTSWATERBURYCT067051100%650%61Achievement895%6756796%573AchievementN/AInsufficient dataN/A0Insufficient data0N/AN/AInsufficient dataN/A0Insufficient data0N/A81078%8081679%751Achievement79%837519%694Achievement8%1010101090%No reduction01/11/2008DAVITA11/26/2013
788FRESENIUS MEDICAL CARE OF SOUTHINGTON072534341 WEST STREETPLANTSVILLECT064791100%240%29Achievement1097%3330198%340AchievementN/AInsufficient dataN/A12Insufficient data12N/AN/AInsufficient dataN/A0Insufficient data0N/A101079%2729175%345Achievement101%302835%336Achievement10%101081099%No reduction03/12/2008FRESENIUS MEDICAL CARE12/17/2013
789BLACK ROCK DIALYSIS072535427 STILLSON ROADFAIRFIELDCT06824173%3811%35Improvement1098%5039295%369AchievementN/AInsufficient dataN/A0Insufficient data0N/AN/AInsufficient dataN/A0Insufficient data0N/A10664%4242471%383Achievement79%4437612%352Achievement7%1010101085%No reduction10/08/2008DAVITA12/18/2013
790FRESENIUS MEDICAL CARE OF FAIRFIELD072536500 KINGS HIGHWAYFAIRFIELDCT068251100%200%21Achievement490%3622994%215AchievementN/AInsufficient dataN/A11Insufficient data11N/AN/AInsufficient dataN/A0Insufficient data0N/A4766%2425170%210Achievement513%2622310%203Achievement6%1010101075%No reduction11/14/2008NOT A CHAIN06/14/2012
791NORTH HAVEN DIALYSIS CENTER072537266 STATE STREET SUITE 2NORTH HAVENCT064731100%550%66Achievement794%8263494%563AchievementN/AInsufficient dataN/A0Insufficient data0N/AN/AInsufficient dataN/A0Insufficient data0N/A7458%6163468%613Achievement024%7961918%501Achievement2%1010101073%No reduction06/01/2009FRESENIUS MEDICAL CARE12/11/2013
792MANCHESTER DIALYSIS CENTER072538319 MAIN STREETMANCHESTERCT060401100%430%35Achievement895%5343695%339AchievementN/AInsufficient dataN/A74Insufficient data49N/AN/AInsufficient dataN/A0Insufficient data0N/A8253%5047455%341Achievement219%5242412%325Achievement2%1010101075%No reduction09/16/2009DIALYSIS CLINIC, INC.12/12/2013
793DSI ORANGE DIALYSIS072539240 INDIAN RIVER ROAD, SUITE DORANGECT064771100%610%30Achievement1098%7158288%323Achievement784%1274Insufficient data6AchievementN/AInsufficient dataN/A0Insufficient data0N/A10665%6663566%322Achievement513%6753516%292Achievement5%1010101088%No reduction04/27/2010DIVERSIFIED SPECIALTY INSTITUTES (DSI)02/20/2014
794FMC OF WESTERN HARTFORD072540725 PARK AVENUE,BLOOMFIELDCT060021100%210%13Achievement592%3823893%147AchievementN/AInsufficient dataN/A27Insufficient data33N/AN/AInsufficient dataN/A0Insufficient data0N/A5768%3329163%147Achievement104%332335%141Achievement9%1010101085%No reduction11/22/2010FRESENIUS MEDICAL CARE11/25/2013
795WILLARD AVENUE DIALYSIS072541445E WILLARD AVENUENEWINGTONCT061111100%189Achievement996%2417298%91AchievementN/AInsufficient dataN/A12Insufficient data5N/AN/AInsufficient dataN/A0Insufficient data0N/A9356%1817956%97Achievement96%1815212%83Achievement6%1010101088%No reduction03/09/2011DAVITA06/23/2011
796COMPREHENSIVE DIALYSIS CARE LLC07254261 POMEROY AVENUE BUILDING AMERIDENCT064501100%290%23Achievement1098%3728098%235AchievementN/AInsufficient dataN/A67Insufficient data64N/AN/AInsufficient dataN/A0Insufficient data0N/A10141%3532035%288Improvement513%3728312%243Achievement3%1010101083%No reduction05/11/2011AMERICAN RENAL ASSOCIATES12/17/2013
797HAMDEN DIALYSIS0725433000 DIXWELL AVENUE SUITE 100HAMDENCT065181100%200%25Achievement895%3223093%258AchievementN/AInsufficient dataN/A0Insufficient data0N/AN/AInsufficient dataN/A0Insufficient data0N/A8870%2423477%294Achievement416%252068%114Achievement6%101081084%No reduction12/12/2011DAVITA12/05/2013
798DANBURY DIALYSIS CENTER072544111 OSBORNE STREETSUITE 211DANBURYCT06810181%1040%93Achievement1097%123107497%747Achievement1099%1516063%82AchievementN/AInsufficient dataN/A0Insufficient data0N/A101082%110114775%771Achievement105%12110969%460Achievement10%1010101095%No reduction05/01/2012DAVITA12/18/2013
799FARMINGTON DIALYSIS07254511 SOUTH ROAD, SUITE 110FARMINGTONCT060321N/A40N/A1098%1142Insufficient data0AchievementN/AInsufficient dataN/A9Insufficient data0N/AN/AInsufficient dataN/A0Insufficient data0N/A10N/A350N/AN/A200N/A10101010100%No reduction12/12/2012DAVITA02/20/2014
800CHRISTIANA CARE HEALTH SYSTEM0800010823004755 OGLETON-STANTON ROADHEMODIALYSIS UNIT, CHRISTIANA HOSPITALNEWARKDE19718407%129Achievement048%6512446%115AchievementN/AInsufficient dataN/A0Insufficient data0N/AN/AInsufficient dataN/A0Insufficient data0N/A0457%2111350%137Achievement041%164333%52Achievement2%1010101030%1.5%09/01/1977NOT A CHAIN03/30/2011

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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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