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ESRD QIP - Dialysis Adequacy - Payment Year 2015

Row numberFacility NameCMS Certification NumberAlternate CCN 1Alternate CCN 2Alternate CCN 3Address 1Address 2CityStateZip CodeNetworkKt/V Adult Hemodialysis Performance Period RateKt/V Adult Hemodialysis Measure ScoreNational Avg Kt/V Adult Hemodialysis Measure ScoreKt/V Adult Peritoneal Dialysis Performance Period RateKt/V Adult Peritoneal Dialysis Measure ScoreNational Avg Kt/V Adult Peritoneal Dialysis Measure ScoreKt/V Pediatric Hemodialysis Performance Period RateKt/V Pediatric Hemodialysis Measure ScoreNational Avg Kt/V Pediatric Hemodialysis Measure ScoreKt/V Dialysis Adequacy Combined Measure ScoreNational Avg Kt/V Dialysis Adequacy Combined Measure Score
5301CDC - ALEXANDRIA4925625999 STEVENSON AVENUESTE 100ALEXANDRIAVA22304594%77Insufficient dataN/A7Insufficient dataN/A877
5302TOTAL RENAL CARE - HOPEWELL492563301 WEST BROADWAYHOPEWELLVA23860595%8797%107Insufficient dataN/A887
5303DAVITA - CHARLOTTESVILLE4925641460 PANTOPS MOUNTAIN PLACECHARLOTTESVILLEVA22911593%6790%87Insufficient dataN/A867
5304BMA - FRANKLIN COUNTY492565300 TECHNOLOGY DRIVEROCKY MOUNTVA24151581%07Insufficient dataN/A7Insufficient dataN/A807
5305KEMPSVILLE DIALYSIS CENTER4925676320 NORTH CENTER DRIVEBLDG 15 STE 140NORFOLKVA23502594%7775%47Insufficient dataN/A867
5306BMA - CRYSTAL SPRING492570404 MCCLANAHAN STREETROANOKEVA24014579%0794%107Insufficient dataN/A837
5307BMA - RUSSELL COUNTY492572150 EAST MAIN STREETLEBANONVA24266592%57Insufficient dataN/A7Insufficient dataN/A857
5308FRONT ROYAL DIALYSIS4925731360 NORTH SHENANDOAH AVENUEFRONT ROYALVA22630596%9799%107Insufficient dataN/A897
5309DAVITA - NEWPORT NEWS492574711 79TH STREETNEWPORT NEWSVA23605598%107Insufficient dataN/A7Insufficient dataN/A8107
5310DAVITA - VIRGINIA BEACH492575740 INDEPENDENCE CIRCLEVIRGINIA BEACHVA23455595%87Insufficient dataN/A7Insufficient dataN/A887
5311SOUTHAMPTON DIALYSIS CENTER4925761333 ARMORY DRIVEFRANKLINVA23851594%77Insufficient dataN/A7Insufficient dataN/A877
5312BMA - WYTHEVILLE492578340 PEPPERS FERRY ROADWYTHEVILLEVA24382590%47Insufficient dataN/A7Insufficient dataN/A847
5313BMA - GARRISONVILLE492579396 GARRISONVILLE ROADSTAFFORDVA22554587%17Insufficient dataN/A7Insufficient dataN/A817
5314DAVITA - TYSONS CORNER4925808391 OLD COURTHOUSE ROADVIENNAVA22182592%57Insufficient dataN/A7Insufficient dataN/A857
5315RAI - CHURCHLAND-CHESAPEAKE4925813204 CHURCHLAND BOULEVARDCHESAPEAKEVA23321590%47Insufficient dataN/A7Insufficient dataN/A847
5316DAVITA - AMELIA49258315151 PATRICK HENRY HIGHWAYAMELIAVA23002596%9785%77Insufficient dataN/A897
5317FMC - FORT BELVOIR4925878796 P SACRAMENTO DRIVEALEXANDRIAVA22309595%87Insufficient dataN/A7Insufficient dataN/A887
5318BMA - GREATER NORFOLK4925881902 OMOHUNDRO AVENUE(GRANBY DIALYSIS)NORFOLKVA23517593%67Insufficient dataN/A7Insufficient dataN/A867
5319DAVITA - ALEXANDRIA4925895150 DUKE STREETALEXANDRIAVA22304597%107Insufficient dataN/A7Insufficient dataN/A8107
5320WESTHAMPTON DIALYSIS CENTER LLC4925905320 PATTERSON AVENUERICHMONDVA23226597%10783%67Insufficient dataN/A897
5321TOTAL RENAL CARE - FAIRFAX4925918501 ARLINGTON BOULEVARDSTE 100FAIRFAXVA22031598%10795%107Insufficient dataN/A8107
5322RAI - AIRLINE-PORTSMOUTH 72534925922809 AIRLINE BOULEVARDPORTSMOUTHVA23701594%7782%87Insufficient dataN/A877
5323BMA - BOWLING GREEN492593102 WEST BROADDUS AVENUEPO BOX 490BOWLING GREENVA22427593%67Insufficient dataN/A7Insufficient dataN/A867
5324APPOMATTOX DIALYSIS CENTER49259415 WEST OLD STREETPETERSBURGVA23803595%87Insufficient dataN/A7Insufficient dataN/A887
5325FMC - MONTGOMERY492595106 SOUTHPARK DRIVE SOUTHWESTSTE ABLACKSBURGVA24060589%47Insufficient dataN/A7Insufficient dataN/A847
5326FMC - POTOMAC MILLS4925963057 GOLANSKY BOULEVARDWOODBRIDGEVA22192586%17Insufficient dataN/A7Insufficient dataN/A817
5327DAVITA - HENRICO COUNTY4925985270 CHAMBERLAYNE ROADRICHMONDVA23227596%9796%107Insufficient dataN/A897
5328TOTAL RENAL CARE - RICHMOND COMMUNITY492599913 NORTH 25TH STREETRICHMONDVA23223597%107Insufficient dataN/A7Insufficient dataN/A8107
5329RAI - WEST LEIGH-RICHMOND492600800 WEST LEIGH STREETRICHMONDVA23220585%07Insufficient dataN/A7Insufficient dataN/A807
5330RENAL CAREPARTNERS - ARLINGTON/ALEXANDRIA4926022445 ARMY NAVY DRIVEANDERSON BLDG 2ND FLOORARLINGTONVA22206539%27Insufficient dataN/A7Insufficient dataN/A827
5331ARA - MECHANICSVILLE DIALYSIS4926038400 NORTH RUN MEDICAL DRIVEMECHANICSVILLEVA23116599%10793%97Insufficient dataN/A8107
5332GREAT BRIDGE DIALYSIS CENTER492604745 NORTH BATTLEFIELD BOULEVARDCHESAPEAKEVA23320597%10792%97Insufficient dataN/A8107
5333DAVITA - MECHANICSVILLE4926058191 ATLEE ROADMECHANICSVILLEVA23116598%107Insufficient dataN/A7Insufficient dataN/A8107
5334DAVITA - CHESTER DIALYSIS49260710360 IRONBRIDGE ROADCHESTERVA23831594%77Insufficient dataN/A7Insufficient dataN/A877
5335DAVITA - MIDLOTHIAN DIALYSIS49260814281 MIDLOTHIAN TRNPKMIDLOTHIANVA23113597%107Insufficient dataN/A7Insufficient dataN/A8107
5336FMC - FRIENDSHIP MANOR492610331 HERSHBERGER ROADDIALYSIS UNITROANOKEVA24012590%47Insufficient dataN/A7Insufficient dataN/A847
5337RENAL CAREPARTNERS OF RESTON LLC49261512330 PINECREST ROAD SUITE 200RESTONVA20191540%27Insufficient dataN/A7Insufficient dataN/A827
5338PORTSMOUTH DIALYSIS CENTER4926162000 HIGH STREETPORTSMOUTHVA23704596%97Insufficient dataN/A7Insufficient dataN/A897
5339PENINSULA DIALYSIS CENTER492617716 DENBIGH BOULEVARDSTES D1 & D2NEWPORT NEWSVA23608596%97Insufficient dataN/A7Insufficient dataN/A897
5340DAVITA - GREATER PORTSMOUTH4926183516 QUEEN STREETDIALYSIS UNITPORTSMOUTHVA23707597%107Insufficient dataN/A7Insufficient dataN/A8107
5341DAVITA - RADFORD DIALYSIS492619600 EAST MAIN STREETSUITE FRADFORDVA24141597%107Insufficient dataN/A7Insufficient dataN/A8107
5342RENAL CAREPARTNERS - FAIRFAX4926203930 WALNUT STREET SUITE 100FAIRFAXVA22030538%273%07Insufficient dataN/A827
5343US RENAL CARE - WARSAW4926224709 RICHMOND ROADWARSAWVA22572595%87Insufficient dataN/A7Insufficient dataN/A887
5344FRANCONIA DIALYSIS CENTER4926235695 KING CENTER DRIVESTE 105ALEXANDRIAVA22315592%57Insufficient dataN/A7Insufficient dataN/A857
5345RENAL CARE GROUP - PATRICK COUNTY492624221 RICH CREEK DRIVESTUARTVA24171595%87Insufficient dataN/A7Insufficient dataN/A887
5346RESTON DIALYSIS CENTER492625530 HUNTMAR PARK DRIVESTE DHERNDONVA20170598%107Insufficient dataN/A7Insufficient dataN/A8107
5347FAIR OAKS DIALYSIS4926263955 PENDER DRIVEFAIRFAXVA22030593%67Insufficient dataN/A7Insufficient dataN/A867
5348US RENAL CARE - ASHLAND492627113 NORTH WASHINGTON HIGHWAYASHLANDVA23005596%97Insufficient dataN/A7Insufficient dataN/A897
5349FOREST PARK DIALYSIS CENTER4926281603 SANTA ROSA ROADSTE 100RICHMONDVA23229599%107Insufficient dataN/A7Insufficient dataN/A8107
5350LEIGH DIALYSIS CENTER492629420 NORTH CENTER DRIVEBLDG 11 STE 128NORFOLKVA23502597%107100%107Insufficient dataN/A8107

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cms cms

created Oct 23, 2012

updated Jan 21, 2015

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Description

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

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